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DB08873
DB11703
74
405
[ "DDInter221", "DDInter9" ]
Boceprevir
Acalabrutinib
Boceprevir is a direct acting antiviral medication used as part of combination therapy to treat chronic Hepatitis C, an infectious liver disease caused by infection with Hepatitis C Virus (HCV). HCV is a single-stranded RNA virus that is categorized into nine distinct genotypes, with genotype 1 being the most common in the United States, and affecting 72% of all chronic HCV patients. Treatment options for chronic Hepatitis C have advanced significantly since 2011, with the development of Direct Acting Antivirals (DAAs) such as Boceprevir. Boceprevir is an inhibitor of NS3/4A, a serine protease enzyme, encoded by HCV genotypes 1 and 4 [synthesis]. These enzymes are essential for viral replication and serve to cleave the virally encoded polyprotein into mature proteins like NS4A, NS4B, NS5A and NS5B [FDA Label]. The barrier
To date, acalabrutinib has been used in trials studying the treatment of B-All, myelofibrosis, ovarian cancer, multiple myeloma, and Hodgkin lymphoma, among others. As of October 31, 2017 the FDA approved Astra Zeneca's orally administered Calquence (acalabrutinib, capsules). This Bruton tyrosine kinase (BTK) inhibitor indicated for the treatment of chronic lymphocytic leukemia, small lymphocytic lymphoma, and in adult patients with Mantle cell lymphoma (MCL) who have already received at least one prior therapy. In August 2022, the FDA approved a new tablet formulation of Calquence, enabling the co-administration of this drug with proton pump inhibitors (PPIs).[L42795,L42800] Unlike Calquence capsules, the co-administration of Calquence tablets and PPIs does not have an effect in the pharmacokinetics of acalabrutinib.[L10241,L42795] Also known as ACP-196, acalabrutinib is also considered a second generation BTK inhibitor because it was rationally designed to be more potent and selective than ibrutinib, theoretically expected to demonstrate fewer adverse effects owing to minimized bystander effects on targets other than BTK. Nevertheless, acalabrutinib was approved under the FDA's accelerated approval pathway, which is based upon overall response rate and faciliates earlier approval of medicines that treat serious conditions or/and that fill an unmet medical need based on a surrogate endpoint. Continued approval for acalabrutinib's currently accepted indication may subsequently be contingent upon ongoing verification and description of clinical benefit in confimatory trials. Furthermore, the FDA granted this medication Priority Review and Breakthrough Therapy designations. It also received Orphan Drug designation, which provides incentives to assist and encourage the development of drugs for rare diseases. At this time, more than 35 clinical trials across 40 countries with more than 2500 patients are underway or have been completed with regards to further research into better understanding and expanding the therapeutic uses of acalabrutinib .
Major
2
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[ [ [ "Boceprevir", "{u} may lead to a major life threatening interaction when taken with {v}", "Acalabrutinib" ] ], [ [ "Boceprevir", "{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}", "Acalabrutinib" ] ], [ [ "Boceprevir", "{u} may lead to a major life threatening interaction when taken with {v}", "Palbociclib" ], [ "Palbociclib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acalabrutinib" ] ], [ [ "Boceprevir", "{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}", "Acalabrutinib" ] ], [ [ "Boceprevir", "{u} may lead to a major life threatening interaction when taken with {v}", "Nilotinib" ], [ "Nilotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acalabrutinib" ] ], [ [ "Boceprevir", "{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}", "Acalabrutinib" ] ], [ [ "Boceprevir", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Abiraterone" ], [ "Abiraterone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acalabrutinib" ] ], [ [ "Boceprevir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vemurafenib" ], [ "Vemurafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acalabrutinib" ] ], [ [ "Boceprevir", "{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}", "Acalabrutinib" ] ], [ [ "Boceprevir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Warfarin" ], [ "Warfarin", "{u} may lead to a major life threatening interaction when taken with {v}", "Acalabrutinib" ] ] ]
Boceprevir 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 Acalabrutinib Boceprevir may lead to a major life threatening interaction when taken with Palbociclib and Palbociclib may cause a moderate interaction that could exacerbate diseases when taken with Acalabrutinib Boceprevir 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 Acalabrutinib Boceprevir may lead to a major life threatening interaction when taken with Nilotinib and Nilotinib may cause a moderate interaction that could exacerbate diseases when taken with Acalabrutinib Boceprevir 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 Acalabrutinib Boceprevir may cause a minor interaction that can limit clinical effects when taken with Abiraterone and Abiraterone may cause a moderate interaction that could exacerbate diseases when taken with Acalabrutinib Boceprevir may cause a moderate interaction that could exacerbate diseases when taken with Vemurafenib and Vemurafenib may cause a moderate interaction that could exacerbate diseases when taken with Acalabrutinib Boceprevir 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 Acalabrutinib Boceprevir may cause a moderate interaction that could exacerbate diseases when taken with Warfarin and Warfarin may lead to a major life threatening interaction when taken with Acalabrutinib
DB00980
DB01069
969
401
[ "DDInter1564", "DDInter1533" ]
Ramelteon
Promethazine
Ramelteon is the first in a new class of sleep agents that selectively binds to the melatonin receptors in the suprachiasmatic nucleus (SCN). It is used for insomnia, particularly delayed sleep onset. Ramelteon has not been shown to produce dependence and has shown no potential for abuse.
Promethazine, originally known as 3,277 R.P., is an N-dimethylaminopropyl derivative of [phenothiazine] that was developed in France in 1946. Promethazine antagonizes a variety of receptors, allowing it to be used for a number of indications including allergic reactions, pain, sedation, nausea, and vomiting.[A189907,A190153,A190159,A190150,A190171] Promethazine was granted FDA approval before 29 March 1951.[A190177,L4000]
Moderate
1
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[ [ [ "Ramelteon", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promethazine" ] ], [ [ "Ramelteon", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ], [ "Doxepin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promethazine" ] ], [ [ "Ramelteon", "{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}", "Promethazine" ] ], [ [ "Ramelteon", "{u} (Compound) causes {v} (Side Effect)", "Anaphylactic shock" ], [ "Anaphylactic shock", "{u} (Side Effect) is caused by {v} (Compound)", "Promethazine" ] ], [ [ "Ramelteon", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Thalidomide" ], [ "Thalidomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promethazine" ] ], [ [ "Ramelteon", "{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}", "Promethazine" ] ], [ [ "Ramelteon", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Osimertinib" ], [ "Osimertinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Promethazine" ] ], [ [ "Ramelteon", "{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}", "Promethazine" ] ], [ [ "Ramelteon", "{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}", "Propiomazine" ], [ "Propiomazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promethazine" ] ], [ [ "Ramelteon", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alimemazine" ], [ "Alimemazine", "{u} (Compound) resembles {v} (Compound)", "Ethopropazine" ], [ "Ethopropazine", "{u} (Compound) resembles {v} (Compound)", "Promethazine" ] ] ]
Ramelteon may cause a moderate interaction that could exacerbate diseases when taken with Doxepin and Doxepin may cause a moderate interaction that could exacerbate diseases when taken with Promethazine Ramelteon 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 Promethazine Ramelteon (Compound) causes Anaphylactic shock (Side Effect) and Anaphylactic shock (Side Effect) is caused by Promethazine (Compound) Ramelteon may cause a moderate interaction that could exacerbate diseases when taken with Thalidomide and Thalidomide may cause a moderate interaction that could exacerbate diseases when taken with Promethazine Ramelteon 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 Promethazine Ramelteon may cause a moderate interaction that could exacerbate diseases when taken with Osimertinib and Osimertinib may lead to a major life threatening interaction when taken with Promethazine Ramelteon 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 Promethazine Ramelteon 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 Propiomazine and Propiomazine may cause a moderate interaction that could exacerbate diseases when taken with Promethazine Ramelteon may cause a moderate interaction that could exacerbate diseases when taken with Alimemazine and Alimemazine (Compound) resembles Ethopropazine (Compound) and Ethopropazine (Compound) resembles Promethazine (Compound)
DB00781
DB01357
1,481
890
[ "DDInter1489", "DDInter1160" ]
Polymyxin B
Mestranol
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.
The 3-methyl ether of ethinyl estradiol. It must be demethylated to be biologically active. It is used as the estrogen component of many combination ORAL contraceptives.
Moderate
1
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[ [ [ "Polymyxin B", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mestranol" ] ], [ [ "Polymyxin B", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Estradiol" ], [ "Estradiol", "{u} (Compound) resembles {v} (Compound)", "Mestranol" ] ], [ [ "Polymyxin B", "{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}", "Mestranol" ] ], [ [ "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}", "Mestranol" ] ], [ [ "Polymyxin B", "{u} may lead to a major life threatening interaction when taken with {v}", "Kanamycin" ], [ "Kanamycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mestranol" ] ], [ [ "Polymyxin B", "{u} (Compound) resembles {v} (Compound)", "Bacitracin" ], [ "Bacitracin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mestranol" ] ], [ [ "Polymyxin B", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mycophenolic acid" ], [ "Mycophenolic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Mestranol" ] ], [ [ "Polymyxin B", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Estradiol" ], [ "Estradiol", "{u} (Compound) resembles {v} (Compound)", "Estramustine" ], [ "Estramustine", "{u} (Compound) resembles {v} (Compound)", "Mestranol" ] ], [ [ "Polymyxin B", "{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}", "Estradiol" ], [ "Estradiol", "{u} (Compound) resembles {v} (Compound)", "Mestranol" ] ], [ [ "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}", "Estradiol" ], [ "Estradiol", "{u} (Compound) resembles {v} (Compound)", "Mestranol" ] ] ]
Polymyxin B may cause a moderate interaction that could exacerbate diseases when taken with Estradiol and Estradiol (Compound) resembles Mestranol (Compound) Polymyxin B 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 Mestranol 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 Mestranol Polymyxin B may lead to a major life threatening interaction when taken with Kanamycin and Kanamycin may cause a moderate interaction that could exacerbate diseases when taken with Mestranol Polymyxin B (Compound) resembles Bacitracin (Compound) and Bacitracin may cause a moderate interaction that could exacerbate diseases when taken with Mestranol Polymyxin B may cause a moderate interaction that could exacerbate diseases when taken with Mycophenolic acid and Mycophenolic acid may lead to a major life threatening interaction when taken with Mestranol Polymyxin B may cause a moderate interaction that could exacerbate diseases when taken with Estradiol and Estradiol (Compound) resembles Estramustine (Compound) and Estramustine (Compound) resembles Mestranol (Compound) Polymyxin B 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 Estradiol and Estradiol (Compound) resembles Mestranol (Compound) 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 Estradiol and Estradiol (Compound) resembles Mestranol (Compound)
DB01261
DB08881
170
868
[ "DDInter1679", "DDInter1925" ]
Sitagliptin
Vemurafenib
Sitagliptin is an oral dipeptidyl peptidase-4 (DPP-4) inhibitor used in conjunction with diet and exercise to improve glycemic control in patients with type 2 diabetes mellitus[FDA label,A2260,A2255,A2256]. The effect of this medication leads to glucose dependent increases in insulin and decreases in glucagon to improve control of blood sugar[FDA label,A2255]. Sitagliptin was granted FDA approval on October 16, 2006.
Vemurafenib is a competitive kinase inhibitor with activity against BRAF kinase with mutations like V600E. It exerts its function by binding to the ATP-binding domain of the mutant BRAF. Vemurafenib was co-developed by Roche and Plexxikon and it obtained its FDA approval on August 17, 2011, under the company Hoffmann La Roche. After approval, Roche in collaboration with Genentech launched a broad development program.
Moderate
1
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[ [ [ "Sitagliptin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vemurafenib" ] ], [ [ "Sitagliptin", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Vemurafenib" ] ], [ [ "Sitagliptin", "{u} (Compound) downregulates {v} (Gene)", "CHAC1" ], [ "CHAC1", "{u} (Gene) is upregulated by {v} (Compound)", "Vemurafenib" ] ], [ [ "Sitagliptin", "{u} (Compound) upregulates {v} (Gene)", "PIGB" ], [ "PIGB", "{u} (Gene) is upregulated by {v} (Compound)", "Vemurafenib" ] ], [ [ "Sitagliptin", "{u} (Compound) downregulates {v} (Gene)", "SDC1" ], [ "SDC1", "{u} (Gene) is downregulated by {v} (Compound)", "Vemurafenib" ] ], [ [ "Sitagliptin", "{u} (Compound) causes {v} (Side Effect)", "Eye disorder" ], [ "Eye disorder", "{u} (Side Effect) is caused by {v} (Compound)", "Vemurafenib" ] ], [ [ "Sitagliptin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bortezomib" ], [ "Bortezomib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Vemurafenib" ] ], [ [ "Sitagliptin", "{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" ] ], [ [ "Sitagliptin", "{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}", "Vemurafenib" ] ], [ [ "Sitagliptin", "{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}", "Vemurafenib" ] ] ]
Sitagliptin (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Vemurafenib (Compound) Sitagliptin (Compound) downregulates CHAC1 (Gene) and CHAC1 (Gene) is upregulated by Vemurafenib (Compound) Sitagliptin (Compound) upregulates PIGB (Gene) and PIGB (Gene) is upregulated by Vemurafenib (Compound) Sitagliptin (Compound) downregulates SDC1 (Gene) and SDC1 (Gene) is downregulated by Vemurafenib (Compound) Sitagliptin (Compound) causes Eye disorder (Side Effect) and Eye disorder (Side Effect) is caused by Vemurafenib (Compound) Sitagliptin may cause a moderate interaction that could exacerbate diseases when taken with Bortezomib and Bortezomib may cause a minor interaction that can limit clinical effects when taken with Vemurafenib Sitagliptin 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 Sitagliptin 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 Vemurafenib Sitagliptin 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 Vemurafenib
DB00762
DB09073
613
951
[ "DDInter973", "DDInter1379" ]
Irinotecan
Palbociclib
Irinotecan is an antineoplastic enzyme inhibitor primarily used in the treatment of colorectal cancer. It is a derivative of camptothecin that inhibits the action of topoisomerase I. Irinotecan prevents religation of the DNA strand by binding to topoisomerase I-DNA complex, and causes double-strand DNA breakage and cell death. It is a derivative of camptothecin. Irinotecan was approved for the treatment of advanced pancreatic cancer in October, 2015 (irinotecan liposome injection, trade name Onivyde).
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
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[ [ [ "Irinotecan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Palbociclib" ] ], [ [ "Irinotecan", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Citalopram" ], [ "Citalopram", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Palbociclib" ] ], [ [ "Irinotecan", "{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}", "Palbociclib" ] ], [ [ "Irinotecan", "{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}", "Palbociclib" ] ], [ [ "Irinotecan", "{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}", "Palbociclib" ] ], [ [ "Irinotecan", "{u} may lead to a major life threatening interaction when taken with {v}", "Mifepristone" ], [ "Mifepristone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Palbociclib" ] ], [ [ "Irinotecan", "{u} may lead to a major life threatening interaction when taken with {v}", "Amprenavir" ], [ "Amprenavir", "{u} may lead to a major life threatening interaction when taken with {v}", "Palbociclib" ] ], [ [ "Irinotecan", "{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}", "Palbociclib" ] ], [ [ "Irinotecan", "{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" ] ], [ [ "Irinotecan", "{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}", "Palbociclib" ] ] ]
Irinotecan may cause a minor interaction that can limit clinical effects when taken with Citalopram and Citalopram may cause a minor interaction that can limit clinical effects when taken with Palbociclib Irinotecan 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 Palbociclib Irinotecan 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 Palbociclib Irinotecan 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 Palbociclib Irinotecan may lead to a major life threatening interaction when taken with Mifepristone and Mifepristone may cause a moderate interaction that could exacerbate diseases when taken with Palbociclib Irinotecan may lead to a major life threatening interaction when taken with Amprenavir and Amprenavir may lead to a major life threatening interaction when taken with Palbociclib Irinotecan 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 Palbociclib Irinotecan 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 Irinotecan 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 Palbociclib
DB00945
DB11703
1,479
405
[ "DDInter20", "DDInter9" ]
Acetylsalicylic acid
Acalabrutinib
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
To date, acalabrutinib has been used in trials studying the treatment of B-All, myelofibrosis, ovarian cancer, multiple myeloma, and Hodgkin lymphoma, among others. As of October 31, 2017 the FDA approved Astra Zeneca's orally administered Calquence (acalabrutinib, capsules). This Bruton tyrosine kinase (BTK) inhibitor indicated for the treatment of chronic lymphocytic leukemia, small lymphocytic lymphoma, and in adult patients with Mantle cell lymphoma (MCL) who have already received at least one prior therapy. In August 2022, the FDA approved a new tablet formulation of Calquence, enabling the co-administration of this drug with proton pump inhibitors (PPIs).[L42795,L42800] Unlike Calquence capsules, the co-administration of Calquence tablets and PPIs does not have an effect in the pharmacokinetics of acalabrutinib.[L10241,L42795] Also known as ACP-196, acalabrutinib is also considered a second generation BTK inhibitor because it was rationally designed to be more potent and selective than ibrutinib, theoretically expected to demonstrate fewer adverse effects owing to minimized bystander effects on targets other than BTK. Nevertheless, acalabrutinib was approved under the FDA's accelerated approval pathway, which is based upon overall response rate and faciliates earlier approval of medicines that treat serious conditions or/and that fill an unmet medical need based on a surrogate endpoint. Continued approval for acalabrutinib's currently accepted indication may subsequently be contingent upon ongoing verification and description of clinical benefit in confimatory trials. Furthermore, the FDA granted this medication Priority Review and Breakthrough Therapy designations. It also received Orphan Drug designation, which provides incentives to assist and encourage the development of drugs for rare diseases. At this time, more than 35 clinical trials across 40 countries with more than 2500 patients are underway or have been completed with regards to further research into better understanding and expanding the therapeutic uses of acalabrutinib .
Major
2
[ [ [ 1479, 25, 405 ] ], [ [ 1479, 24, 1384 ], [ 1384, 24, 405 ] ], [ [ 1479, 63, 383 ], [ 383, 24, 405 ] ], [ [ 1479, 62, 353 ], [ 353, 24, 405 ] ], [ [ 1479, 24, 738 ], [ 738, 63, 405 ] ], [ [ 1479, 24, 804 ], [ 804, 25, 405 ] ], [ [ 1479, 64, 126 ], [ 126, 25, 405 ] ], [ [ 1479, 25, 802 ], [ 802, 25, 405 ] ], [ [ 1479, 63, 1338 ], [ 1338, 25, 405 ] ], [ [ 1479, 23, 651 ], [ 651, 25, 405 ] ] ]
[ [ [ "Acetylsalicylic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Acalabrutinib" ] ], [ [ "Acetylsalicylic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magaldrate" ], [ "Magaldrate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acalabrutinib" ] ], [ [ "Acetylsalicylic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentosan polysulfate" ], [ "Pentosan polysulfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acalabrutinib" ] ], [ [ "Acetylsalicylic acid", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Griseofulvin" ], [ "Griseofulvin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acalabrutinib" ] ], [ [ "Acetylsalicylic acid", "{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}", "Acalabrutinib" ] ], [ [ "Acetylsalicylic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sulfinpyrazone" ], [ "Sulfinpyrazone", "{u} may lead to a major life threatening interaction when taken with {v}", "Acalabrutinib" ] ], [ [ "Acetylsalicylic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Warfarin" ], [ "Warfarin", "{u} may lead to a major life threatening interaction when taken with {v}", "Acalabrutinib" ] ], [ [ "Acetylsalicylic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Tinzaparin" ], [ "Tinzaparin", "{u} may lead to a major life threatening interaction when taken with {v}", "Acalabrutinib" ] ], [ [ "Acetylsalicylic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Meclofenamic acid" ], [ "Meclofenamic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Acalabrutinib" ] ], [ [ "Acetylsalicylic acid", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Fosphenytoin" ], [ "Fosphenytoin", "{u} may lead to a major life threatening interaction when taken with {v}", "Acalabrutinib" ] ] ]
Acetylsalicylic acid may cause a moderate interaction that could exacerbate diseases when taken with Magaldrate and Magaldrate may cause a moderate interaction that could exacerbate diseases when taken with Acalabrutinib Acetylsalicylic acid may cause a moderate interaction that could exacerbate diseases when taken with Pentosan polysulfate and Pentosan polysulfate may cause a moderate interaction that could exacerbate diseases when taken with Acalabrutinib Acetylsalicylic acid may cause a minor interaction that can limit clinical effects when taken with Griseofulvin and Griseofulvin may cause a moderate interaction that could exacerbate diseases when taken with Acalabrutinib Acetylsalicylic acid 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 Acalabrutinib Acetylsalicylic acid may cause a moderate interaction that could exacerbate diseases when taken with Sulfinpyrazone and Sulfinpyrazone may lead to a major life threatening interaction when taken with Acalabrutinib Acetylsalicylic acid may lead to a major life threatening interaction when taken with Warfarin and Warfarin may lead to a major life threatening interaction when taken with Acalabrutinib Acetylsalicylic acid may lead to a major life threatening interaction when taken with Tinzaparin and Tinzaparin may lead to a major life threatening interaction when taken with Acalabrutinib Acetylsalicylic acid may cause a moderate interaction that could exacerbate diseases when taken with Meclofenamic acid and Meclofenamic acid may lead to a major life threatening interaction when taken with Acalabrutinib Acetylsalicylic acid may cause a minor interaction that can limit clinical effects when taken with Fosphenytoin and Fosphenytoin may lead to a major life threatening interaction when taken with Acalabrutinib
DB04861
DB08881
1,592
868
[ "DDInter1271", "DDInter1925" ]
Nebivolol
Vemurafenib
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.
Vemurafenib is a competitive kinase inhibitor with activity against BRAF kinase with mutations like V600E. It exerts its function by binding to the ATP-binding domain of the mutant BRAF. Vemurafenib was co-developed by Roche and Plexxikon and it obtained its FDA approval on August 17, 2011, under the company Hoffmann La Roche. After approval, Roche in collaboration with Genentech launched a broad development program.
Moderate
1
[ [ [ 1592, 24, 868 ] ], [ [ 1592, 6, 12523 ], [ 12523, 45, 868 ] ], [ [ 1592, 21, 28714 ], [ 28714, 60, 868 ] ], [ [ 1592, 63, 608 ], [ 608, 23, 868 ] ], [ [ 1592, 23, 578 ], [ 578, 24, 868 ] ], [ [ 1592, 63, 480 ], [ 480, 24, 868 ] ], [ [ 1592, 24, 760 ], [ 760, 63, 868 ] ], [ [ 1592, 23, 286 ], [ 286, 63, 868 ] ], [ [ 1592, 64, 1031 ], [ 1031, 24, 868 ] ], [ [ 1592, 63, 1148 ], [ 1148, 25, 868 ] ] ]
[ [ [ "Nebivolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vemurafenib" ] ], [ [ "Nebivolol", "{u} (Compound) binds {v} (Gene)", "CYP2D6" ], [ "CYP2D6", "{u} (Gene) is bound by {v} (Compound)", "Vemurafenib" ] ], [ [ "Nebivolol", "{u} (Compound) causes {v} (Side Effect)", "Asthenia" ], [ "Asthenia", "{u} (Side Effect) is caused by {v} (Compound)", "Vemurafenib" ] ], [ [ "Nebivolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lidocaine" ], [ "Lidocaine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Vemurafenib" ] ], [ [ "Nebivolol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ticagrelor" ], [ "Ticagrelor", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vemurafenib" ] ], [ [ "Nebivolol", "{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" ] ], [ [ "Nebivolol", "{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" ] ], [ [ "Nebivolol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Magnesium hydroxide" ], [ "Magnesium hydroxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vemurafenib" ] ], [ [ "Nebivolol", "{u} may lead to a major life threatening interaction when taken with {v}", "Theophylline" ], [ "Theophylline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vemurafenib" ] ], [ [ "Nebivolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isoprenaline" ], [ "Isoprenaline", "{u} may lead to a major life threatening interaction when taken with {v}", "Vemurafenib" ] ] ]
Nebivolol (Compound) binds CYP2D6 (Gene) and CYP2D6 (Gene) is bound by Vemurafenib (Compound) Nebivolol (Compound) causes Asthenia (Side Effect) and Asthenia (Side Effect) is caused by Vemurafenib (Compound) Nebivolol may cause a moderate interaction that could exacerbate diseases when taken with Lidocaine and Lidocaine may cause a minor interaction that can limit clinical effects when taken with Vemurafenib Nebivolol may cause a minor interaction that can limit clinical effects when taken with Ticagrelor and Ticagrelor may cause a moderate interaction that could exacerbate diseases when taken with Vemurafenib Nebivolol 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 Nebivolol 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 Nebivolol may cause a minor interaction that can limit clinical effects when taken with Magnesium hydroxide and Magnesium hydroxide may cause a moderate interaction that could exacerbate diseases when taken with Vemurafenib Nebivolol may lead to a major life threatening interaction when taken with Theophylline and Theophylline may cause a moderate interaction that could exacerbate diseases when taken with Vemurafenib Nebivolol may cause a moderate interaction that could exacerbate diseases when taken with Isoprenaline and Isoprenaline may lead to a major life threatening interaction when taken with Vemurafenib
DB00046
DB01238
1,179
673
[ "DDInter940", "DDInter118" ]
Insulin lispro
Aripiprazole
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
Aripiprazole is an atypical antipsychotic orally indicated for the treatment of schizophrenia, bipolar I, major depressive disorder, irritability associated with autism, and Tourette's. It is also indicated as an injection for agitation associated with schizophrenia or bipolar mania. Aripiprazole exerts its effects through agonism of dopaminergic and 5-HT1A receptors and antagonism of alpha-adrenergic and 5-HT2A receptors.[L45859,A4393] Aripiprazole was given FDA approval on November 15, 2002.
Moderate
1
[ [ [ 1179, 24, 673 ] ], [ [ 1179, 24, 1630 ], [ 1630, 1, 673 ] ], [ [ 1179, 24, 1039 ], [ 1039, 24, 673 ] ], [ [ 1179, 24, 761 ], [ 761, 63, 673 ] ], [ [ 1179, 23, 274 ], [ 274, 24, 673 ] ], [ [ 1179, 63, 521 ], [ 521, 24, 673 ] ], [ [ 1179, 24, 1630 ], [ 1630, 1, 851 ], [ 851, 1, 673 ] ], [ [ 1179, 24, 1039 ], [ 1039, 64, 851 ], [ 851, 1, 673 ] ], [ [ 1179, 24, 1424 ], [ 1424, 24, 851 ], [ 851, 1, 673 ] ], [ [ 1179, 24, 761 ], [ 761, 63, 851 ], [ 851, 1, 673 ] ] ]
[ [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aripiprazole" ] ], [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Perphenazine" ], [ "Perphenazine", "{u} (Compound) resembles {v} (Compound)", "Aripiprazole" ] ], [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexfenfluramine" ], [ "Dexfenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aripiprazole" ] ], [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Saxagliptin" ], [ "Saxagliptin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aripiprazole" ] ], [ [ "Insulin lispro", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Phentolamine" ], [ "Phentolamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aripiprazole" ] ], [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Goserelin" ], [ "Goserelin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aripiprazole" ] ], [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Perphenazine" ], [ "Perphenazine", "{u} (Compound) resembles {v} (Compound)", "Nefazodone" ], [ "Nefazodone", "{u} (Compound) resembles {v} (Compound)", "Aripiprazole" ] ], [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexfenfluramine" ], [ "Dexfenfluramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Nefazodone" ], [ "Nefazodone", "{u} (Compound) resembles {v} (Compound)", "Aripiprazole" ] ], [ [ "Insulin lispro", "{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}", "Nefazodone" ], [ "Nefazodone", "{u} (Compound) resembles {v} (Compound)", "Aripiprazole" ] ], [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Saxagliptin" ], [ "Saxagliptin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nefazodone" ], [ "Nefazodone", "{u} (Compound) resembles {v} (Compound)", "Aripiprazole" ] ] ]
Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Perphenazine and Perphenazine (Compound) resembles Aripiprazole (Compound) Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Dexfenfluramine and Dexfenfluramine may cause a moderate interaction that could exacerbate diseases when taken with Aripiprazole Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Saxagliptin and Saxagliptin may cause a moderate interaction that could exacerbate diseases when taken with Aripiprazole Insulin lispro may cause a minor interaction that can limit clinical effects when taken with Phentolamine and Phentolamine may cause a moderate interaction that could exacerbate diseases when taken with Aripiprazole Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Goserelin and Goserelin may cause a moderate interaction that could exacerbate diseases when taken with Aripiprazole Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Perphenazine and Perphenazine (Compound) resembles Nefazodone (Compound) and Nefazodone (Compound) resembles Aripiprazole (Compound) Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Dexfenfluramine and Dexfenfluramine may lead to a major life threatening interaction when taken with Nefazodone and Nefazodone (Compound) resembles Aripiprazole (Compound) Insulin lispro 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 Nefazodone and Nefazodone (Compound) resembles Aripiprazole (Compound) Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Saxagliptin and Saxagliptin may cause a moderate interaction that could exacerbate diseases when taken with Nefazodone and Nefazodone (Compound) resembles Aripiprazole (Compound)
DB00743
DB09340
808
1,013
[ "DDInter792", "DDInter1895" ]
Gadobenic acid
Tyropanoic acid
Gadobenic acid, usually available in the salt form gadobenate dimeglumine, is a linear MRI gadolinium-based contrast agent (GBCA) used primarily for MR imaging of the liver. It differs from other GBCAs due to the benzene ring that confers weak protein binding, thus leading to an increased R1 and R2 relaxivity. As gadobenate dimeglumine is specifically taken up by hepatocytes and excreted through the biliary system, it is a useful contrast agent for liver MRI. Gadobenate dimeglumine was approved by the FDA in November 2004 under the brand name MultiHance.
Tyropanoic acid is a radiocontrast agent used in cholecystography, the X-ray diagnosis of gallstones under the trade names include Bilopaque, Lumopaque, Tyropaque, and Bilopac. The molecule contains three heavy iodine atoms which obstruct X-rays in the same way as the calcium in bones, which results in a visible image .
Moderate
1
[ [ [ 808, 24, 1013 ] ], [ [ 808, 24, 819 ], [ 819, 24, 1013 ] ], [ [ 808, 63, 1523 ], [ 1523, 24, 1013 ] ], [ [ 808, 40, 1431 ], [ 1431, 24, 1013 ] ], [ [ 808, 24, 819 ], [ 819, 24, 777 ], [ 777, 24, 1013 ] ], [ [ 808, 63, 1523 ], [ 1523, 24, 777 ], [ 777, 24, 1013 ] ], [ [ 808, 40, 1431 ], [ 1431, 24, 1586 ], [ 1586, 24, 1013 ] ], [ [ 808, 24, 278 ], [ 278, 62, 857 ], [ 857, 23, 1013 ] ], [ [ 808, 24, 278 ], [ 278, 63, 1586 ], [ 1586, 24, 1013 ] ], [ [ 808, 63, 726 ], [ 726, 1, 819 ], [ 819, 24, 1013 ] ] ]
[ [ [ "Gadobenic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tyropanoic acid" ] ], [ [ "Gadobenic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acebutolol" ], [ "Acebutolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tyropanoic acid" ] ], [ [ "Gadobenic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Labetalol" ], [ "Labetalol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tyropanoic acid" ] ], [ [ "Gadobenic acid", "{u} (Compound) resembles {v} (Compound)", "Gadopentetic acid" ], [ "Gadopentetic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tyropanoic acid" ] ], [ [ "Gadobenic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acebutolol" ], [ "Acebutolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iopromide" ], [ "Iopromide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tyropanoic acid" ] ], [ [ "Gadobenic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Labetalol" ], [ "Labetalol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iopromide" ], [ "Iopromide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tyropanoic acid" ] ], [ [ "Gadobenic acid", "{u} (Compound) resembles {v} (Compound)", "Gadopentetic acid" ], [ "Gadopentetic acid", "{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}", "Tyropanoic acid" ] ], [ [ "Gadobenic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iopodic acid" ], [ "Iopodic acid", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cholestyramine" ], [ "Cholestyramine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Tyropanoic acid" ] ], [ [ "Gadobenic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iopodic acid" ], [ "Iopodic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levamlodipine" ], [ "Levamlodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tyropanoic acid" ] ], [ [ "Gadobenic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Betaxolol" ], [ "Betaxolol", "{u} (Compound) resembles {v} (Compound)", "Acebutolol" ], [ "Acebutolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tyropanoic acid" ] ] ]
Gadobenic acid may cause a moderate interaction that could exacerbate diseases when taken with Acebutolol and Acebutolol may cause a moderate interaction that could exacerbate diseases when taken with Tyropanoic acid Gadobenic acid may cause a moderate interaction that could exacerbate diseases when taken with Labetalol and Labetalol may cause a moderate interaction that could exacerbate diseases when taken with Tyropanoic acid Gadobenic acid (Compound) resembles Gadopentetic acid (Compound) and Gadopentetic acid may cause a moderate interaction that could exacerbate diseases when taken with Tyropanoic acid Gadobenic acid may cause a moderate interaction that could exacerbate diseases when taken with Acebutolol and Acebutolol may cause a moderate interaction that could exacerbate diseases when taken with Iopromide and Iopromide may cause a moderate interaction that could exacerbate diseases when taken with Tyropanoic acid Gadobenic acid may cause a moderate interaction that could exacerbate diseases when taken with Labetalol and Labetalol may cause a moderate interaction that could exacerbate diseases when taken with Iopromide and Iopromide may cause a moderate interaction that could exacerbate diseases when taken with Tyropanoic acid Gadobenic acid (Compound) resembles Gadopentetic acid (Compound) and Gadopentetic acid 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 Tyropanoic acid Gadobenic acid may cause a moderate interaction that could exacerbate diseases when taken with Iopodic acid and Iopodic acid may cause a minor interaction that can limit clinical effects when taken with Cholestyramine and Cholestyramine may cause a minor interaction that can limit clinical effects when taken with Tyropanoic acid Gadobenic acid may cause a moderate interaction that could exacerbate diseases when taken with Iopodic acid and Iopodic acid may cause a moderate interaction that could exacerbate diseases when taken with Levamlodipine and Levamlodipine may cause a moderate interaction that could exacerbate diseases when taken with Tyropanoic acid Gadobenic acid may cause a moderate interaction that could exacerbate diseases when taken with Betaxolol and Betaxolol (Compound) resembles Acebutolol (Compound) and Acebutolol may cause a moderate interaction that could exacerbate diseases when taken with Tyropanoic acid
DB00834
DB00877
932
629
[ "DDInter1215", "DDInter1678" ]
Mifepristone
Sirolimus
Mifepristone is a progestational and glucocorticoid hormone antagonist. Its inhibition of progesterone induces bleeding during the luteal phase and in early pregnancy by releasing endogenous prostaglandins from the endometrium or decidua. As a glucocorticoid receptor antagonist, the drug has been used to treat hypercortisolism in patients with nonpituitary cushing syndrome. The two marketed forms of mifepristone are Mifeprex® (mifepristone 200mg) and Korlym™ (mifepristone 300mg). Currently under investigation for use in psychotic depression (phase 3 trials).
Sirolimus, also known as rapamycin, is a macrocyclic lactone antibiotic produced by bacteria _Streptomyces hygroscopicus_, which was isolated from the soil of the Vai Atari region of Rapa Nui (Easter Island). It was first isolated and identified as an antifungal agent with potent anticandida activity; however, after its potent antitumor and immunosuppressive activities were later discovered, it was extensively investigated as an immunosuppressive and antitumour agent. Its primary mechanism of action is the inhibition of the mammalian target of rapamycin (mTOR), which is a serine/threonine-specific protein kinase that regulates cell growth, proliferation, and survival. mTOR is an important therapeutic target for various diseases, as it was shown to regulate longevity and maintain normal glucose homeostasis. Targeting mTOR received more attention especially in cancer, as mTOR signalling pathways are constitutively activated in many types of human cancer. Sirolimus was first approved by the FDA in 1999 for the prophylaxis of organ rejection in patients aged 13 years and older receiving renal transplants. In November 2000, the drug was recognized by the European Agency as an alternative to calcineurin antagonists for maintenance therapy with corticosteroids. In May 2015, the FDA approved sirolimus for the treatment of patients with lymphangioleiomyomatosis. In November 2021, albumin-bound sirolimus for intravenous injection was approved by the FDA for the treatment of adults with locally advanced unresectable or metastatic malignant perivascular epithelioid cell tumour (PEComa). Sirolimus was also investigated in other cancers such as skin cancer, Kaposi’s Sarcoma, cutaneous T-cell lymphomas, and tuberous sclerosis. The topical formulation of sirolimus, marketed as HYFTOR, was approved by the FDA in April 2022: this marks the first topical treatment approved in the US for facial angiofibroma associated with tuberous sclerosis complex.
Major
2
[ [ [ 932, 25, 629 ] ], [ [ 932, 6, 4973 ], [ 4973, 45, 629 ] ], [ [ 932, 7, 18110 ], [ 18110, 46, 629 ] ], [ [ 932, 7, 8733 ], [ 8733, 57, 629 ] ], [ [ 932, 18, 3965 ], [ 3965, 57, 629 ] ], [ [ 932, 21, 28898 ], [ 28898, 60, 629 ] ], [ [ 932, 25, 1476 ], [ 1476, 63, 629 ] ], [ [ 932, 64, 167 ], [ 167, 24, 629 ] ], [ [ 932, 63, 1144 ], [ 1144, 24, 629 ] ], [ [ 932, 24, 1017 ], [ 1017, 63, 629 ] ] ]
[ [ [ "Mifepristone", "{u} may lead to a major life threatening interaction when taken with {v}", "Sirolimus" ] ], [ [ "Mifepristone", "{u} (Compound) binds {v} (Gene)", "ABCB1" ], [ "ABCB1", "{u} (Gene) is bound by {v} (Compound)", "Sirolimus" ] ], [ [ "Mifepristone", "{u} (Compound) upregulates {v} (Gene)", "ST6GALNAC2" ], [ "ST6GALNAC2", "{u} (Gene) is upregulated by {v} (Compound)", "Sirolimus" ] ], [ [ "Mifepristone", "{u} (Compound) upregulates {v} (Gene)", "PHGDH" ], [ "PHGDH", "{u} (Gene) is downregulated by {v} (Compound)", "Sirolimus" ] ], [ [ "Mifepristone", "{u} (Compound) downregulates {v} (Gene)", "MRPS2" ], [ "MRPS2", "{u} (Gene) is downregulated by {v} (Compound)", "Sirolimus" ] ], [ [ "Mifepristone", "{u} (Compound) causes {v} (Side Effect)", "Constipation" ], [ "Constipation", "{u} (Side Effect) is caused by {v} (Compound)", "Sirolimus" ] ], [ [ "Mifepristone", "{u} may lead to a major life threatening interaction when taken with {v}", "Brigatinib" ], [ "Brigatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sirolimus" ] ], [ [ "Mifepristone", "{u} may lead to a major life threatening interaction when taken with {v}", "Hydrocortisone" ], [ "Hydrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sirolimus" ] ], [ [ "Mifepristone", "{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}", "Sirolimus" ] ], [ [ "Mifepristone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ], [ "Lorlatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sirolimus" ] ] ]
Mifepristone (Compound) binds ABCB1 (Gene) and ABCB1 (Gene) is bound by Sirolimus (Compound) Mifepristone (Compound) upregulates ST6GALNAC2 (Gene) and ST6GALNAC2 (Gene) is upregulated by Sirolimus (Compound) Mifepristone (Compound) upregulates PHGDH (Gene) and PHGDH (Gene) is downregulated by Sirolimus (Compound) Mifepristone (Compound) downregulates MRPS2 (Gene) and MRPS2 (Gene) is downregulated by Sirolimus (Compound) Mifepristone (Compound) causes Constipation (Side Effect) and Constipation (Side Effect) is caused by Sirolimus (Compound) Mifepristone may lead to a major life threatening interaction when taken with Brigatinib and Brigatinib may cause a moderate interaction that could exacerbate diseases when taken with Sirolimus Mifepristone may lead to a major life threatening interaction when taken with Hydrocortisone and Hydrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Sirolimus Mifepristone 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 Sirolimus Mifepristone may cause a moderate interaction that could exacerbate diseases when taken with Lorlatinib and Lorlatinib may cause a moderate interaction that could exacerbate diseases when taken with Sirolimus
DB01242
DB08816
1,237
578
[ "DDInter410", "DDInter1802" ]
Clomipramine
Ticagrelor
Clomipramine, the 3-chloro analog of imipramine, is a dibenzazepine-derivative tricyclic antidepressant (TCA). TCAs are structurally similar to phenothiazines. They contain a tricyclic ring system with an alkyl amine substituent on the central ring. In non-depressed individuals, clomipramine does not affect mood or arousal, but may cause sedation. In depressed individuals, clomipramine exerts a positive effect on mood. TCAs are potent inhibitors of serotonin and norepinephrine reuptake. Tertiary amine TCAs, such as clomipramine, are more potent inhibitors of serotonin reuptake than secondary amine TCAs, such as nortriptyline and desipramine. TCAs also down-regulate cerebral cortical β-adrenergic receptors and sensitize post-synaptic ser
Ticagrelor, or AZD6140, was first described in the literature in 2003.[A204170,A2903] Ticagrelor is an ADP derivative developed for its P2Y<sub>12</sub> receptor antagonism. Unlike [clopidogrel], ticagrelor is not a prodrug. It is marketed by Astra Zeneca as Brilinta in the US and Brilique or Possia in the EU,. Ticagrelor was granted EMA approval on 3 December 2010. Ticagrelor was granted FDA approval on 20 July 2011.
Moderate
1
[ [ [ 1237, 24, 578 ] ], [ [ 1237, 6, 4973 ], [ 4973, 45, 578 ] ], [ [ 1237, 21, 28646 ], [ 28646, 60, 578 ] ], [ [ 1237, 25, 1011 ], [ 1011, 62, 578 ] ], [ [ 1237, 63, 1578 ], [ 1578, 24, 578 ] ], [ [ 1237, 25, 868 ], [ 868, 63, 578 ] ], [ [ 1237, 24, 1297 ], [ 1297, 63, 578 ] ], [ [ 1237, 64, 1039 ], [ 1039, 24, 578 ] ], [ [ 1237, 25, 39 ], [ 39, 24, 578 ] ], [ [ 1237, 24, 256 ], [ 256, 24, 578 ] ] ]
[ [ [ "Clomipramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ticagrelor" ] ], [ [ "Clomipramine", "{u} (Compound) binds {v} (Gene)", "ABCB1" ], [ "ABCB1", "{u} (Gene) is bound by {v} (Compound)", "Ticagrelor" ] ], [ [ "Clomipramine", "{u} (Compound) causes {v} (Side Effect)", "Unspecified disorder of skin and subcutaneous tissue" ], [ "Unspecified disorder of skin and subcutaneous tissue", "{u} (Side Effect) is caused by {v} (Compound)", "Ticagrelor" ] ], [ [ "Clomipramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Fingolimod" ], [ "Fingolimod", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ticagrelor" ] ], [ [ "Clomipramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lepirudin" ], [ "Lepirudin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ticagrelor" ] ], [ [ "Clomipramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Vemurafenib" ], [ "Vemurafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ticagrelor" ] ], [ [ "Clomipramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Osilodrostat" ], [ "Osilodrostat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ticagrelor" ] ], [ [ "Clomipramine", "{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}", "Ticagrelor" ] ], [ [ "Clomipramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Panobinostat" ], [ "Panobinostat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ticagrelor" ] ], [ [ "Clomipramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Prasugrel" ], [ "Prasugrel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ticagrelor" ] ] ]
Clomipramine (Compound) binds ABCB1 (Gene) and ABCB1 (Gene) is bound by Ticagrelor (Compound) Clomipramine (Compound) causes Unspecified disorder of skin and subcutaneous tissue (Side Effect) and Unspecified disorder of skin and subcutaneous tissue (Side Effect) is caused by Ticagrelor (Compound) Clomipramine may lead to a major life threatening interaction when taken with Fingolimod and Fingolimod may cause a minor interaction that can limit clinical effects when taken with Ticagrelor Clomipramine may cause a moderate interaction that could exacerbate diseases when taken with Lepirudin and Lepirudin may cause a moderate interaction that could exacerbate diseases when taken with Ticagrelor Clomipramine may lead to a major life threatening interaction when taken with Vemurafenib and Vemurafenib may cause a moderate interaction that could exacerbate diseases when taken with Ticagrelor Clomipramine may cause a moderate interaction that could exacerbate diseases when taken with Osilodrostat and Osilodrostat may cause a moderate interaction that could exacerbate diseases when taken with Ticagrelor Clomipramine 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 Ticagrelor Clomipramine may lead to a major life threatening interaction when taken with Panobinostat and Panobinostat may cause a moderate interaction that could exacerbate diseases when taken with Ticagrelor Clomipramine may cause a moderate interaction that could exacerbate diseases when taken with Prasugrel and Prasugrel may cause a moderate interaction that could exacerbate diseases when taken with Ticagrelor
DB01254
DB06699
1,213
774
[ "DDInter484", "DDInter493" ]
Dasatinib
Degarelix
Dasatinib is an orally available multikinase inhibitor indicated for the treatment of Philadelphia chromosome (Ph)-positive leukemias.[A2224,L45171] Ph is a chromosomal abnormality found in patients with chronic myelogenous leukemia (CML) and acute lymphocytic leukemia (ALL), where the ABL tyrosine kinase and the breakpoint cluster region (BCR) gene transcribe the chimeric protein BCR-ABL. BCR-ABL is associated with the uncontrolled activity of the ABL tyrosine kinase and is involved in the pathogenesis of CML and 15-30% of ALL cases.[A11377,A33432] Dasatinib also inhibits a spectrum of kinases involved in cancer, including several SRC-family kinases. Unlike [imatinib], another tyrosine kinase used for the treatment of CML and Ph-positive ALL, dasatinib inhibits the active and inactive conformations of the ABL
Degarelix is used for the treatment of advanced prostate cancer. Degarelix is a synthetic peptide derivative drug which binds to gonadotropin-releasing hormone (GnRH) receptors in the pituitary gland and blocks interaction with GnRH. This antagonism reduces luteinising hormone (LH) and follicle-stimulating hormone (FSH) which ultimately causes testosterone suppression. Reduction in testosterone is important in treating men with advanced prostate cancer. Chemically, it is a synthetic linear decapeptide amide with seven unnatural amino acids, five of which are D-amino acids. FDA approved on December 24, 2008.
Moderate
1
[ [ [ 1213, 24, 774 ] ], [ [ 1213, 63, 521 ], [ 521, 1, 774 ] ], [ [ 1213, 21, 29232 ], [ 29232, 60, 774 ] ], [ [ 1213, 62, 112 ], [ 112, 23, 774 ] ], [ [ 1213, 63, 888 ], [ 888, 24, 774 ] ], [ [ 1213, 24, 484 ], [ 484, 63, 774 ] ], [ [ 1213, 24, 1084 ], [ 1084, 24, 774 ] ], [ [ 1213, 64, 609 ], [ 609, 24, 774 ] ], [ [ 1213, 25, 1487 ], [ 1487, 24, 774 ] ], [ [ 1213, 62, 479 ], [ 479, 24, 774 ] ] ]
[ [ [ "Dasatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Degarelix" ] ], [ [ "Dasatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Goserelin" ], [ "Goserelin", "{u} (Compound) resembles {v} (Compound)", "Degarelix" ] ], [ [ "Dasatinib", "{u} (Compound) causes {v} (Side Effect)", "Urticaria" ], [ "Urticaria", "{u} (Side Effect) is caused by {v} (Compound)", "Degarelix" ] ], [ [ "Dasatinib", "{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}", "Degarelix" ] ], [ [ "Dasatinib", "{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}", "Degarelix" ] ], [ [ "Dasatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Entrectinib" ], [ "Entrectinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Degarelix" ] ], [ [ "Dasatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lofexidine" ], [ "Lofexidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Degarelix" ] ], [ [ "Dasatinib", "{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}", "Degarelix" ] ], [ [ "Dasatinib", "{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}", "Degarelix" ] ], [ [ "Dasatinib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Donepezil" ], [ "Donepezil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Degarelix" ] ] ]
Dasatinib may cause a moderate interaction that could exacerbate diseases when taken with Goserelin and Goserelin (Compound) resembles Degarelix (Compound) Dasatinib (Compound) causes Urticaria (Side Effect) and Urticaria (Side Effect) is caused by Degarelix (Compound) Dasatinib 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 Degarelix Dasatinib 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 Degarelix Dasatinib may cause a moderate interaction that could exacerbate diseases when taken with Entrectinib and Entrectinib may cause a moderate interaction that could exacerbate diseases when taken with Degarelix Dasatinib may cause a moderate interaction that could exacerbate diseases when taken with Lofexidine and Lofexidine may cause a moderate interaction that could exacerbate diseases when taken with Degarelix Dasatinib 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 Degarelix Dasatinib 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 Degarelix Dasatinib may cause a minor interaction that can limit clinical effects when taken with Donepezil and Donepezil may cause a moderate interaction that could exacerbate diseases when taken with Degarelix
DB00059
DB12839
1,560
919
[ "DDInter1404", "DDInter1411" ]
Pegaspargase
Pegvaliase
Pegaspargase is a conjugate of monomethoxypolyethylene glycol (mPEG) and L-asparaginase (L-asparagine amidohydrolase), an asparagine-specific enzyme that converts L-asparagine into aspartic acid and ammonia. Asparagine is an amino acid that is vital for cell survival. In humans, most normal tissues can produce asparagine through the action of asparagine synthetase. However, leukemia cells have low levels of this enzyme and depend on exogenous sources. Therefore, the use of pegaspargase results in leukemic cell death.[A103,A255912,L44667] Pegaspargase has the same mechanism of action as [L-asparaginase] derived from _Escherichia coli_, a previously developed enzyme used for the treatment of acute lymphoblastic leukemia (ALL). However, using L-asparaginase derived from _Escherich
Pegvaliase is a recombinant phenylalanine ammonia lyase (PAL) enzyme derived from _Anabaena variabilis_ that converts phenylalanine to ammonia and _trans_-cinnamic acid . Both the U.S. Food and Drug Administration and European Medicines Agency approved pegvaliase-pqpz in May 2018 for the treatment of adult patients with phenylketonuria (PKU). Phenylketonuria is a rare autosomal recessive disorder that is characterized by deficiency of the enzyme phenylalanine hydroxylase (PAH) and affects about 1 in 10,000 to 15,000 people in the United States . PAH deficiency and inability to break down an amino acid phenylalanine (Phe) leads to elevated blood phenylalanine concentrations and accumulation of neurotoxic Phe in the brain, causing chronic intellectual, neurodevelopmental and psychiatric disabilities if untreated . Individuals with PKU also need to be under a strictly restricted diet as Phe is present in foods and products with high-intensity sweeteners . The primary goal of lifelong treatment of PKU, as recommended by the American College of Medical Genetics and Genomics (ACMG) guidelines, is to maintain blood Phe concentration in the range of 120 µmol/L to 3690 µmol/L . Pegvaliase-pqpz, or PEGylated pegvaliase, is used as a novel enzyme substitution therapy and is marketed as Palynziq for subcutaneous injection. Pegvaliase-pqpz is a homotetrameric protein composed of recombinant phenylalanine ammonia lyase (rAvPAL) conjugated to N-hydroxysuccinimide (NHS)-methoxypolyethylene glycol (PEG). It is advantageous over currently available management therapies for PKU, such as , that are ineffective to many patients due to long-term adherence issues or inadequate Phe-lowering effects . The presence of a PEG moiety in pegvaliase-pqpz allows a reduced immune response and improved pharmacodynamic stability .
Moderate
1
[ [ [ 1560, 24, 919 ] ], [ [ 1560, 63, 1257 ], [ 1257, 24, 919 ] ], [ [ 1560, 24, 934 ], [ 934, 24, 919 ] ], [ [ 1560, 25, 375 ], [ 375, 24, 919 ] ], [ [ 1560, 63, 1257 ], [ 1257, 24, 934 ], [ 934, 24, 919 ] ], [ [ 1560, 24, 934 ], [ 934, 63, 1257 ], [ 1257, 24, 919 ] ], [ [ 1560, 63, 268 ], [ 268, 63, 1257 ], [ 1257, 24, 919 ] ], [ [ 1560, 25, 375 ], [ 375, 63, 268 ], [ 268, 24, 919 ] ], [ [ 1560, 24, 303 ], [ 303, 24, 375 ], [ 375, 24, 919 ] ], [ [ 1560, 24, 328 ], [ 328, 25, 375 ], [ 375, 24, 919 ] ] ]
[ [ [ "Pegaspargase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pegvaliase" ] ], [ [ "Pegaspargase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pegfilgrastim" ], [ "Pegfilgrastim", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pegvaliase" ] ], [ [ "Pegaspargase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pegloticase" ], [ "Pegloticase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pegvaliase" ] ], [ [ "Pegaspargase", "{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}", "Pegvaliase" ] ], [ [ "Pegaspargase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pegfilgrastim" ], [ "Pegfilgrastim", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pegloticase" ], [ "Pegloticase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pegvaliase" ] ], [ [ "Pegaspargase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pegloticase" ], [ "Pegloticase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pegfilgrastim" ], [ "Pegfilgrastim", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pegvaliase" ] ], [ [ "Pegaspargase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Peginterferon alfa-2b" ], [ "Peginterferon alfa-2b", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pegfilgrastim" ], [ "Pegfilgrastim", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pegvaliase" ] ], [ [ "Pegaspargase", "{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}", "Peginterferon alfa-2b" ], [ "Peginterferon alfa-2b", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pegvaliase" ] ], [ [ "Pegaspargase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Medroxyprogesterone acetate" ], [ "Medroxyprogesterone acetate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Certolizumab pegol" ], [ "Certolizumab pegol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pegvaliase" ] ], [ [ "Pegaspargase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mercaptopurine" ], [ "Mercaptopurine", "{u} may lead to a major life threatening interaction when taken with {v}", "Certolizumab pegol" ], [ "Certolizumab pegol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pegvaliase" ] ] ]
Pegaspargase may cause a moderate interaction that could exacerbate diseases when taken with Pegfilgrastim and Pegfilgrastim may cause a moderate interaction that could exacerbate diseases when taken with Pegvaliase Pegaspargase may cause a moderate interaction that could exacerbate diseases when taken with Pegloticase and Pegloticase may cause a moderate interaction that could exacerbate diseases when taken with Pegvaliase Pegaspargase 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 Pegvaliase Pegaspargase may cause a moderate interaction that could exacerbate diseases when taken with Pegfilgrastim and Pegfilgrastim may cause a moderate interaction that could exacerbate diseases when taken with Pegloticase and Pegloticase may cause a moderate interaction that could exacerbate diseases when taken with Pegvaliase Pegaspargase may cause a moderate interaction that could exacerbate diseases when taken with Pegloticase and Pegloticase may cause a moderate interaction that could exacerbate diseases when taken with Pegfilgrastim and Pegfilgrastim may cause a moderate interaction that could exacerbate diseases when taken with Pegvaliase Pegaspargase may cause a moderate interaction that could exacerbate diseases when taken with Peginterferon alfa-2b and Peginterferon alfa-2b may cause a moderate interaction that could exacerbate diseases when taken with Pegfilgrastim and Pegfilgrastim may cause a moderate interaction that could exacerbate diseases when taken with Pegvaliase Pegaspargase 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 Peginterferon alfa-2b and Peginterferon alfa-2b may cause a moderate interaction that could exacerbate diseases when taken with Pegvaliase Pegaspargase may cause a moderate interaction that could exacerbate diseases when taken with Medroxyprogesterone acetate and Medroxyprogesterone acetate may cause a moderate interaction that could exacerbate diseases when taken with Certolizumab pegol and Certolizumab pegol may cause a moderate interaction that could exacerbate diseases when taken with Pegvaliase Pegaspargase may cause a moderate interaction that could exacerbate diseases when taken with Mercaptopurine and Mercaptopurine may lead to a major life threatening interaction when taken with Certolizumab pegol and Certolizumab pegol may cause a moderate interaction that could exacerbate diseases when taken with Pegvaliase
DB01362
DB14761
497
242
[ "DDInter960", "DDInter1578" ]
Iohexol
Remdesivir
Iohexol is an effective non-ionic, water-soluble contrast agent which is used in myelography, arthrography, nephroangiography, arteriography, and other radiographic procedures. Its low systemic toxicity is the combined result of low chemotoxicity and low osmolality.
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the causative agent of coronavirus disease 2019 (COVID-19), which is a respiratory disease that is capable of progressing to viral pneumonia and acute respiratory distress syndrome (ARDS); COVID-19 can be fatal. Like other RNA viruses, SARS-CoV-2 depends on an RNA-dependent RNA polymerase (RdRp) enzyme complex for genomic replication, which can be inhibited by a class of drugs known as nucleoside analogues. Remdesivir (GS-5734) is an adenosine triphosphate analogue first described in the literature in 2016 as a potential treatment for Ebola.[A191379, A222393] Broad antiviral activity of remdesivir is suggested by its mechanism of action, and to date, it has demonstrated _in vitro_ activity against the _Arenaviridae_, _Flaviviridae_, _Filoviridae_, _Paramyxoviridae_, _Pneumoviridae_, and _Coronaviridae_ viral families. Remdesivir activity against the _Coronaviridae_ family was first demonstrated in 2017, leading to considerable interest in remdesivir as a possible treatment for COVID-19.[A191427, A198810] Remdesivir was confirmed as a non-obligate chain terminator of RdRp from SARS-CoV-2 and the related SARS-CoV and MERS-CoV, and has been investigated in multiple COVID-19 clinical trials.[L12174, L12177] After initially being granted an FDA Emergency Use Authorization (EUA) on May 1st, 2020, remdesivir was fully approved by the FDA for the treatment of COVID-19 on October 22, 2020. Remdesivir is currently marketed under the trademark name VEKLURY by Gilead Sciences Inc. Remdesivir was also approved by the European Commission on July 3, 2020. Remdesivir in combination with [baricitinib] for the treatment of COVID-19, was granted an FDA Emergency Use Authorization on November 19, 2020.
Moderate
1
[ [ [ 497, 24, 242 ] ], [ [ 497, 64, 1512 ], [ 1512, 24, 242 ] ], [ [ 497, 25, 129 ], [ 129, 24, 242 ] ], [ [ 497, 1, 258 ], [ 258, 24, 242 ] ], [ [ 497, 64, 1512 ], [ 1512, 25, 1377 ], [ 1377, 24, 242 ] ], [ [ 497, 25, 129 ], [ 129, 63, 467 ], [ 467, 24, 242 ] ], [ [ 497, 64, 367 ], [ 367, 24, 467 ], [ 467, 24, 242 ] ], [ [ 497, 64, 361 ], [ 361, 63, 1555 ], [ 1555, 24, 242 ] ], [ [ 497, 25, 250 ], [ 250, 64, 1377 ], [ 1377, 24, 242 ] ], [ [ 497, 25, 247 ], [ 247, 25, 1552 ], [ 1552, 24, 242 ] ] ]
[ [ [ "Iohexol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Remdesivir" ] ], [ [ "Iohexol", "{u} may lead to a major life threatening interaction when taken with {v}", "Diclofenac" ], [ "Diclofenac", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Remdesivir" ] ], [ [ "Iohexol", "{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}", "Remdesivir" ] ], [ [ "Iohexol", "{u} (Compound) resembles {v} (Compound)", "Iodixanol" ], [ "Iodixanol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Remdesivir" ] ], [ [ "Iohexol", "{u} may lead to a major life threatening interaction when taken with {v}", "Diclofenac" ], [ "Diclofenac", "{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}", "Remdesivir" ] ], [ [ "Iohexol", "{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}", "Simvastatin" ], [ "Simvastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Remdesivir" ] ], [ [ "Iohexol", "{u} may lead to a major life threatening interaction when taken with {v}", "Interferon alfacon-1" ], [ "Interferon alfacon-1", "{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}", "Remdesivir" ] ], [ [ "Iohexol", "{u} may lead to a major life threatening interaction when taken with {v}", "Neomycin" ], [ "Neomycin", "{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}", "Remdesivir" ] ], [ [ "Iohexol", "{u} may lead to a major life threatening interaction when taken with {v}", "Blinatumomab" ], [ "Blinatumomab", "{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}", "Remdesivir" ] ], [ [ "Iohexol", "{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}", "Ioversol" ], [ "Ioversol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Remdesivir" ] ] ]
Iohexol may lead to a major life threatening interaction when taken with Diclofenac and Diclofenac may cause a moderate interaction that could exacerbate diseases when taken with Remdesivir Iohexol 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 Remdesivir Iohexol (Compound) resembles Iodixanol (Compound) and Iodixanol may cause a moderate interaction that could exacerbate diseases when taken with Remdesivir Iohexol may lead to a major life threatening interaction when taken with Diclofenac and Diclofenac 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 Remdesivir Iohexol 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 Simvastatin and Simvastatin may cause a moderate interaction that could exacerbate diseases when taken with Remdesivir Iohexol may lead to a major life threatening interaction when taken with Interferon alfacon-1 and Interferon alfacon-1 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 Remdesivir Iohexol may lead to a major life threatening interaction when taken with Neomycin and Neomycin 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 Remdesivir Iohexol may lead to a major life threatening interaction when taken with Blinatumomab and Blinatumomab 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 Remdesivir Iohexol 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 Ioversol and Ioversol may cause a moderate interaction that could exacerbate diseases when taken with Remdesivir
DB00321
DB00792
21
832
[ "DDInter78", "DDInter1878" ]
Amitriptyline
Tripelennamine
Amitriptyline is a tricyclic antidepressant that has been used to treat depression for decades. ELAVIL, a previously approved branded product of amitriptyline, was first approved by the FDA in 1961. Amitriptyline has been investigated in the treatment of pain-related conditions, attributed to its analgesic properties.
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.
Moderate
1
[ [ [ 21, 35, 832 ] ], [ [ 21, 1, 11233 ], [ 11233, 1, 832 ] ], [ [ 21, 24, 100 ], [ 100, 63, 832 ] ], [ [ 21, 35, 1264 ], [ 1264, 63, 832 ] ], [ [ 21, 24, 649 ], [ 649, 1, 832 ] ], [ [ 21, 35, 1594 ], [ 1594, 24, 832 ] ], [ [ 21, 1, 293 ], [ 293, 40, 832 ] ], [ [ 21, 24, 128 ], [ 128, 24, 832 ] ], [ [ 21, 40, 11244 ], [ 11244, 1, 832 ] ], [ [ 21, 6, 10104 ], [ 10104, 45, 832 ] ] ]
[ [ [ "Amitriptyline", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tripelennamine" ] ], [ [ "Amitriptyline", "{u} (Compound) resembles {v} (Compound)", "Dimetacrine" ], [ "Dimetacrine", "{u} (Compound) resembles {v} (Compound)", "Tripelennamine" ] ], [ [ "Amitriptyline", "{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}", "Tripelennamine" ] ], [ [ "Amitriptyline", "{u} (Compound) resembles {v} (Compound) and {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}", "Tripelennamine" ] ], [ [ "Amitriptyline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ], [ "Clofedanol", "{u} (Compound) resembles {v} (Compound)", "Tripelennamine" ] ], [ [ "Amitriptyline", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxylamine" ], [ "Doxylamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tripelennamine" ] ], [ [ "Amitriptyline", "{u} (Compound) resembles {v} (Compound)", "Imipramine" ], [ "Imipramine", "{u} (Compound) resembles {v} (Compound)", "Tripelennamine" ] ], [ [ "Amitriptyline", "{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}", "Tripelennamine" ] ], [ [ "Amitriptyline", "{u} (Compound) resembles {v} (Compound)", "Pheniramine" ], [ "Pheniramine", "{u} (Compound) resembles {v} (Compound)", "Tripelennamine" ] ], [ [ "Amitriptyline", "{u} (Compound) binds {v} (Gene)", "HRH1" ], [ "HRH1", "{u} (Gene) is bound by {v} (Compound)", "Tripelennamine" ] ] ]
Amitriptyline (Compound) resembles Tripelennamine (Compound) and Amitriptyline (Compound) resembles Dimetacrine (Compound) and Dimetacrine (Compound) resembles Tripelennamine (Compound) Amitriptyline 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 Tripelennamine Amitriptyline (Compound) resembles Doxepin (Compound) and Amitriptyline 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 Tripelennamine Amitriptyline may cause a moderate interaction that could exacerbate diseases when taken with Clofedanol and Clofedanol (Compound) resembles Tripelennamine (Compound) Amitriptyline (Compound) resembles Doxylamine (Compound) and Amitriptyline 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 Tripelennamine Amitriptyline (Compound) resembles Imipramine (Compound) and Imipramine (Compound) resembles Tripelennamine (Compound) Amitriptyline 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 Tripelennamine Amitriptyline (Compound) resembles Pheniramine (Compound) and Pheniramine (Compound) resembles Tripelennamine (Compound) Amitriptyline (Compound) binds HRH1 (Gene) and HRH1 (Gene) is bound by Tripelennamine (Compound)
DB00682
DB08934
126
1,200
[ "DDInter1951", "DDInter1695" ]
Warfarin
Sofosbuvir
Warfarin is an anticoagulant drug normally used to prevent blood clot formation as well as migration. Although originally marketed as a pesticide (d-Con, Rodex, among others), Warfarin has since become the most frequently prescribed oral anticoagulant in North America. Warfarin has several properties that should be noted when used medicinally, including its ability to cross the placental barrier during pregnancy which can result in fetal bleeding, spontaneous abortion, preterm birth, stillbirth, and neonatal death. Additional adverse effects such as necrosis, purple toe syndrome, osteoporosis, valve and artery calcification, and drug interactions have also been documented with warfarin use. Warfarin does not actually affect blood viscosity, rather, it inhibits vitamin-k dependent synthesis of biologically active forms of various clotting factors in addition to several regulatory factors.
Sofosbuvir (tradename Sovaldi) is a direct acting antiviral medication used as part of combination therapy to treat chronic Hepatitis C, an infectious liver disease caused by infection with Hepatitis C Virus (HCV). HCV is a single-stranded RNA virus that is categorized into nine distinct genotypes, with genotype 1 being the most common in the United States, and affecting 72% of all chronic HCV patients . Treatment options for chronic Hepatitis C have advanced significantly since 2011, with the development of Direct Acting Antivirals (DAAs) such as sofosbuvir. As a prodrug nucleotide analog, Sofosbuvir is metabolized into its active form as the antiviral agent 2'-deoxy-2'-α-fluoro-β-C-methyluridine-5'-triphosphate (also known as GS-461203), which acts as a defective substrate for NS5B (non-structural protein 5B) [synthesis]. NS5B, an RNA-dependent RNA polymerase, is essential for the transcription of Hepatitis C viral RNA and for its high replicative rate and genetic diversity . Sofosbuvir and other direct acting antivirals are therefore very potent options for the treatment of Hepatitis C, as they exhibit a high barrier to the development of resistance . This is an important advantage relative to HCV drugs that target other viral enzymes such as the protease, for which rapid development of resistance has proven to be an important cause of therapeutic failure. In a joint recommendation published in 2016, the American Association for the Study of Liver Diseases (AASLD) and the Infectious Diseases Society of America (IDSA) recommend Sofosbuvir as first line therapy in combination with other antivirals for all six genotypes of Hepatitis C . Depending on the genotype, sofosbuvir is often used in combination with other antivirals such as , , , , , , , , or with the intent to cure, or achieve a sustained virologic response (SVR), after 12 weeks of daily therapy. SVR and eradication of HCV infection is associated with significant long-term health benefits including reduced liver-related damage, improved quality of life, reduced incidence of Hepatocellular Carcinoma, and reduced all-cause mortality . Treatment with direct acting antivirals such as sofosbuvir is associated with very minimal side effects, with the most common being headache and fatigue [FDA Label]. Lack of significant side effects and short duration of therapy is a considerable advantage over older interferon- and ribavirin-based regimens, which were limited by infusion site reactions, reduced blood count, and neuropsychiatric effects . Since 2014, sofosbuvir has been available as a fixed dose combination product with (tradename Harvoni) used for the treatment of chronic Hepatitis C. Approved in October 2014 by the FDA, Harvoni is indicated for the treatment of HCV genotypes 1, 4, 5, and 6 with or without depending on the level of liver damage or cirrhosis [FDA Label]. When combined together, ledipasvir and sofosbuvir as the combination product Harvoni has been shown to achieve a SVR between 93 and 99% after 12 weeks of treatment . Its use has also proven successful in the treatment of HCV in patients co-infected with HIV . Sofosbuvir is also available as a fixed dose combination product with as the commercially available product Epclusa. First approved in June 2016, Epclusa is the first combination HCV product indicated for the treatment of all genotypes of Hepatitis C with or without cirrhosis. Epclusa is also currently the most potent HCV antiviral medication on the market with a sustained virologic response (SVR) after 12 weeks of therapy of 93-99% depending on genotype and level of cirrhosis . Both Canadian and American guidelines list Epclusa as a first line recommendation for all genotypes of HCV [L852, A19626]. Notably, sofosbuvir has come under intense scrutiny since its release to market in 2013. With the price per pill set at $1000, a 12-week treatment can cost upwards of $84,000 per patient .
Moderate
1
[ [ [ 126, 24, 1200 ] ], [ [ 126, 24, 214 ], [ 214, 63, 1200 ] ], [ [ 126, 24, 913 ], [ 913, 64, 1200 ] ], [ [ 126, 24, 129 ], [ 129, 25, 1200 ] ], [ [ 126, 24, 214 ], [ 214, 64, 913 ], [ 913, 64, 1200 ] ], [ [ 126, 24, 913 ], [ 913, 64, 927 ], [ 927, 63, 1200 ] ], [ [ 126, 24, 129 ], [ 129, 6, 4973 ], [ 4973, 45, 1200 ] ], [ [ 126, 24, 214 ], [ 214, 64, 129 ], [ 129, 25, 1200 ] ], [ [ 126, 24, 913 ], [ 913, 25, 214 ], [ 214, 63, 1200 ] ], [ [ 126, 24, 129 ], [ 129, 21, 29727 ], [ 29727, 60, 1200 ] ] ]
[ [ [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sofosbuvir" ] ], [ [ "Warfarin", "{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}", "Sofosbuvir" ] ], [ [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ], [ "Apalutamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Sofosbuvir" ] ], [ [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enzalutamide" ], [ "Enzalutamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Sofosbuvir" ] ], [ [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostamatinib" ], [ "Fostamatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Apalutamide" ], [ "Apalutamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Sofosbuvir" ] ], [ [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ], [ "Apalutamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Encorafenib" ], [ "Encorafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sofosbuvir" ] ], [ [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enzalutamide" ], [ "Enzalutamide", "{u} (Compound) binds {v} (Gene)", "ABCB1" ], [ "ABCB1", "{u} (Gene) is bound by {v} (Compound)", "Sofosbuvir" ] ], [ [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostamatinib" ], [ "Fostamatinib", "{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}", "Sofosbuvir" ] ], [ [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ], [ "Apalutamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Fostamatinib" ], [ "Fostamatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sofosbuvir" ] ], [ [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enzalutamide" ], [ "Enzalutamide", "{u} (Compound) causes {v} (Side Effect)", "Memory impairment" ], [ "Memory impairment", "{u} (Side Effect) is caused by {v} (Compound)", "Sofosbuvir" ] ] ]
Warfarin 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 Sofosbuvir Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Apalutamide and Apalutamide may lead to a major life threatening interaction when taken with Sofosbuvir Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Enzalutamide and Enzalutamide may lead to a major life threatening interaction when taken with Sofosbuvir Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Fostamatinib and Fostamatinib may lead to a major life threatening interaction when taken with Apalutamide and Apalutamide may lead to a major life threatening interaction when taken with Sofosbuvir Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Apalutamide and Apalutamide may lead to a major life threatening interaction when taken with Encorafenib and Encorafenib may cause a moderate interaction that could exacerbate diseases when taken with Sofosbuvir Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Enzalutamide and Enzalutamide (Compound) binds ABCB1 (Gene) and ABCB1 (Gene) is bound by Sofosbuvir (Compound) Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Fostamatinib and Fostamatinib 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 Sofosbuvir Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Apalutamide and Apalutamide may lead to a major life threatening interaction when taken with Fostamatinib and Fostamatinib may cause a moderate interaction that could exacerbate diseases when taken with Sofosbuvir Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Enzalutamide and Enzalutamide (Compound) causes Memory impairment (Side Effect) and Memory impairment (Side Effect) is caused by Sofosbuvir (Compound)
DB00108
DB06772
1,066
310
[ "DDInter1268", "DDInter259" ]
Natalizumab
Cabazitaxel
Natalizumab is a recombinant humanized IgG4κ monoclonal antibody that binds to α4-integrin. While natalizumab was originally approved by the FDA to treat multiple sclerosis in 2004, it was withdrawn from the market following multiple reports of fatal progressive multifocal leukoencephalopathy (PML). In 2006, the FDA reintroduced the drug to the market for multiple sclerosis. Natalizumab was further approved by the FDA for the treatment of Crohn's Disease in January 2008. On August 24, 2023, the first biosimilar to natalizumab, natalizumab-sztn, was approved by the FDA. Natalizumab was approved by the European Commission on September 22, 2023.
Cabazitaxel is a taxoid synthesized from 10-deacetylbaccatin III, a compound isolated from the yew tree. As a second-generation semisynthetic microtubule inhibitor, cabazitaxel stabilizes microtubules and induces tumour cell death. Due to its low affinity for the P-glycoprotein (P-gp) efflux pump, cabazitaxel can more readily penetrate the blood–brain barrier compared to other taxanes like [paclitaxel] and [docetaxel].[A7056, A260421, A260621] Cabazitaxel is used to treat metastatic castration-resistant prostate cancer. It was first approved by the FDA on June 17, 2010. It was also approved by the EMA on March 17, 2011 and Health Canada on December 17, 2019.
Major
2
[ [ [ 1066, 25, 310 ] ], [ [ 1066, 25, 973 ], [ 973, 24, 310 ] ], [ [ 1066, 25, 800 ], [ 800, 63, 310 ] ], [ [ 1066, 64, 1451 ], [ 1451, 24, 310 ] ], [ [ 1066, 24, 1430 ], [ 1430, 24, 310 ] ], [ [ 1066, 24, 987 ], [ 987, 63, 310 ] ], [ [ 1066, 23, 1461 ], [ 1461, 24, 310 ] ], [ [ 1066, 25, 334 ], [ 334, 64, 310 ] ], [ [ 1066, 25, 1064 ], [ 1064, 25, 310 ] ], [ [ 1066, 64, 1057 ], [ 1057, 25, 310 ] ] ]
[ [ [ "Natalizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Cabazitaxel" ] ], [ [ "Natalizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Paclitaxel" ], [ "Paclitaxel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cabazitaxel" ] ], [ [ "Natalizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Duvelisib" ], [ "Duvelisib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cabazitaxel" ] ], [ [ "Natalizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Interferon alfa-n1" ], [ "Interferon alfa-n1", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cabazitaxel" ] ], [ [ "Natalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sipuleucel-T" ], [ "Sipuleucel-T", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cabazitaxel" ] ], [ [ "Natalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vibrio cholerae CVD 103-HgR strain live antigen" ], [ "Vibrio cholerae CVD 103-HgR strain live antigen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cabazitaxel" ] ], [ [ "Natalizumab", "{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}", "Cabazitaxel" ] ], [ [ "Natalizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Mumps virus strain B level jeryl lynn live antigen" ], [ "Mumps virus strain B level jeryl lynn live antigen", "{u} may lead to a major life threatening interaction when taken with {v}", "Cabazitaxel" ] ], [ [ "Natalizumab", "{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}", "Cabazitaxel" ] ], [ [ "Natalizumab", "{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}", "Cabazitaxel" ] ] ]
Natalizumab may lead to a major life threatening interaction when taken with Paclitaxel and Paclitaxel may cause a moderate interaction that could exacerbate diseases when taken with Cabazitaxel Natalizumab may lead to a major life threatening interaction when taken with Duvelisib and Duvelisib may cause a moderate interaction that could exacerbate diseases when taken with Cabazitaxel Natalizumab may lead to a major life threatening interaction when taken with Interferon alfa-n1 and Interferon alfa-n1 may cause a moderate interaction that could exacerbate diseases when taken with Cabazitaxel Natalizumab may cause a moderate interaction that could exacerbate diseases when taken with Sipuleucel-T and Sipuleucel-T may cause a moderate interaction that could exacerbate diseases when taken with Cabazitaxel Natalizumab may cause a moderate interaction that could exacerbate diseases when taken with Vibrio cholerae CVD 103-HgR strain live antigen and Vibrio cholerae CVD 103-HgR strain live antigen may cause a moderate interaction that could exacerbate diseases when taken with Cabazitaxel Natalizumab 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 Cabazitaxel Natalizumab may lead to a major life threatening interaction when taken with Mumps virus strain B level jeryl lynn live antigen and Mumps virus strain B level jeryl lynn live antigen may lead to a major life threatening interaction when taken with Cabazitaxel Natalizumab 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 Cabazitaxel Natalizumab 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 Cabazitaxel
DB00445
DB04865
322
4
[ "DDInter655", "DDInter1335" ]
Epirubicin
Omacetaxine mepesuccinate
An anthracycline which is the 4&#39;-epi-isomer of doxorubicin. The compound exerts its antitumor effects by interference with the synthesis and function of DNA.
Omacetaxine mepesuccinate (formerly known as HHT or Homoharringtonine), is a cephalotaxine ester and protein synthesis inhibitor with established clinical activity as a single agent in hematological malignancies. Omacetaxine mepesuccinate is synthesized from cephalotaxine, which is an extract from the leaves of the plant, Cephalotaxus species. In October 2005, omacetaxine mepesuccinate received Orphan Drug designation from the EMEA for the treatment of chronic myeloid leukemia (CML). Then in March 2006, it received Orphan Drug status from the FDA for the treatment of CML. In November 2006, omacetaxine mepesuccinate, for the treatment of CML, was granted Fast Track designation by the FDA. Most recently, in October 2012, omacetaxine mepesuccinate was marketed under the brand name Synribo and FDA approved for patients who are intolerant and/or resistant to two or more tyrosine kinase inhibitors used to treat accelerated or chronic phase CML.
Moderate
1
[ [ [ 322, 24, 4 ] ], [ [ 322, 7, 14560 ], [ 14560, 46, 4 ] ], [ [ 322, 18, 5106 ], [ 5106, 46, 4 ] ], [ [ 322, 33, 4157 ], [ 4157, 46, 4 ] ], [ [ 322, 18, 10488 ], [ 10488, 57, 4 ] ], [ [ 322, 7, 13028 ], [ 13028, 57, 4 ] ], [ [ 322, 25, 770 ], [ 770, 24, 4 ] ], [ [ 322, 24, 496 ], [ 496, 63, 4 ] ], [ [ 322, 63, 66 ], [ 66, 24, 4 ] ], [ [ 322, 24, 485 ], [ 485, 24, 4 ] ] ]
[ [ [ "Epirubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Omacetaxine mepesuccinate" ] ], [ [ "Epirubicin", "{u} (Compound) upregulates {v} (Gene)", "STAP2" ], [ "STAP2", "{u} (Gene) is upregulated by {v} (Compound)", "Omacetaxine mepesuccinate" ] ], [ [ "Epirubicin", "{u} (Compound) downregulates {v} (Gene)", "ARID4B" ], [ "ARID4B", "{u} (Gene) is upregulated by {v} (Compound)", "Omacetaxine mepesuccinate" ] ], [ [ "Epirubicin", "{u} (Compound) binds {v} (Gene) and {u} (Compound) downregulates {v} (Gene)", "CHD1" ], [ "CHD1", "{u} (Gene) is upregulated by {v} (Compound)", "Omacetaxine mepesuccinate" ] ], [ [ "Epirubicin", "{u} (Compound) downregulates {v} (Gene)", "B4GAT1" ], [ "B4GAT1", "{u} (Gene) is downregulated by {v} (Compound)", "Omacetaxine mepesuccinate" ] ], [ [ "Epirubicin", "{u} (Compound) upregulates {v} (Gene)", "NENF" ], [ "NENF", "{u} (Gene) is downregulated by {v} (Compound)", "Omacetaxine mepesuccinate" ] ], [ [ "Epirubicin", "{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}", "Omacetaxine mepesuccinate" ] ], [ [ "Epirubicin", "{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}", "Omacetaxine mepesuccinate" ] ], [ [ "Epirubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Efalizumab" ], [ "Efalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Omacetaxine mepesuccinate" ] ], [ [ "Epirubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentamidine" ], [ "Pentamidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Omacetaxine mepesuccinate" ] ] ]
Epirubicin (Compound) upregulates STAP2 (Gene) and STAP2 (Gene) is upregulated by Omacetaxine mepesuccinate (Compound) Epirubicin (Compound) downregulates ARID4B (Gene) and ARID4B (Gene) is upregulated by Omacetaxine mepesuccinate (Compound) Epirubicin (Compound) binds CHD1 (Gene) and Epirubicin (Compound) downregulates CHD1 (Gene) and CHD1 (Gene) is upregulated by Omacetaxine mepesuccinate (Compound) Epirubicin (Compound) downregulates B4GAT1 (Gene) and B4GAT1 (Gene) is downregulated by Omacetaxine mepesuccinate (Compound) Epirubicin (Compound) upregulates NENF (Gene) and NENF (Gene) is downregulated by Omacetaxine mepesuccinate (Compound) Epirubicin 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 Omacetaxine mepesuccinate Epirubicin 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 Omacetaxine mepesuccinate Epirubicin may cause a moderate interaction that could exacerbate diseases when taken with Efalizumab and Efalizumab may cause a moderate interaction that could exacerbate diseases when taken with Omacetaxine mepesuccinate Epirubicin may cause a moderate interaction that could exacerbate diseases when taken with Pentamidine and Pentamidine may cause a moderate interaction that could exacerbate diseases when taken with Omacetaxine mepesuccinate
DB00615
DB11718
690
927
[ "DDInter1589", "DDInter640" ]
Rifabutin
Encorafenib
A broad-spectrum antibiotic that is being used as prophylaxis against disseminated Mycobacterium avium complex infection in HIV-positive patients.
Encorafenib, also known as _BRAFTOVI_, is a kinase inhibitor. Encorafenib inhibits BRAF gene, which encodes for B-raf protein, which is a proto-oncogene involved in various genetic mutations. This protein plays a role in regulating the MAP kinase/ERK signaling pathway, which impacts cell division, differentiation, and secretion. Mutations in this gene, most frequently the V600E mutation, are the most commonly identified cancer-causing mutations in melanoma, and have been isolated in various other cancers as well, including non-Hodgkin lymphoma, colorectal cancer, thyroid carcinoma, non-small cell lung carcinoma, hairy cell leukemia and adenocarcinoma of the lung. On June 27, 2018, the Food and Drug Administration approved encorafenib and [binimetinib] (BRAFTOVI and MEKTOVI, Array BioPharma Inc.) in combination for patients with unresectable or metastatic melanoma with a BRAF V600E or V600K mutation, as detected by an FDA-approved test.
Major
2
[ [ [ 690, 25, 927 ] ], [ [ 690, 24, 112 ], [ 112, 23, 927 ] ], [ [ 690, 1, 1088 ], [ 1088, 24, 927 ] ], [ [ 690, 24, 1491 ], [ 1491, 24, 927 ] ], [ [ 690, 25, 613 ], [ 613, 24, 927 ] ], [ [ 690, 63, 1010 ], [ 1010, 24, 927 ] ], [ [ 690, 25, 484 ], [ 484, 63, 927 ] ], [ [ 690, 62, 1101 ], [ 1101, 24, 927 ] ], [ [ 690, 24, 564 ], [ 564, 63, 927 ] ], [ [ 690, 25, 1017 ], [ 1017, 64, 927 ] ] ]
[ [ [ "Rifabutin", "{u} may lead to a major life threatening interaction when taken with {v}", "Encorafenib" ] ], [ [ "Rifabutin", "{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}", "Encorafenib" ] ], [ [ "Rifabutin", "{u} (Compound) resembles {v} (Compound)", "Rifaximin" ], [ "Rifaximin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Encorafenib" ] ], [ [ "Rifabutin", "{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}", "Encorafenib" ] ], [ [ "Rifabutin", "{u} may lead to a major life threatening interaction when taken with {v}", "Irinotecan" ], [ "Irinotecan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Encorafenib" ] ], [ [ "Rifabutin", "{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}", "Encorafenib" ] ], [ [ "Rifabutin", "{u} may lead to a major life threatening interaction when taken with {v}", "Entrectinib" ], [ "Entrectinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Encorafenib" ] ], [ [ "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}", "Encorafenib" ] ], [ [ "Rifabutin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abemaciclib" ], [ "Abemaciclib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Encorafenib" ] ], [ [ "Rifabutin", "{u} may lead to a major life threatening interaction when taken with {v}", "Lorlatinib" ], [ "Lorlatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Encorafenib" ] ] ]
Rifabutin 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 Encorafenib Rifabutin (Compound) resembles Rifaximin (Compound) and Rifaximin may cause a moderate interaction that could exacerbate diseases when taken with Encorafenib Rifabutin 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 Encorafenib Rifabutin may lead to a major life threatening interaction when taken with Irinotecan and Irinotecan may cause a moderate interaction that could exacerbate diseases when taken with Encorafenib Rifabutin 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 Encorafenib Rifabutin may lead to a major life threatening interaction when taken with Entrectinib and Entrectinib may cause a moderate interaction that could exacerbate diseases when taken with Encorafenib 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 Encorafenib Rifabutin may cause a moderate interaction that could exacerbate diseases when taken with Abemaciclib and Abemaciclib may cause a moderate interaction that could exacerbate diseases when taken with Encorafenib Rifabutin may lead to a major life threatening interaction when taken with Lorlatinib and Lorlatinib may lead to a major life threatening interaction when taken with Encorafenib
DB00346
DB11730
472
351
[ "DDInter44", "DDInter1588" ]
Alfuzosin
Ribociclib
Benign prostatic hyperplasia (BPH) refers to a benign growth or hyperplasia of the prostate and leads to lower urinary tract symptoms in men, such as urgency, frequency and changes to urine flow. The prevalence of BPH is as high as 50%-60% for males in their 60's, and this prevalence increases to 80%-90% of those over 70. Alfuzosin is an alpha-1 adrenergic blocker used in the symptomatic treatment of BPH that works by relaxing the muscles in the prostate and bladder neck. It was initially approved by the FDA in 2003 and is marketed by several pharmaceutical companies.
Ribociclib is a selective cyclin-dependent kinase inhibitor, a class of drugs that help slow the progression of cancer by inhibiting two proteins called cyclin-dependent kinase 4 and 6 (CDK4/6). These proteins, when over-activated, can enable cancer cells to grow and divide too quickly. Targeting CDK4/6 with enhanced precision may play a role in ensuring that cancer cells do not continue to replicate uncontrollably. Ribociclib was approved by the U.S. FDA in March, 2017 as Kisqali.
Major
2
[ [ [ 472, 25, 351 ] ], [ [ 472, 23, 112 ], [ 112, 23, 351 ] ], [ [ 472, 24, 283 ], [ 283, 62, 351 ] ], [ [ 472, 24, 355 ], [ 355, 24, 351 ] ], [ [ 472, 23, 752 ], [ 752, 24, 351 ] ], [ [ 472, 24, 1017 ], [ 1017, 63, 351 ] ], [ [ 472, 24, 129 ], [ 129, 25, 351 ] ], [ [ 472, 24, 1297 ], [ 1297, 64, 351 ] ], [ [ 472, 25, 985 ], [ 985, 25, 351 ] ], [ [ 472, 64, 702 ], [ 702, 25, 351 ] ] ]
[ [ [ "Alfuzosin", "{u} may lead to a major life threatening interaction when taken with {v}", "Ribociclib" ] ], [ [ "Alfuzosin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ribociclib" ] ], [ [ "Alfuzosin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ], [ "Fedratinib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ribociclib" ] ], [ [ "Alfuzosin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lactulose" ], [ "Lactulose", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ribociclib" ] ], [ [ "Alfuzosin", "{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}", "Ribociclib" ] ], [ [ "Alfuzosin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ], [ "Lorlatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ribociclib" ] ], [ [ "Alfuzosin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enzalutamide" ], [ "Enzalutamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Ribociclib" ] ], [ [ "Alfuzosin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Osilodrostat" ], [ "Osilodrostat", "{u} may lead to a major life threatening interaction when taken with {v}", "Ribociclib" ] ], [ [ "Alfuzosin", "{u} may lead to a major life threatening interaction when taken with {v}", "Osimertinib" ], [ "Osimertinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Ribociclib" ] ], [ [ "Alfuzosin", "{u} may lead to a major life threatening interaction when taken with {v}", "Anagrelide" ], [ "Anagrelide", "{u} may lead to a major life threatening interaction when taken with {v}", "Ribociclib" ] ] ]
Alfuzosin may cause a minor interaction that can limit clinical effects when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Ribociclib Alfuzosin may cause a moderate interaction that could exacerbate diseases when taken with Fedratinib and Fedratinib may cause a minor interaction that can limit clinical effects when taken with Ribociclib Alfuzosin may cause a moderate interaction that could exacerbate diseases when taken with Lactulose and Lactulose may cause a moderate interaction that could exacerbate diseases when taken with Ribociclib Alfuzosin 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 Ribociclib Alfuzosin may cause a moderate interaction that could exacerbate diseases when taken with Lorlatinib and Lorlatinib may cause a moderate interaction that could exacerbate diseases when taken with Ribociclib Alfuzosin may cause a moderate interaction that could exacerbate diseases when taken with Enzalutamide and Enzalutamide may lead to a major life threatening interaction when taken with Ribociclib Alfuzosin may cause a moderate interaction that could exacerbate diseases when taken with Osilodrostat and Osilodrostat may lead to a major life threatening interaction when taken with Ribociclib Alfuzosin may lead to a major life threatening interaction when taken with Osimertinib and Osimertinib may lead to a major life threatening interaction when taken with Ribociclib Alfuzosin may lead to a major life threatening interaction when taken with Anagrelide and Anagrelide may lead to a major life threatening interaction when taken with Ribociclib
DB00008
DB01030
491
869
[ "DDInter1407", "DDInter1835" ]
Peginterferon alfa-2a
Topotecan
Peginterferon alfa-2a 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-2a. Peginterferon alfa-2a is derived from the alfa-2a 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
An antineoplastic agent used to treat ovarian cancer. It works by inhibiting DNA topoisomerases, type I.
Moderate
1
[ [ [ 491, 24, 869 ] ], [ [ 491, 24, 310 ], [ 310, 63, 869 ] ], [ [ 491, 24, 482 ], [ 482, 24, 869 ] ], [ [ 491, 25, 1064 ], [ 1064, 24, 869 ] ], [ [ 491, 25, 72 ], [ 72, 63, 869 ] ], [ [ 491, 23, 450 ], [ 450, 24, 869 ] ], [ [ 491, 63, 1057 ], [ 1057, 25, 869 ] ], [ [ 491, 25, 676 ], [ 676, 64, 869 ] ], [ [ 491, 24, 770 ], [ 770, 64, 869 ] ], [ [ 491, 25, 695 ], [ 695, 25, 869 ] ] ]
[ [ [ "Peginterferon alfa-2a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Topotecan" ] ], [ [ "Peginterferon alfa-2a", "{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}", "Topotecan" ] ], [ [ "Peginterferon alfa-2a", "{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}", "Topotecan" ] ], [ [ "Peginterferon alfa-2a", "{u} may lead to a major life threatening interaction when taken with {v}", "Cladribine" ], [ "Cladribine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Topotecan" ] ], [ [ "Peginterferon alfa-2a", "{u} may lead to a major life threatening interaction when taken with {v}", "Eltrombopag" ], [ "Eltrombopag", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Topotecan" ] ], [ [ "Peginterferon alfa-2a", "{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}", "Topotecan" ] ], [ [ "Peginterferon alfa-2a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Etanercept" ], [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Topotecan" ] ], [ [ "Peginterferon alfa-2a", "{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}", "Topotecan" ] ], [ [ "Peginterferon alfa-2a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Thalidomide" ], [ "Thalidomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Topotecan" ] ], [ [ "Peginterferon alfa-2a", "{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}", "Topotecan" ] ] ]
Peginterferon alfa-2a 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 Topotecan Peginterferon alfa-2a 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 Topotecan Peginterferon alfa-2a may lead to a major life threatening interaction when taken with Cladribine and Cladribine may cause a moderate interaction that could exacerbate diseases when taken with Topotecan Peginterferon alfa-2a may lead to a major life threatening interaction when taken with Eltrombopag and Eltrombopag may cause a moderate interaction that could exacerbate diseases when taken with Topotecan Peginterferon alfa-2a 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 Topotecan Peginterferon alfa-2a may cause a moderate interaction that could exacerbate diseases when taken with Etanercept and Etanercept may lead to a major life threatening interaction when taken with Topotecan Peginterferon alfa-2a 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 Topotecan Peginterferon alfa-2a may cause a moderate interaction that could exacerbate diseases when taken with Thalidomide and Thalidomide may lead to a major life threatening interaction when taken with Topotecan Peginterferon alfa-2a 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 Topotecan
DB00294
DB12130
1,336
1,017
[ "DDInter701", "DDInter1094" ]
Etonogestrel
Lorlatinib
Etonogestrel molecule is a 3-ketodesogestrel or 19-nortestosterone which is a synthetic biologically active metabolite of progestin desogestrel. The first product including etonogestrel was developed by the Merck subsidiary Organon and FDA approved in 2001.
Lorlatinib is a third-generation ALK tyrosine kinase inhibitor (TKI) for patients with ALK-positive metastatic non-small cell lung cancer which was first approved by the US FDA in November of 2018. It was subsequently approved by the EMA in 2019 for the treatment of select patients with previously treated advanced ALK-positive non-small cell lung cancer, followed by an expanded approval in 2022 to include lorlatinib as a first-line treatment option in advanced ALK-positive NSCLC.
Moderate
1
[ [ [ 1336, 24, 1017 ] ], [ [ 1336, 25, 1101 ], [ 1101, 23, 1017 ] ], [ [ 1336, 24, 590 ], [ 590, 24, 1017 ] ], [ [ 1336, 23, 14 ], [ 14, 24, 1017 ] ], [ [ 1336, 40, 984 ], [ 984, 24, 1017 ] ], [ [ 1336, 24, 159 ], [ 159, 63, 1017 ] ], [ [ 1336, 25, 1096 ], [ 1096, 24, 1017 ] ], [ [ 1336, 63, 1064 ], [ 1064, 24, 1017 ] ], [ [ 1336, 1, 1561 ], [ 1561, 24, 1017 ] ], [ [ 1336, 25, 927 ], [ 927, 25, 1017 ] ] ]
[ [ [ "Etonogestrel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ] ], [ [ "Etonogestrel", "{u} may lead to a major life threatening interaction when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Lorlatinib" ] ], [ [ "Etonogestrel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acetohexamide" ], [ "Acetohexamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ] ], [ [ "Etonogestrel", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Rosuvastatin" ], [ "Rosuvastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ] ], [ [ "Etonogestrel", "{u} (Compound) resembles {v} (Compound)", "Danazol" ], [ "Danazol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ] ], [ [ "Etonogestrel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Larotrectinib" ], [ "Larotrectinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ] ], [ [ "Etonogestrel", "{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}", "Lorlatinib" ] ], [ [ "Etonogestrel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cladribine" ], [ "Cladribine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ] ], [ [ "Etonogestrel", "{u} (Compound) resembles {v} (Compound)", "Testosterone" ], [ "Testosterone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ] ], [ [ "Etonogestrel", "{u} may lead to a major life threatening interaction when taken with {v}", "Encorafenib" ], [ "Encorafenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Lorlatinib" ] ] ]
Etonogestrel may lead to a major life threatening interaction when taken with Bexarotene and Bexarotene may cause a minor interaction that can limit clinical effects when taken with Lorlatinib Etonogestrel may cause a moderate interaction that could exacerbate diseases when taken with Acetohexamide and Acetohexamide may cause a moderate interaction that could exacerbate diseases when taken with Lorlatinib Etonogestrel may cause a minor interaction that can limit clinical effects when taken with Rosuvastatin and Rosuvastatin may cause a moderate interaction that could exacerbate diseases when taken with Lorlatinib Etonogestrel (Compound) resembles Danazol (Compound) and Danazol may cause a moderate interaction that could exacerbate diseases when taken with Lorlatinib Etonogestrel may cause a moderate interaction that could exacerbate diseases when taken with Larotrectinib and Larotrectinib may cause a moderate interaction that could exacerbate diseases when taken with Lorlatinib Etonogestrel 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 Lorlatinib Etonogestrel may cause a moderate interaction that could exacerbate diseases when taken with Cladribine and Cladribine may cause a moderate interaction that could exacerbate diseases when taken with Lorlatinib Etonogestrel (Compound) resembles Testosterone (Compound) and Testosterone may cause a moderate interaction that could exacerbate diseases when taken with Lorlatinib Etonogestrel may lead to a major life threatening interaction when taken with Encorafenib and Encorafenib may lead to a major life threatening interaction when taken with Lorlatinib
DB03619
DB08875
557
1,618
[ "DDInter501", "DDInter262" ]
Deoxycholic acid
Cabozantinib
Deoxycholic acid is a a bile acid which emulsifies and solubilizes dietary fats in the intestine, and when injected subcutaneously, it disrupts cell membranes in adipocytes and destroys fat cells in that tissue. In April 2015, deoxycholic acid was approved by the FDA for the treatment submental fat to improve aesthetic appearance and reduce facial fullness or convexity. It is marketed under the brand name Kybella by Kythera Biopharma and is the first pharmacological agent available for submental fat reduction, allowing for a safer and less invasive alternative than surgical procedures.
Cabozantinib was first approved in 2012 and is a non-specific tyrosine kinase inhibitor. It was initially approved in the US under the brand name Cometriq, which is indicated for the treatment of metastatic medullary thyroid cancer. In 2016, a capsule formulation (Cabometyx) was approved for the treatment of advanced renal cell carcinoma, and this same formulation gained additional approval in both the US and Canada in 2019 for the treatment of hepatocellular carcinoma in previously treated patients.[L15128,L15133]
Moderate
1
[ [ [ 557, 24, 1618 ] ], [ [ 557, 24, 1040 ], [ 1040, 63, 1618 ] ], [ [ 557, 63, 885 ], [ 885, 25, 1618 ] ], [ [ 557, 24, 503 ], [ 503, 64, 1618 ] ], [ [ 557, 24, 578 ], [ 578, 25, 1618 ] ], [ [ 557, 24, 1040 ], [ 1040, 24, 1135 ], [ 1135, 62, 1618 ] ], [ [ 557, 24, 283 ], [ 283, 64, 1135 ], [ 1135, 62, 1618 ] ], [ [ 557, 24, 1598 ], [ 1598, 63, 1135 ], [ 1135, 62, 1618 ] ], [ [ 557, 63, 885 ], [ 885, 63, 122 ], [ 122, 24, 1618 ] ], [ [ 557, 63, 1578 ], [ 1578, 24, 41 ], [ 41, 63, 1618 ] ] ]
[ [ [ "Deoxycholic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cabozantinib" ] ], [ [ "Deoxycholic acid", "{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}", "Cabozantinib" ] ], [ [ "Deoxycholic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Epoprostenol" ], [ "Epoprostenol", "{u} may lead to a major life threatening interaction when taken with {v}", "Cabozantinib" ] ], [ [ "Deoxycholic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zanubrutinib" ], [ "Zanubrutinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Cabozantinib" ] ], [ [ "Deoxycholic acid", "{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}", "Cabozantinib" ] ], [ [ "Deoxycholic acid", "{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}", "Naloxegol" ], [ "Naloxegol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cabozantinib" ] ], [ [ "Deoxycholic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ], [ "Fedratinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Naloxegol" ], [ "Naloxegol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cabozantinib" ] ], [ [ "Deoxycholic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tazemetostat" ], [ "Tazemetostat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Naloxegol" ], [ "Naloxegol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cabozantinib" ] ], [ [ "Deoxycholic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Epoprostenol" ], [ "Epoprostenol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Verapamil" ], [ "Verapamil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cabozantinib" ] ], [ [ "Deoxycholic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lepirudin" ], [ "Lepirudin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levomilnacipran" ], [ "Levomilnacipran", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cabozantinib" ] ] ]
Deoxycholic acid 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 Cabozantinib Deoxycholic acid may cause a moderate interaction that could exacerbate diseases when taken with Epoprostenol and Epoprostenol may lead to a major life threatening interaction when taken with Cabozantinib Deoxycholic acid may cause a moderate interaction that could exacerbate diseases when taken with Zanubrutinib and Zanubrutinib may lead to a major life threatening interaction when taken with Cabozantinib Deoxycholic acid 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 Cabozantinib Deoxycholic acid 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 Naloxegol and Naloxegol may cause a minor interaction that can limit clinical effects when taken with Cabozantinib Deoxycholic acid may cause a moderate interaction that could exacerbate diseases when taken with Fedratinib and Fedratinib may lead to a major life threatening interaction when taken with Naloxegol and Naloxegol may cause a minor interaction that can limit clinical effects when taken with Cabozantinib Deoxycholic acid may cause a moderate interaction that could exacerbate diseases when taken with Tazemetostat and Tazemetostat may cause a moderate interaction that could exacerbate diseases when taken with Naloxegol and Naloxegol may cause a minor interaction that can limit clinical effects when taken with Cabozantinib Deoxycholic acid may cause a moderate interaction that could exacerbate diseases when taken with Epoprostenol and Epoprostenol may cause a moderate interaction that could exacerbate diseases when taken with Verapamil and Verapamil may cause a moderate interaction that could exacerbate diseases when taken with Cabozantinib Deoxycholic acid may cause a moderate interaction that could exacerbate diseases when taken with Lepirudin and Lepirudin may cause a moderate interaction that could exacerbate diseases when taken with Levomilnacipran and Levomilnacipran may cause a moderate interaction that could exacerbate diseases when taken with Cabozantinib
DB01037
DB09080
1,161
144
[ "DDInter1653", "DDInter1331" ]
Selegiline
Olodaterol
A selective, irreversible inhibitor of Type B monoamine oxidase. It is used in newly diagnosed patients with Parkinson's disease. It may slow progression of the clinical disease and delay the requirement for levodopa therapy. It also may be given with levodopa upon onset of disability. (From AMA Drug Evaluations Annual, 1994, p385) The compound without isomeric designation is Deprenyl.
Olodaterol is a novel, long-acting beta2-adrenergic agonist (LABA) that exerts its pharmacological effect by binding and activating beta2-adrenergic receptors located primarily in the lungs. Beta2-adrenergic receptors are membrane-bound receptors that are normally activated by endogenous epinephrine whose signalling, via a downstream L-type calcium channel interaction, mediates smooth muscle relaxation and bronchodilation. Activation of the receptor stimulates an associated G protein which then activates adenylate cyclase, catalyzing the formation of cyclic adenosine monophosphate (cAMP) and protein kinase A (PKA). Elevation of these two molecules induces bronchodilation by relaxation of airway smooth muscles. It is by this mechanism that olodaterol is used for the treatment of chronic obstructive pulmonary disease (COPD) and the progressive airflow obstruction that is characteristic of it. Treatment with bronchodilators helps to mitigate associated symptoms such as shortness of breath, cough, and sputum production. Single doses of olodaterol have been shown to improve forced expiratory volume in 1 sec (FEV1) for 24 h in patients with COPD, allowing once daily dosing. A once-a-day treatment with a LABA has several advantages over short-acting bronchodilators and twice-daily LABAs including improved convenience and compliance and improved airflow over a 24-hour period. Despite similarities in symptoms, olodaterol is not indicated for the treatment of acute exacerbations of COPD or for the treatment of asthma.
Moderate
1
[ [ [ 1161, 24, 144 ] ], [ [ 1161, 75, 1445 ], [ 1445, 24, 144 ] ], [ [ 1161, 24, 31 ], [ 31, 24, 144 ] ], [ [ 1161, 64, 1048 ], [ 1048, 24, 144 ] ], [ [ 1161, 1, 80 ], [ 80, 24, 144 ] ], [ [ 1161, 25, 1264 ], [ 1264, 24, 144 ] ], [ [ 1161, 63, 455 ], [ 455, 24, 144 ] ], [ [ 1161, 36, 22 ], [ 22, 24, 144 ] ], [ [ 1161, 37, 1090 ], [ 1090, 24, 144 ] ], [ [ 1161, 40, 1529 ], [ 1529, 24, 144 ] ] ]
[ [ [ "Selegiline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olodaterol" ] ], [ [ "Selegiline", "{u} (Compound) resembles {v} (Compound) and {u} may lead to a major life threatening interaction when taken with {v}", "Pseudoephedrine" ], [ "Pseudoephedrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olodaterol" ] ], [ [ "Selegiline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Xylometazoline" ], [ "Xylometazoline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olodaterol" ] ], [ [ "Selegiline", "{u} may lead to a major life threatening interaction when taken with {v}", "Doxapram" ], [ "Doxapram", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olodaterol" ] ], [ [ "Selegiline", "{u} (Compound) resembles {v} (Compound)", "Amphetamine" ], [ "Amphetamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olodaterol" ] ], [ [ "Selegiline", "{u} may lead to a major life threatening interaction when taken with {v}", "Doxepin" ], [ "Doxepin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olodaterol" ] ], [ [ "Selegiline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Salmeterol" ], [ "Salmeterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olodaterol" ] ], [ [ "Selegiline", "{u} (Compound) resembles {v} (Compound) and {u} may lead to a major life threatening interaction when taken with {v}", "Ephedrine" ], [ "Ephedrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olodaterol" ] ], [ [ "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" ], [ "Tetryzoline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olodaterol" ] ], [ [ "Selegiline", "{u} (Compound) resembles {v} (Compound)", "Metamfetamine" ], [ "Metamfetamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olodaterol" ] ] ]
Selegiline (Compound) resembles Pseudoephedrine (Compound) and Selegiline may lead to a major life threatening interaction when taken with Pseudoephedrine and Pseudoephedrine may cause a moderate interaction that could exacerbate diseases when taken with Olodaterol Selegiline may cause a moderate interaction that could exacerbate diseases when taken with Xylometazoline and Xylometazoline may cause a moderate interaction that could exacerbate diseases when taken with Olodaterol Selegiline may lead to a major life threatening interaction when taken with Doxapram and Doxapram may cause a moderate interaction that could exacerbate diseases when taken with Olodaterol Selegiline (Compound) resembles Amphetamine (Compound) and Amphetamine may cause a moderate interaction that could exacerbate diseases when taken with Olodaterol Selegiline may lead to a major life threatening interaction when taken with Doxepin and Doxepin may cause a moderate interaction that could exacerbate diseases when taken with Olodaterol Selegiline may cause a moderate interaction that could exacerbate diseases when taken with Salmeterol and Salmeterol may cause a moderate interaction that could exacerbate diseases when taken with Olodaterol Selegiline (Compound) resembles Ephedrine (Compound) and Selegiline may lead to a major life threatening interaction when taken with Ephedrine and Ephedrine may cause a moderate interaction that could exacerbate diseases when taken with Olodaterol 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 and Tetryzoline may cause a moderate interaction that could exacerbate diseases when taken with Olodaterol Selegiline (Compound) resembles Metamfetamine (Compound) and Metamfetamine may cause a moderate interaction that could exacerbate diseases when taken with Olodaterol
DB09073
DB15093
951
1,654
[ "DDInter1379", "DDInter1698" ]
Palbociclib
Somapacitan
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.
Somapacitan, also known as NNC0195-0092, is a growth hormone analog indicated to treat adults with growth hormone deficiency.[A219126,L15661] This human growth hormone analog differs by the creation of an albumin binding site, and prolonging the effect so that it requires weekly dosing rather than daily. Somapacitan was granted FDA approval on 28 August 2020.
Moderate
1
[ [ [ 951, 24, 1654 ] ], [ [ 951, 24, 351 ], [ 351, 24, 1654 ] ], [ [ 951, 63, 467 ], [ 467, 24, 1654 ] ], [ [ 951, 25, 676 ], [ 676, 24, 1654 ] ], [ [ 951, 64, 609 ], [ 609, 24, 1654 ] ], [ [ 951, 63, 1101 ], [ 1101, 25, 1654 ] ], [ [ 951, 24, 351 ], [ 351, 63, 10 ], [ 10, 24, 1654 ] ], [ [ 951, 63, 467 ], [ 467, 63, 168 ], [ 168, 23, 1654 ] ], [ [ 951, 63, 1250 ], [ 1250, 64, 1215 ], [ 1215, 24, 1654 ] ], [ [ 951, 63, 868 ], [ 868, 62, 608 ], [ 608, 23, 1654 ] ] ]
[ [ [ "Palbociclib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somapacitan" ] ], [ [ "Palbociclib", "{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}", "Somapacitan" ] ], [ [ "Palbociclib", "{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}", "Somapacitan" ] ], [ [ "Palbociclib", "{u} may lead to a major life threatening interaction when taken with {v}", "Upadacitinib" ], [ "Upadacitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somapacitan" ] ], [ [ "Palbociclib", "{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}", "Somapacitan" ] ], [ [ "Palbociclib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may lead to a major life threatening interaction when taken with {v}", "Somapacitan" ] ], [ [ "Palbociclib", "{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}", "Dapsone" ], [ "Dapsone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somapacitan" ] ], [ [ "Palbociclib", "{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}", "Bortezomib" ], [ "Bortezomib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Somapacitan" ] ], [ [ "Palbociclib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pazopanib" ], [ "Pazopanib", "{u} may lead to a major life threatening interaction when taken with {v}", "Lansoprazole" ], [ "Lansoprazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somapacitan" ] ], [ [ "Palbociclib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vemurafenib" ], [ "Vemurafenib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Lidocaine" ], [ "Lidocaine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Somapacitan" ] ] ]
Palbociclib 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 Somapacitan Palbociclib 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 Somapacitan Palbociclib may lead to a major life threatening interaction when taken with Upadacitinib and Upadacitinib may cause a moderate interaction that could exacerbate diseases when taken with Somapacitan Palbociclib 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 Somapacitan Palbociclib may cause a moderate interaction that could exacerbate diseases when taken with Bexarotene and Bexarotene may lead to a major life threatening interaction when taken with Somapacitan Palbociclib 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 Dapsone and Dapsone may cause a moderate interaction that could exacerbate diseases when taken with Somapacitan Palbociclib 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 Bortezomib and Bortezomib may cause a minor interaction that can limit clinical effects when taken with Somapacitan Palbociclib may cause a moderate interaction that could exacerbate diseases when taken with Pazopanib and Pazopanib may lead to a major life threatening interaction when taken with Lansoprazole and Lansoprazole may cause a moderate interaction that could exacerbate diseases when taken with Somapacitan Palbociclib may cause a moderate interaction that could exacerbate diseases when taken with Vemurafenib and Vemurafenib may cause a minor interaction that can limit clinical effects when taken with Lidocaine and Lidocaine may cause a minor interaction that can limit clinical effects when taken with Somapacitan
DB09291
DB11793
741
738
[ "DDInter1615", "DDInter1297" ]
Rolapitant
Niraparib
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
Niraparib is an orally active poly (ADP-ribose) polymerase (PARP) inhibitor. By blocking the enzymes responsible for DNA repair, niraparib induces cytotoxicity in cancer cells. Niraparib is selective towards PARP-1 and PARP-2. First approved by the FDA on March 27, 2017, niraparib is used to treat epithelial ovarian, fallopian tube, or primary peritoneal cancer. Niraparib was approved by the European Commission on November 16, 2017 and by Health Canada on June 27, 2019.
Moderate
1
[ [ [ 741, 24, 738 ] ], [ [ 741, 24, 1033 ], [ 1033, 63, 738 ] ], [ [ 741, 63, 663 ], [ 663, 24, 738 ] ], [ [ 741, 64, 759 ], [ 759, 24, 738 ] ], [ [ 741, 25, 1456 ], [ 1456, 24, 738 ] ], [ [ 741, 25, 913 ], [ 913, 63, 738 ] ], [ [ 741, 24, 119 ], [ 119, 24, 738 ] ], [ [ 741, 63, 695 ], [ 695, 25, 738 ] ], [ [ 741, 24, 1033 ], [ 1033, 24, 466 ], [ 466, 63, 738 ] ], [ [ 741, 63, 663 ], [ 663, 24, 466 ], [ 466, 63, 738 ] ] ]
[ [ [ "Rolapitant", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Niraparib" ] ], [ [ "Rolapitant", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alpelisib" ], [ "Alpelisib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Niraparib" ] ], [ [ "Rolapitant", "{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}", "Niraparib" ] ], [ [ "Rolapitant", "{u} may lead to a major life threatening interaction when taken with {v}", "Primidone" ], [ "Primidone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Niraparib" ] ], [ [ "Rolapitant", "{u} may lead to a major life threatening interaction when taken with {v}", "Venetoclax" ], [ "Venetoclax", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Niraparib" ] ], [ [ "Rolapitant", "{u} may lead to a major life threatening interaction when taken with {v}", "Apalutamide" ], [ "Apalutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Niraparib" ] ], [ [ "Rolapitant", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Talazoparib" ], [ "Talazoparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Niraparib" ] ], [ [ "Rolapitant", "{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}", "Niraparib" ] ], [ [ "Rolapitant", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alpelisib" ], [ "Alpelisib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Darolutamide" ], [ "Darolutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Niraparib" ] ], [ [ "Rolapitant", "{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}", "Darolutamide" ], [ "Darolutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Niraparib" ] ] ]
Rolapitant may cause a moderate interaction that could exacerbate diseases when taken with Alpelisib and Alpelisib may cause a moderate interaction that could exacerbate diseases when taken with Niraparib Rolapitant 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 Niraparib Rolapitant may lead to a major life threatening interaction when taken with Primidone and Primidone may cause a moderate interaction that could exacerbate diseases when taken with Niraparib Rolapitant may lead to a major life threatening interaction when taken with Venetoclax and Venetoclax may cause a moderate interaction that could exacerbate diseases when taken with Niraparib Rolapitant may lead to a major life threatening interaction when taken with Apalutamide and Apalutamide may cause a moderate interaction that could exacerbate diseases when taken with Niraparib Rolapitant may cause a moderate interaction that could exacerbate diseases when taken with Talazoparib and Talazoparib may cause a moderate interaction that could exacerbate diseases when taken with Niraparib Rolapitant 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 Niraparib Rolapitant may cause a moderate interaction that could exacerbate diseases when taken with Alpelisib and Alpelisib may cause a moderate interaction that could exacerbate diseases when taken with Darolutamide and Darolutamide may cause a moderate interaction that could exacerbate diseases when taken with Niraparib Rolapitant 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 Darolutamide and Darolutamide may cause a moderate interaction that could exacerbate diseases when taken with Niraparib
DB05578
DB14006
330
972
[ "DDInter1566", "DDInter370" ]
Ramucirumab
Choline salicylate
Ramucirumab is a human monoclonal antibody (IgG1) against vascular endothelial growth factor receptor 2 (VEGFR2), a type II trans-membrane tyrosine kinase receptor expressed on endothelial cells. By binding to VEGFR2, ramucirumab prevents binding of its ligands (VEGF-A, VEGF-C, and VEGF-D), thereby preventing VEGF-stimulated receptor phosphorylation and downstream ligand-induced proliferation, permeability, and migration of human endothelial cells. VEGFR stimulation also mediates downstream signalling required for angiogenesis and is postulated to be heavily involved in cancer progression, making it a highly likely drug target. In contrast to other agents directed against VEGFR-2, ramucirumab binds a specific epitope on the extracellular domain of VEGFR-2, thereby blocking all VEGF ligands from binding to it. Ramucir
Choline salicylate is an anti-inflammatory pain reliever agent that is related to aspirin. It is used to decrease swelling and to treat mild-moderate pain. It is used to treat arthritis in both children and adults. This medicine can also be used for fever . Choline Salicylate is the choline salt of salicylic acid, used as an analgesic, antipyretic and antirheumatic. It relieves mild to moderate pain and reduce fever and inflammation or swelling. Choline salicylate is effective in the treatment of gout, rheumatic fever, rheumatoid arthritis and muscle injuries . This drug is also a main ingredient in teething gels to relieve pains associated with tooth growth in the infant population . The UK government has regulated its use, due to toxicity in those under 16 years of age. Topical oral salicylate gels are no longer indicated for people younger than 16 years for pain associated with infant teething, orthodontic devices, cold sores, or mouth ulcers .
Major
2
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[ [ [ "Ramucirumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Choline salicylate" ] ], [ [ "Ramucirumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Fondaparinux" ], [ "Fondaparinux", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Choline salicylate" ] ], [ [ "Ramucirumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexfenfluramine" ], [ "Dexfenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Choline salicylate" ] ], [ [ "Ramucirumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Apixaban" ], [ "Apixaban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Choline salicylate" ] ], [ [ "Ramucirumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Fondaparinux" ], [ "Fondaparinux", "{u} may lead to a major life threatening interaction when taken with {v}", "Argatroban" ], [ "Argatroban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Choline salicylate" ] ], [ [ "Ramucirumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Argatroban" ], [ "Argatroban", "{u} may lead to a major life threatening interaction when taken with {v}", "Fondaparinux" ], [ "Fondaparinux", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Choline salicylate" ] ], [ [ "Ramucirumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Clopidogrel" ], [ "Clopidogrel", "{u} may lead to a major life threatening interaction when taken with {v}", "Esomeprazole" ], [ "Esomeprazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Choline salicylate" ] ], [ [ "Ramucirumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexfenfluramine" ], [ "Dexfenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fondaparinux" ], [ "Fondaparinux", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Choline salicylate" ] ], [ [ "Ramucirumab", "{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}", "Esomeprazole" ], [ "Esomeprazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Choline salicylate" ] ], [ [ "Ramucirumab", "{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}", "Fondaparinux" ], [ "Fondaparinux", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Choline salicylate" ] ] ]
Ramucirumab may lead to a major life threatening interaction when taken with Fondaparinux and Fondaparinux may cause a moderate interaction that could exacerbate diseases when taken with Choline salicylate Ramucirumab may cause a moderate interaction that could exacerbate diseases when taken with Dexfenfluramine and Dexfenfluramine may cause a moderate interaction that could exacerbate diseases when taken with Choline salicylate Ramucirumab may lead to a major life threatening interaction when taken with Apixaban and Apixaban may cause a moderate interaction that could exacerbate diseases when taken with Choline salicylate Ramucirumab may lead to a major life threatening interaction when taken with Fondaparinux and Fondaparinux may lead to a major life threatening interaction when taken with Argatroban and Argatroban may cause a moderate interaction that could exacerbate diseases when taken with Choline salicylate Ramucirumab may lead to a major life threatening interaction when taken with Argatroban and Argatroban may lead to a major life threatening interaction when taken with Fondaparinux and Fondaparinux may cause a moderate interaction that could exacerbate diseases when taken with Choline salicylate Ramucirumab may lead to a major life threatening interaction when taken with Clopidogrel and Clopidogrel may lead to a major life threatening interaction when taken with Esomeprazole and Esomeprazole may cause a minor interaction that can limit clinical effects when taken with Choline salicylate Ramucirumab may cause a moderate interaction that could exacerbate diseases when taken with Dexfenfluramine and Dexfenfluramine may cause a moderate interaction that could exacerbate diseases when taken with Fondaparinux and Fondaparinux may cause a moderate interaction that could exacerbate diseases when taken with Choline salicylate Ramucirumab 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 Esomeprazole and Esomeprazole may cause a minor interaction that can limit clinical effects when taken with Choline salicylate Ramucirumab 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 Fondaparinux and Fondaparinux may cause a moderate interaction that could exacerbate diseases when taken with Choline salicylate
DB00682
DB13179
126
68
[ "DDInter1951", "DDInter1882" ]
Warfarin
Troleandomycin
Warfarin is an anticoagulant drug normally used to prevent blood clot formation as well as migration. Although originally marketed as a pesticide (d-Con, Rodex, among others), Warfarin has since become the most frequently prescribed oral anticoagulant in North America. Warfarin has several properties that should be noted when used medicinally, including its ability to cross the placental barrier during pregnancy which can result in fetal bleeding, spontaneous abortion, preterm birth, stillbirth, and neonatal death. Additional adverse effects such as necrosis, purple toe syndrome, osteoporosis, valve and artery calcification, and drug interactions have also been documented with warfarin use. Warfarin does not actually affect blood viscosity, rather, it inhibits vitamin-k dependent synthesis of biologically active forms of various clotting factors in addition to several regulatory factors.
A macrolide antibiotic that is similar to erythromycin.
Major
2
[ [ [ 126, 25, 68 ] ], [ [ 126, 24, 319 ], [ 319, 23, 68 ] ], [ [ 126, 63, 251 ], [ 251, 24, 68 ] ], [ [ 126, 62, 168 ], [ 168, 24, 68 ] ], [ [ 126, 24, 1151 ], [ 1151, 24, 68 ] ], [ [ 126, 25, 792 ], [ 792, 24, 68 ] ], [ [ 126, 64, 1419 ], [ 1419, 24, 68 ] ], [ [ 126, 25, 1618 ], [ 1618, 25, 68 ] ], [ [ 126, 24, 578 ], [ 578, 25, 68 ] ], [ [ 126, 63, 175 ], [ 175, 25, 68 ] ] ]
[ [ [ "Warfarin", "{u} may lead to a major life threatening interaction when taken with {v}", "Troleandomycin" ] ], [ [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amoxicillin" ], [ "Amoxicillin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Troleandomycin" ] ], [ [ "Warfarin", "{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}", "Troleandomycin" ] ], [ [ "Warfarin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Bortezomib" ], [ "Bortezomib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Troleandomycin" ] ], [ [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sunitinib" ], [ "Sunitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Troleandomycin" ] ], [ [ "Warfarin", "{u} may lead to a major life threatening interaction when taken with {v}", "Rivaroxaban" ], [ "Rivaroxaban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Troleandomycin" ] ], [ [ "Warfarin", "{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}", "Troleandomycin" ] ], [ [ "Warfarin", "{u} may lead to a major life threatening interaction when taken with {v}", "Cabozantinib" ], [ "Cabozantinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Troleandomycin" ] ], [ [ "Warfarin", "{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}", "Troleandomycin" ] ], [ [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triamcinolone" ], [ "Triamcinolone", "{u} may lead to a major life threatening interaction when taken with {v}", "Troleandomycin" ] ] ]
Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Amoxicillin and Amoxicillin may cause a minor interaction that can limit clinical effects when taken with Troleandomycin Warfarin 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 Troleandomycin Warfarin may cause a minor interaction that can limit clinical effects when taken with Bortezomib and Bortezomib may cause a moderate interaction that could exacerbate diseases when taken with Troleandomycin Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Sunitinib and Sunitinib may cause a moderate interaction that could exacerbate diseases when taken with Troleandomycin Warfarin may lead to a major life threatening interaction when taken with Rivaroxaban and Rivaroxaban may cause a moderate interaction that could exacerbate diseases when taken with Troleandomycin Warfarin 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 Troleandomycin Warfarin may lead to a major life threatening interaction when taken with Cabozantinib and Cabozantinib may lead to a major life threatening interaction when taken with Troleandomycin Warfarin 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 Troleandomycin Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Triamcinolone and Triamcinolone may lead to a major life threatening interaction when taken with Troleandomycin
DB00903
DB00994
1,680
361
[ "DDInter686", "DDInter1277" ]
Etacrynic acid
Neomycin
A compound that inhibits symport of sodium, potassium, and chloride primarily in the ascending limb of Henle, but also in the proximal and distal tubules. This pharmacological action results in excretion of these ions, increased urinary output, and reduction in extracellular fluid. This compound has been classified as a loop or high ceiling diuretic.
Neomycin is a broad-spectrum aminoglycoside antibiotic drug that is derived from the metabolic products of _Streptomyces fradiae_. Neomycin is a complex comprised of three components, neomycin A, B, and C. Neomycin B, also known as [framycetin], is the most active component of the complex and neomycin C is the isomer of neomycin B, making these two stereoisomers the active components of neomycin.[A175042,A191529] Neomycin A, or [neamine], is a moiety that conjoins two molecules of neomycin B and C together. Neomycin is active against both gram-positive and gram-negative organisms and mediates its pharmacological action by binding to bacterial ribosomes and inhibiting protein synthesis, which is crucial for the survival of bacteria. Neomycin sulfate is the most common form for pharmaceutical preparations; because the compound is a complex, the amount of neomycin in products is measured in units. Neomycin sulfate as monotherapy is available in an oral solution for adjunct use in the treatment of hepatic coma. It is also used in combination with [polymyxin B] sulfates and [hydrocortisone] in otic suspensions for use in the treatment of bacterial infections in the external auditory canal, including infections caused by medical procedures in the ear. Neomycin is also used in combination with [polymyxin B] sulfates and [dexamethasone] in ophthalmic preparations for use in the treatment of inflammatory conditions and infections in the eye. Neomycin is also available in over-the-counter topical products to prevent minor skin infections.
Major
2
[ [ [ 1680, 25, 361 ] ], [ [ 1680, 63, 1647 ], [ 1647, 24, 361 ] ], [ [ 1680, 21, 28722 ], [ 28722, 60, 361 ] ], [ [ 1680, 63, 355 ], [ 355, 23, 361 ] ], [ [ 1680, 64, 1132 ], [ 1132, 24, 361 ] ], [ [ 1680, 24, 101 ], [ 101, 63, 361 ] ], [ [ 1680, 25, 1448 ], [ 1448, 63, 361 ] ], [ [ 1680, 24, 497 ], [ 497, 64, 361 ] ], [ [ 1680, 25, 416 ], [ 416, 74, 361 ] ], [ [ 1680, 63, 1647 ], [ 1647, 1, 437 ], [ 437, 40, 361 ] ] ]
[ [ [ "Etacrynic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Neomycin" ] ], [ [ "Etacrynic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acarbose" ], [ "Acarbose", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Neomycin" ] ], [ [ "Etacrynic acid", "{u} (Compound) causes {v} (Side Effect)", "Nausea" ], [ "Nausea", "{u} (Side Effect) is caused by {v} (Compound)", "Neomycin" ] ], [ [ "Etacrynic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lactulose" ], [ "Lactulose", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Neomycin" ] ], [ [ "Etacrynic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Gentamicin" ], [ "Gentamicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Neomycin" ] ], [ [ "Etacrynic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexlansoprazole" ], [ "Dexlansoprazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Neomycin" ] ], [ [ "Etacrynic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Streptomycin" ], [ "Streptomycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Neomycin" ] ], [ [ "Etacrynic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iohexol" ], [ "Iohexol", "{u} may lead to a major life threatening interaction when taken with {v}", "Neomycin" ] ], [ [ "Etacrynic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Kanamycin" ], [ "Kanamycin", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Neomycin" ] ], [ [ "Etacrynic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acarbose" ], [ "Acarbose", "{u} (Compound) resembles {v} (Compound)", "Amikacin" ], [ "Amikacin", "{u} (Compound) resembles {v} (Compound)", "Neomycin" ] ] ]
Etacrynic acid may cause a moderate interaction that could exacerbate diseases when taken with Acarbose and Acarbose may cause a moderate interaction that could exacerbate diseases when taken with Neomycin Etacrynic acid (Compound) causes Nausea (Side Effect) and Nausea (Side Effect) is caused by Neomycin (Compound) Etacrynic acid may cause a moderate interaction that could exacerbate diseases when taken with Lactulose and Lactulose may cause a minor interaction that can limit clinical effects when taken with Neomycin Etacrynic acid may lead to a major life threatening interaction when taken with Gentamicin and Gentamicin may cause a moderate interaction that could exacerbate diseases when taken with Neomycin Etacrynic acid may cause a moderate interaction that could exacerbate diseases when taken with Dexlansoprazole and Dexlansoprazole may cause a moderate interaction that could exacerbate diseases when taken with Neomycin Etacrynic acid may lead to a major life threatening interaction when taken with Streptomycin and Streptomycin may cause a moderate interaction that could exacerbate diseases when taken with Neomycin Etacrynic acid may cause a moderate interaction that could exacerbate diseases when taken with Iohexol and Iohexol may lead to a major life threatening interaction when taken with Neomycin Etacrynic acid may lead to a major life threatening interaction when taken with Kanamycin and Kanamycin (Compound) resembles Neomycin (Compound) and Kanamycin may cause a moderate interaction that could exacerbate diseases when taken with Neomycin Etacrynic acid may cause a moderate interaction that could exacerbate diseases when taken with Acarbose and Acarbose (Compound) resembles Amikacin (Compound) and Amikacin (Compound) resembles Neomycin (Compound)
DB00182
DB01390
80
1,117
[ "DDInter84", "DDInter1683" ]
Amphetamine
Sodium bicarbonate
Amphetamine, a compound discovered over 100 years ago, is one of the more restricted controlled drugs. It was previously used for a large variety of conditions and this changed until this point where its use is highly restricted. Amphetamine, with the chemical formula alpha-methylphenethylamine, was discovered in 1910 and first synthesized by 1927. After being proven to reduce drug-induced anesthesia and produce arousal and insomnia, amphetamine racemic mix was registered by Smith, Kline and French in 1935. Amphetamine structure presents one chiral center and it exists in the form of dextro- and levo-isomers. The first product of Smith, Kline and French was approved by the FDA on 1976. During World War II, amphetamine was used to promote wakefulness in the soldiers. This use derived into a large overproduction of amphetamine and all the surplus after the war finalized ended up in the black market, producing the initiation of the illicit
Sodium bicarbonate is a white, crystalline powder that is commonly used as a pH buffering agent, an electrolyte replenisher, systemic alkalizer and in topical cleansing solutions.
Moderate
1
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[ [ [ "Amphetamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium bicarbonate" ] ], [ [ "Amphetamine", "{u} (Compound) causes {v} (Side Effect)", "Fatigue" ], [ "Fatigue", "{u} (Side Effect) is caused by {v} (Compound)", "Sodium bicarbonate" ] ], [ [ "Amphetamine", "{u} (Compound) resembles {v} (Compound)", "Metamfetamine" ], [ "Metamfetamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium bicarbonate" ] ], [ [ "Amphetamine", "{u} (Compound) resembles {v} (Compound)", "Benzphetamine" ], [ "Benzphetamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium bicarbonate" ] ], [ [ "Amphetamine", "{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}", "Sodium bicarbonate" ] ], [ [ "Amphetamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ephedrine" ], [ "Ephedrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium bicarbonate" ] ], [ [ "Amphetamine", "{u} (Compound) causes {v} (Side Effect)", "Fatigue" ], [ "Fatigue", "{u} (Side Effect) is caused by {v} (Compound)", "Dexamethasone" ], [ "Dexamethasone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sodium bicarbonate" ] ], [ [ "Amphetamine", "{u} (Compound) resembles {v} (Compound)", "Metamfetamine" ], [ "Metamfetamine", "{u} (Compound) causes {v} (Side Effect)", "Palpitations" ], [ "Palpitations", "{u} (Side Effect) is caused by {v} (Compound)", "Sodium bicarbonate" ] ], [ [ "Amphetamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nilotinib" ], [ "Nilotinib", "{u} (Compound) causes {v} (Side Effect)", "Fatigue" ], [ "Fatigue", "{u} (Side Effect) is caused by {v} (Compound)", "Sodium bicarbonate" ] ], [ [ "Amphetamine", "{u} (Compound) resembles {v} (Compound)", "Nateglinide" ], [ "Nateglinide", "{u} (Compound) resembles {v} (Compound)", "Dextroamphetamine" ], [ "Dextroamphetamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium bicarbonate" ] ] ]
Amphetamine (Compound) causes Fatigue (Side Effect) and Fatigue (Side Effect) is caused by Sodium bicarbonate (Compound) Amphetamine (Compound) resembles Metamfetamine (Compound) and Metamfetamine may cause a moderate interaction that could exacerbate diseases when taken with Sodium bicarbonate Amphetamine (Compound) resembles Benzphetamine (Compound) and Benzphetamine may cause a moderate interaction that could exacerbate diseases when taken with Sodium bicarbonate Amphetamine 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 Sodium bicarbonate Amphetamine may cause a moderate interaction that could exacerbate diseases when taken with Ephedrine and Ephedrine may cause a moderate interaction that could exacerbate diseases when taken with Sodium bicarbonate Amphetamine (Compound) causes Fatigue (Side Effect) and Fatigue (Side Effect) is caused by Dexamethasone (Compound) and Dexamethasone may cause a minor interaction that can limit clinical effects when taken with Sodium bicarbonate Amphetamine (Compound) resembles Metamfetamine (Compound) and Metamfetamine (Compound) causes Palpitations (Side Effect) and Palpitations (Side Effect) is caused by Sodium bicarbonate (Compound) Amphetamine may cause a moderate interaction that could exacerbate diseases when taken with Nilotinib and Nilotinib (Compound) causes Fatigue (Side Effect) and Fatigue (Side Effect) is caused by Sodium bicarbonate (Compound) Amphetamine (Compound) resembles Nateglinide (Compound) and Nateglinide (Compound) resembles Dextroamphetamine (Compound) and Dextro
DB00582
DB00682
1,622
126
[ "DDInter1946", "DDInter1951" ]
Voriconazole
Warfarin
Voriconazole (Vfend, Pfizer) is a triazole antifungal medication used to treat serious fungal infections. It is used to treat invasive fungal infections that are generally seen in patients who are immunocompromised. These include invasive candidiasis, invasive aspergillosis, and emerging fungal infections. The increased affinity of voriconazole for 14-alpha sterol demethylase makes it useful against some [fluconazole]-resistant organisms. Voriconazole was approved by the FDA under the trade name Vfend on May 24, 2002.
Warfarin is an anticoagulant drug normally used to prevent blood clot formation as well as migration. Although originally marketed as a pesticide (d-Con, Rodex, among others), Warfarin has since become the most frequently prescribed oral anticoagulant in North America. Warfarin has several properties that should be noted when used medicinally, including its ability to cross the placental barrier during pregnancy which can result in fetal bleeding, spontaneous abortion, preterm birth, stillbirth, and neonatal death. Additional adverse effects such as necrosis, purple toe syndrome, osteoporosis, valve and artery calcification, and drug interactions have also been documented with warfarin use. Warfarin does not actually affect blood viscosity, rather, it inhibits vitamin-k dependent synthesis of biologically active forms of various clotting factors in addition to several regulatory factors.
Major
2
[ [ [ 1622, 25, 126 ] ], [ [ 1622, 6, 6017 ], [ 6017, 45, 126 ] ], [ [ 1622, 63, 168 ], [ 168, 23, 126 ] ], [ [ 1622, 25, 467 ], [ 467, 23, 126 ] ], [ [ 1622, 25, 477 ], [ 477, 62, 126 ] ], [ [ 1622, 24, 918 ], [ 918, 62, 126 ] ], [ [ 1622, 63, 79 ], [ 79, 24, 126 ] ], [ [ 1622, 25, 1017 ], [ 1017, 63, 126 ] ], [ [ 1622, 24, 1220 ], [ 1220, 63, 126 ] ], [ [ 1622, 62, 752 ], [ 752, 24, 126 ] ] ]
[ [ [ "Voriconazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Warfarin" ] ], [ [ "Voriconazole", "{u} (Compound) binds {v} (Gene)", "CYP2C9" ], [ "CYP2C9", "{u} (Gene) is bound by {v} (Compound)", "Warfarin" ] ], [ [ "Voriconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bortezomib" ], [ "Bortezomib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Warfarin" ] ], [ [ "Voriconazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Simvastatin" ], [ "Simvastatin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Warfarin" ] ], [ [ "Voriconazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Cilostazol" ], [ "Cilostazol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Warfarin" ] ], [ [ "Voriconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bicalutamide" ], [ "Bicalutamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Warfarin" ] ], [ [ "Voriconazole", "{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}", "Warfarin" ] ], [ [ "Voriconazole", "{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}", "Warfarin" ] ], [ [ "Voriconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexamethasone" ], [ "Dexamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Warfarin" ] ], [ [ "Voriconazole", "{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}", "Warfarin" ] ] ]
Voriconazole (Compound) binds CYP2C9 (Gene) and CYP2C9 (Gene) is bound by Warfarin (Compound) Voriconazole may cause a moderate interaction that could exacerbate diseases when taken with Bortezomib and Bortezomib may cause a minor interaction that can limit clinical effects when taken with Warfarin Voriconazole may lead to a major life threatening interaction when taken with Simvastatin and Simvastatin may cause a minor interaction that can limit clinical effects when taken with Warfarin Voriconazole may lead to a major life threatening interaction when taken with Cilostazol and Cilostazol may cause a minor interaction that can limit clinical effects when taken with Warfarin Voriconazole may cause a moderate interaction that could exacerbate diseases when taken with Bicalutamide and Bicalutamide may cause a minor interaction that can limit clinical effects when taken with Warfarin Voriconazole 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 Warfarin Voriconazole 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 Warfarin Voriconazole may cause a moderate interaction that could exacerbate diseases when taken with Dexamethasone and Dexamethasone may cause a moderate interaction that could exacerbate diseases when taken with Warfarin Voriconazole 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 Warfarin
DB08868
DB14811
1,011
385
[ "DDInter737", "DDInter979" ]
Fingolimod
Isatuximab
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]
Isatuximab (formerly SAR650984) is a humanized, IgG1-derived monoclonal antibody (mAb) produced from a Chinese hamster ovary (CHO) cell line.[L12099,A191799] Structurally, isatuximab is comprised of two identical immunoglobulin kappa light chains and two identical immunoglobulin gamma heavy chains. It is a cytolytic antibody targeted against CD38, a glycoprotein found on the surface of some immune cells that is highly expressed by malignant plasma cells in multiple myeloma. Along with [daratumumab], another anti-CD38 mAb, isatuximab constitutes a novel treatment modality for patients with difficult-to-treat multiple myeloma. Following three consecutive years on the yearly "Antibodies to watch" list published in "mAb", a peer-reviewed scientific journal dedicated to antibody research,[A38676,A191826,A191829] isatuximab was granted Orphan Drug designation and approved on March 2nd, 2020, for the treatment of multiple myeloma.[L12099,L12102] It is manufactured by Sanofi-Aventis U.S. under the brand name Sarclisa.
Major
2
[ [ [ 1011, 25, 385 ] ], [ [ 1011, 25, 1362 ], [ 1362, 24, 385 ] ], [ [ 1011, 64, 377 ], [ 377, 24, 385 ] ], [ [ 1011, 63, 1430 ], [ 1430, 24, 385 ] ], [ [ 1011, 64, 908 ], [ 908, 25, 385 ] ], [ [ 1011, 25, 676 ], [ 676, 64, 385 ] ], [ [ 1011, 25, 1510 ], [ 1510, 25, 385 ] ], [ [ 1011, 25, 1362 ], [ 1362, 63, 377 ], [ 377, 24, 385 ] ], [ [ 1011, 64, 377 ], [ 377, 24, 1362 ], [ 1362, 24, 385 ] ], [ [ 1011, 25, 384 ], [ 384, 25, 1362 ], [ 1362, 24, 385 ] ] ]
[ [ [ "Fingolimod", "{u} may lead to a major life threatening interaction when taken with {v}", "Isatuximab" ] ], [ [ "Fingolimod", "{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}", "Isatuximab" ] ], [ [ "Fingolimod", "{u} may lead to a major life threatening interaction when taken with {v}", "Mitomycin" ], [ "Mitomycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isatuximab" ] ], [ [ "Fingolimod", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sipuleucel-T" ], [ "Sipuleucel-T", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isatuximab" ] ], [ [ "Fingolimod", "{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}", "Isatuximab" ] ], [ [ "Fingolimod", "{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}", "Isatuximab" ] ], [ [ "Fingolimod", "{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}", "Isatuximab" ] ], [ [ "Fingolimod", "{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}", "Mitomycin" ], [ "Mitomycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isatuximab" ] ], [ [ "Fingolimod", "{u} may lead to a major life threatening interaction when taken with {v}", "Mitomycin" ], [ "Mitomycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olaparib" ], [ "Olaparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isatuximab" ] ], [ [ "Fingolimod", "{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}", "Olaparib" ], [ "Olaparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isatuximab" ] ] ]
Fingolimod 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 Isatuximab Fingolimod may lead to a major life threatening interaction when taken with Mitomycin and Mitomycin may cause a moderate interaction that could exacerbate diseases when taken with Isatuximab Fingolimod may cause a moderate interaction that could exacerbate diseases when taken with Sipuleucel-T and Sipuleucel-T may cause a moderate interaction that could exacerbate diseases when taken with Isatuximab Fingolimod 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 Isatuximab Fingolimod 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 Isatuximab Fingolimod 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 Isatuximab Fingolimod 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 Mitomycin and Mitomycin may cause a moderate interaction that could exacerbate diseases when taken with Isatuximab Fingolimod may lead to a major life threatening interaction when taken with Mitomycin and Mitomycin may cause a moderate interaction that could exacerbate diseases when taken with Olaparib and Olaparib may cause a moderate interaction that could exacerbate diseases when taken with Isatuximab Fingolimod 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 Olaparib and Olaparib may cause a moderate interaction that could exacerbate diseases when taken with Isatuximab
DB00208
DB01050
1,018
848
[ "DDInter1804", "DDInter900" ]
Ticlopidine
Ibuprofen
Ticlopidine is an effective inhibitor of platelet aggregation. It is a prodrug that is metabolised to an active form, which blocks the ADP receptor that is involved in GPIIb/IIIa receptor activation leading to platelet aggregation. Ticlopidine is marketed under the brand name Ticlid and is indicated for patients who cannot take aspirin or in whom aspirin has not worked to prevent a thrombotic stroke. The FDA label includes a black-box warning of neutropenia, aplastic anemia, thrombotic thrombocytopenia purpura, and agranulocytosis, so it is necessary to monitor patients' WBC and platelets when they are taking ticlopidine.
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
[ [ [ 1018, 24, 848 ] ], [ [ 1018, 6, 3486 ], [ 3486, 45, 848 ] ], [ [ 1018, 21, 28652 ], [ 28652, 60, 848 ] ], [ [ 1018, 23, 297 ], [ 297, 62, 848 ] ], [ [ 1018, 24, 752 ], [ 752, 23, 848 ] ], [ [ 1018, 23, 479 ], [ 479, 23, 848 ] ], [ [ 1018, 24, 831 ], [ 831, 24, 848 ] ], [ [ 1018, 25, 1047 ], [ 1047, 63, 848 ] ], [ [ 1018, 63, 20 ], [ 20, 24, 848 ] ], [ [ 1018, 64, 1578 ], [ 1578, 24, 848 ] ] ]
[ [ [ "Ticlopidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ibuprofen" ] ], [ [ "Ticlopidine", "{u} (Compound) binds {v} (Gene)", "CYP2C8" ], [ "CYP2C8", "{u} (Gene) is bound by {v} (Compound)", "Ibuprofen" ] ], [ [ "Ticlopidine", "{u} (Compound) causes {v} (Side Effect)", "Colitis" ], [ "Colitis", "{u} (Side Effect) is caused by {v} (Compound)", "Ibuprofen" ] ], [ [ "Ticlopidine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Clove" ], [ "Clove", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ibuprofen" ] ], [ [ "Ticlopidine", "{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}", "Ibuprofen" ] ], [ [ "Ticlopidine", "{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}", "Ibuprofen" ] ], [ [ "Ticlopidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Indomethacin" ], [ "Indomethacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ibuprofen" ] ], [ [ "Ticlopidine", "{u} may lead to a major life threatening interaction when taken with {v}", "Trastuzumab emtansine" ], [ "Trastuzumab emtansine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ibuprofen" ] ], [ [ "Ticlopidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tenecteplase" ], [ "Tenecteplase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ibuprofen" ] ], [ [ "Ticlopidine", "{u} may lead to a major life threatening interaction when taken with {v}", "Lepirudin" ], [ "Lepirudin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ibuprofen" ] ] ]
Ticlopidine (Compound) binds CYP2C8 (Gene) and CYP2C8 (Gene) is bound by Ibuprofen (Compound) Ticlopidine (Compound) causes Colitis (Side Effect) and Colitis (Side Effect) is caused by Ibuprofen (Compound) Ticlopidine may cause a minor interaction that can limit clinical effects when taken with Clove and Clove may cause a minor interaction that can limit clinical effects when taken with Ibuprofen Ticlopidine 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 Ibuprofen Ticlopidine 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 Ibuprofen Ticlopidine may cause a moderate interaction that could exacerbate diseases when taken with Indomethacin and Indomethacin may cause a moderate interaction that could exacerbate diseases when taken with Ibuprofen Ticlopidine may lead to a major life threatening interaction when taken with Trastuzumab emtansine and Trastuzumab emtansine may cause a moderate interaction that could exacerbate diseases when taken with Ibuprofen Ticlopidine may cause a moderate interaction that could exacerbate diseases when taken with Tenecteplase and Tenecteplase may cause a moderate interaction that could exacerbate diseases when taken with Ibuprofen Ticlopidine may lead to a major life threatening interaction when taken with Lepirudin and Lepirudin may cause a moderate interaction that could exacerbate diseases when taken with Ibuprofen
DB00738
DB11718
485
927
[ "DDInter1420", "DDInter640" ]
Pentamidine
Encorafenib
Antiprotozoal agent effective in trypanosomiasis, leishmaniasis, and some fungal infections; used in treatment of pneumocystis pneumonia in HIV-infected patients. It may cause diabetes mellitus, central nervous system damage, and other toxic effects.
Encorafenib, also known as _BRAFTOVI_, is a kinase inhibitor. Encorafenib inhibits BRAF gene, which encodes for B-raf protein, which is a proto-oncogene involved in various genetic mutations. This protein plays a role in regulating the MAP kinase/ERK signaling pathway, which impacts cell division, differentiation, and secretion. Mutations in this gene, most frequently the V600E mutation, are the most commonly identified cancer-causing mutations in melanoma, and have been isolated in various other cancers as well, including non-Hodgkin lymphoma, colorectal cancer, thyroid carcinoma, non-small cell lung carcinoma, hairy cell leukemia and adenocarcinoma of the lung. On June 27, 2018, the Food and Drug Administration approved encorafenib and [binimetinib] (BRAFTOVI and MEKTOVI, Array BioPharma Inc.) in combination for patients with unresectable or metastatic melanoma with a BRAF V600E or V600K mutation, as detected by an FDA-approved test.
Moderate
1
[ [ [ 485, 24, 927 ] ], [ [ 485, 23, 112 ], [ 112, 23, 927 ] ], [ [ 485, 24, 720 ], [ 720, 24, 927 ] ], [ [ 485, 63, 216 ], [ 216, 24, 927 ] ], [ [ 485, 24, 1399 ], [ 1399, 63, 927 ] ], [ [ 485, 64, 789 ], [ 789, 24, 927 ] ], [ [ 485, 25, 629 ], [ 629, 24, 927 ] ], [ [ 485, 64, 839 ], [ 839, 25, 927 ] ], [ [ 485, 25, 39 ], [ 39, 25, 927 ] ], [ [ 485, 24, 859 ], [ 859, 25, 927 ] ] ]
[ [ [ "Pentamidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Encorafenib" ] ], [ [ "Pentamidine", "{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}", "Encorafenib" ] ], [ [ "Pentamidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mineral oil" ], [ "Mineral oil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Encorafenib" ] ], [ [ "Pentamidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorpromazine" ], [ "Chlorpromazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Encorafenib" ] ], [ [ "Pentamidine", "{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}", "Encorafenib" ] ], [ [ "Pentamidine", "{u} may lead to a major life threatening interaction when taken with {v}", "Foscarnet" ], [ "Foscarnet", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Encorafenib" ] ], [ [ "Pentamidine", "{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}", "Encorafenib" ] ], [ [ "Pentamidine", "{u} may lead to a major life threatening interaction when taken with {v}", "Grepafloxacin" ], [ "Grepafloxacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Encorafenib" ] ], [ [ "Pentamidine", "{u} may lead to a major life threatening interaction when taken with {v}", "Panobinostat" ], [ "Panobinostat", "{u} may lead to a major life threatening interaction when taken with {v}", "Encorafenib" ] ], [ [ "Pentamidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Posaconazole" ], [ "Posaconazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Encorafenib" ] ] ]
Pentamidine 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 Encorafenib Pentamidine may cause a moderate interaction that could exacerbate diseases when taken with Mineral oil and Mineral oil may cause a moderate interaction that could exacerbate diseases when taken with Encorafenib Pentamidine may cause a moderate interaction that could exacerbate diseases when taken with Chlorpromazine and Chlorpromazine may cause a moderate interaction that could exacerbate diseases when taken with Encorafenib Pentamidine 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 Encorafenib Pentamidine may lead to a major life threatening interaction when taken with Foscarnet and Foscarnet may cause a moderate interaction that could exacerbate diseases when taken with Encorafenib Pentamidine 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 Encorafenib Pentamidine may lead to a major life threatening interaction when taken with Grepafloxacin and Grepafloxacin may lead to a major life threatening interaction when taken with Encorafenib Pentamidine may lead to a major life threatening interaction when taken with Panobinostat and Panobinostat may lead to a major life threatening interaction when taken with Encorafenib Pentamidine may cause a moderate interaction that could exacerbate diseases when taken with Posaconazole and Posaconazole may lead to a major life threatening interaction when taken with Encorafenib
DB00622
DB00877
1,081
629
[ "DDInter1287", "DDInter1678" ]
Nicardipine
Sirolimus
A potent calcium channel blockader with marked vasodilator action. It has antihypertensive properties and is effective in the treatment of angina and coronary spasms without showing cardiodepressant effects. It has also been used in the treatment of asthma and enhances the action of specific antineoplastic agents. [PubChem]
Sirolimus, also known as rapamycin, is a macrocyclic lactone antibiotic produced by bacteria _Streptomyces hygroscopicus_, which was isolated from the soil of the Vai Atari region of Rapa Nui (Easter Island). It was first isolated and identified as an antifungal agent with potent anticandida activity; however, after its potent antitumor and immunosuppressive activities were later discovered, it was extensively investigated as an immunosuppressive and antitumour agent. Its primary mechanism of action is the inhibition of the mammalian target of rapamycin (mTOR), which is a serine/threonine-specific protein kinase that regulates cell growth, proliferation, and survival. mTOR is an important therapeutic target for various diseases, as it was shown to regulate longevity and maintain normal glucose homeostasis. Targeting mTOR received more attention especially in cancer, as mTOR signalling pathways are constitutively activated in many types of human cancer. Sirolimus was first approved by the FDA in 1999 for the prophylaxis of organ rejection in patients aged 13 years and older receiving renal transplants. In November 2000, the drug was recognized by the European Agency as an alternative to calcineurin antagonists for maintenance therapy with corticosteroids. In May 2015, the FDA approved sirolimus for the treatment of patients with lymphangioleiomyomatosis. In November 2021, albumin-bound sirolimus for intravenous injection was approved by the FDA for the treatment of adults with locally advanced unresectable or metastatic malignant perivascular epithelioid cell tumour (PEComa). Sirolimus was also investigated in other cancers such as skin cancer, Kaposi’s Sarcoma, cutaneous T-cell lymphomas, and tuberous sclerosis. The topical formulation of sirolimus, marketed as HYFTOR, was approved by the FDA in April 2022: this marks the first topical treatment approved in the US for facial angiofibroma associated with tuberous sclerosis complex.
Moderate
1
[ [ [ 1081, 24, 629 ] ], [ [ 1081, 6, 4973 ], [ 4973, 45, 629 ] ], [ [ 1081, 18, 7478 ], [ 7478, 46, 629 ] ], [ [ 1081, 18, 3616 ], [ 3616, 57, 629 ] ], [ [ 1081, 21, 28898 ], [ 28898, 60, 629 ] ], [ [ 1081, 24, 1476 ], [ 1476, 63, 629 ] ], [ [ 1081, 24, 167 ], [ 167, 24, 629 ] ], [ [ 1081, 63, 752 ], [ 752, 24, 629 ] ], [ [ 1081, 40, 409 ], [ 409, 63, 629 ] ], [ [ 1081, 40, 84 ], [ 84, 24, 629 ] ] ]
[ [ [ "Nicardipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sirolimus" ] ], [ [ "Nicardipine", "{u} (Compound) binds {v} (Gene)", "ABCB1" ], [ "ABCB1", "{u} (Gene) is bound by {v} (Compound)", "Sirolimus" ] ], [ [ "Nicardipine", "{u} (Compound) downregulates {v} (Gene)", "TRAPPC6A" ], [ "TRAPPC6A", "{u} (Gene) is upregulated by {v} (Compound)", "Sirolimus" ] ], [ [ "Nicardipine", "{u} (Compound) downregulates {v} (Gene)", "CDC45" ], [ "CDC45", "{u} (Gene) is downregulated by {v} (Compound)", "Sirolimus" ] ], [ [ "Nicardipine", "{u} (Compound) causes {v} (Side Effect)", "Constipation" ], [ "Constipation", "{u} (Side Effect) is caused by {v} (Compound)", "Sirolimus" ] ], [ [ "Nicardipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brigatinib" ], [ "Brigatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sirolimus" ] ], [ [ "Nicardipine", "{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}", "Sirolimus" ] ], [ [ "Nicardipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cimetidine" ], [ "Cimetidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sirolimus" ] ], [ [ "Nicardipine", "{u} (Compound) resembles {v} (Compound)", "Felodipine" ], [ "Felodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sirolimus" ] ], [ [ "Nicardipine", "{u} (Compound) resembles {v} (Compound)", "Nisoldipine" ], [ "Nisoldipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sirolimus" ] ] ]
Nicardipine (Compound) binds ABCB1 (Gene) and ABCB1 (Gene) is bound by Sirolimus (Compound) Nicardipine (Compound) downregulates TRAPPC6A (Gene) and TRAPPC6A (Gene) is upregulated by Sirolimus (Compound) Nicardipine (Compound) downregulates CDC45 (Gene) and CDC45 (Gene) is downregulated by Sirolimus (Compound) Nicardipine (Compound) causes Constipation (Side Effect) and Constipation (Side Effect) is caused by Sirolimus (Compound) Nicardipine may cause a moderate interaction that could exacerbate diseases when taken with Brigatinib and Brigatinib may cause a moderate interaction that could exacerbate diseases when taken with Sirolimus Nicardipine 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 Sirolimus Nicardipine may cause a moderate interaction that could exacerbate diseases when taken with Cimetidine and Cimetidine may cause a moderate interaction that could exacerbate diseases when taken with Sirolimus Nicardipine (Compound) resembles Felodipine (Compound) and Felodipine may cause a moderate interaction that could exacerbate diseases when taken with Sirolimus Nicardipine (Compound) resembles Nisoldipine (Compound) and Nisoldipine may cause a moderate interaction that could exacerbate diseases when taken with Sirolimus
DB00436
DB06410
323
1,196
[ "DDInter179", "DDInter595" ]
Bendroflumethiazide
Doxercalciferol
A thiazide diuretic with actions and uses similar to those of hydrochlorothiazide. It has been used in the treatment of familial hyperkalemia, hypertension, edema, and urinary tract disorders. (From Martindale, The Extra Pharmacopoeia, 30th ed, p810)
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.
Moderate
1
[ [ [ 323, 24, 1196 ] ], [ [ 323, 40, 1014 ], [ 1014, 24, 1196 ] ], [ [ 323, 24, 286 ], [ 286, 63, 1196 ] ], [ [ 323, 63, 1331 ], [ 1331, 25, 1196 ] ], [ [ 323, 24, 1041 ], [ 1041, 25, 1196 ] ], [ [ 323, 40, 1014 ], [ 1014, 1, 359 ], [ 359, 24, 1196 ] ], [ [ 323, 24, 286 ], [ 286, 63, 359 ], [ 359, 24, 1196 ] ], [ [ 323, 63, 1331 ], [ 1331, 23, 1142 ], [ 1142, 23, 1196 ] ], [ [ 323, 21, 29113 ], [ 29113, 60, 1142 ], [ 1142, 23, 1196 ] ], [ [ 323, 40, 1014 ], [ 1014, 24, 286 ], [ 286, 63, 1196 ] ] ]
[ [ [ "Bendroflumethiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxercalciferol" ] ], [ [ "Bendroflumethiazide", "{u} (Compound) resembles {v} (Compound)", "Benzthiazide" ], [ "Benzthiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxercalciferol" ] ], [ [ "Bendroflumethiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium hydroxide" ], [ "Magnesium hydroxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxercalciferol" ] ], [ [ "Bendroflumethiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ergocalciferol" ], [ "Ergocalciferol", "{u} may lead to a major life threatening interaction when taken with {v}", "Doxercalciferol" ] ], [ [ "Bendroflumethiazide", "{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}", "Doxercalciferol" ] ], [ [ "Bendroflumethiazide", "{u} (Compound) resembles {v} (Compound)", "Benzthiazide" ], [ "Benzthiazide", "{u} (Compound) resembles {v} (Compound)", "Chlorothiazide" ], [ "Chlorothiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxercalciferol" ] ], [ [ "Bendroflumethiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium hydroxide" ], [ "Magnesium hydroxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorothiazide" ], [ "Chlorothiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxercalciferol" ] ], [ [ "Bendroflumethiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ergocalciferol" ], [ "Ergocalciferol", "{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" ] ], [ [ "Bendroflumethiazide", "{u} (Compound) causes {v} (Side Effect)", "Hypokalaemia" ], [ "Hypokalaemia", "{u} (Side Effect) is caused by {v} (Compound)", "Orlistat" ], [ "Orlistat", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Doxercalciferol" ] ], [ [ "Bendroflumethiazide", "{u} (Compound) resembles {v} (Compound)", "Benzthiazide" ], [ "Benzthiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium hydroxide" ], [ "Magnesium hydroxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxercalciferol" ] ] ]
Bendroflumethiazide (Compound) resembles Benzthiazide (Compound) and Benzthiazide may cause a moderate interaction that could exacerbate diseases when taken with Doxercalciferol Bendroflumethiazide may cause a moderate interaction that could exacerbate diseases when taken with Magnesium hydroxide and Magnesium hydroxide may cause a moderate interaction that could exacerbate diseases when taken with Doxercalciferol Bendroflumethiazide may cause a moderate interaction that could exacerbate diseases when taken with Ergocalciferol and Ergocalciferol may lead to a major life threatening interaction when taken with Doxercalciferol Bendroflumethiazide 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 Doxercalciferol Bendroflumethiazide (Compound) resembles Benzthiazide (Compound) and Benzthiazide (Compound) resembles Chlorothiazide (Compound) and Chlorothiazide may cause a moderate interaction that could exacerbate diseases when taken with Doxercalciferol Bendroflumethiazide may cause a moderate interaction that could exacerbate diseases when taken with Magnesium hydroxide and Magnesium hydroxide may cause a moderate interaction that could exacerbate diseases when taken with Chlorothiazide and Chlorothiazide may cause a moderate interaction that could exacerbate diseases when taken with Doxercalciferol Bendroflumethiazide may cause a moderate interaction that could exacerbate diseases when taken with Ergocalciferol and Ergocalciferol 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 Bendroflumethiazide (Compound) causes Hypokalaemia (Side Effect) and Hypokalaemia (Side Effect) is caused by Orlistat (Compound) and Orlistat may cause a minor interaction that can limit clinical effects when taken with Doxercalciferol Bendroflumethiazide (Compound) resembles Benzthiazide (Compound) and Benzthiazide may cause a moderate interaction that could exacerbate diseases when taken with Magnesium hydroxide and Magnesium hydroxide may cause a moderate interaction that could exacerbate diseases when taken with Doxercalciferol
DB08899
DB14975
129
988
[ "DDInter649", "DDInter1949" ]
Enzalutamide
Voxelotor
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,
Voxelotor is a novel hemoglobin S polymerization inhibitor for the treatment of sickle cell disease. This is a genetically inherited condition most prevalent in the Middle East, Africa, and certain parts of India. Sickle cell disease can lead to excruciating pain, stroke, infection, and various other complications arising from the blockage of blood vessels. Voxelotor was granted accelerated FDA approval on November 25 2019, as it is likely to be a promising treatment for the 100,000 individuals in the U.S. suffering from the disease, in addition to 20 million others worldwide. It was developed by Global Blood Therapeutics, Inc. and is unique from other drugs used to treat sickle cell anemia, such as [hydroxyurea], [L-glutamine], and [crizanlizumab][A188135,A188138] due to its novel mechanism of action. The EMA approved the use of voxelotor for the treatment of hemolytic anemia associated with sickle cell disease in February 2022.[L41419,L41424]
Major
2
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[ [ [ "Enzalutamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Voxelotor" ] ], [ [ "Enzalutamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Darolutamide" ], [ "Darolutamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Voxelotor" ] ], [ [ "Enzalutamide", "{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}", "Voxelotor" ] ], [ [ "Enzalutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ixabepilone" ], [ "Ixabepilone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Voxelotor" ] ], [ [ "Enzalutamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Osimertinib" ], [ "Osimertinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Voxelotor" ] ], [ [ "Enzalutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gilteritinib" ], [ "Gilteritinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Voxelotor" ] ], [ [ "Enzalutamide", "{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}", "Voxelotor" ] ], [ [ "Enzalutamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Bosutinib" ], [ "Bosutinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Voxelotor" ] ], [ [ "Enzalutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fluconazole" ], [ "Fluconazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Voxelotor" ] ], [ [ "Enzalutamide", "{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}", "Voxelotor" ] ] ]
Enzalutamide may lead to a major life threatening interaction when taken with Darolutamide and Darolutamide may cause a minor interaction that can limit clinical effects when taken with Voxelotor Enzalutamide 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 Voxelotor Enzalutamide may cause a moderate interaction that could exacerbate diseases when taken with Ixabepilone and Ixabepilone may cause a moderate interaction that could exacerbate diseases when taken with Voxelotor Enzalutamide may lead to a major life threatening interaction when taken with Osimertinib and Osimertinib may cause a moderate interaction that could exacerbate diseases when taken with Voxelotor Enzalutamide may cause a moderate interaction that could exacerbate diseases when taken with Gilteritinib and Gilteritinib may cause a moderate interaction that could exacerbate diseases when taken with Voxelotor Enzalutamide 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 Voxelotor Enzalutamide may lead to a major life threatening interaction when taken with Bosutinib and Bosutinib may lead to a major life threatening interaction when taken with Voxelotor Enzalutamide may cause a moderate interaction that could exacerbate diseases when taken with Fluconazole and Fluconazole may lead to a major life threatening interaction when taken with Voxelotor Enzalutamide 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 Voxelotor
DB00741
DB06717
167
875
[ "DDInter885", "DDInter778" ]
Hydrocortisone
Fosaprepitant
Hydrocortisone, or cortisol, is a glucocorticoid secreted by the adrenal cortex. Hydrocortisone is used to treat immune, inflammatory, and neoplastic conditions.[L10529,L10532,L10535,L10538,L7772,L7321] It was discovered in the 1930s by Edward Kendall and named Compound F, or 17-hydroxycorticosterone. Hydrocortisone was granted FDA approval on 5 August 1952.
Fosaprepitant is an intravenously administered antiemetic drug. It is a prodrug of Aprepitant. It aids in the prevention of acute and delayed nausea and vomiting associated with chemotherapy treatment.
Moderate
1
[ [ [ 167, 24, 875 ] ], [ [ 167, 63, 723 ], [ 723, 1, 875 ] ], [ [ 167, 21, 29180 ], [ 29180, 60, 875 ] ], [ [ 167, 63, 1101 ], [ 1101, 23, 875 ] ], [ [ 167, 24, 760 ], [ 760, 63, 875 ] ], [ [ 167, 24, 473 ], [ 473, 24, 875 ] ], [ [ 167, 1, 175 ], [ 175, 24, 875 ] ], [ [ 167, 63, 1324 ], [ 1324, 24, 875 ] ], [ [ 167, 40, 870 ], [ 870, 24, 875 ] ], [ [ 167, 25, 676 ], [ 676, 63, 875 ] ] ]
[ [ [ "Hydrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fosaprepitant" ] ], [ [ "Hydrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aprepitant" ], [ "Aprepitant", "{u} (Compound) resembles {v} (Compound)", "Fosaprepitant" ] ], [ [ "Hydrocortisone", "{u} (Compound) causes {v} (Side Effect)", "Abdominal distension" ], [ "Abdominal distension", "{u} (Side Effect) is caused by {v} (Compound)", "Fosaprepitant" ] ], [ [ "Hydrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Fosaprepitant" ] ], [ [ "Hydrocortisone", "{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}", "Fosaprepitant" ] ], [ [ "Hydrocortisone", "{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}", "Fosaprepitant" ] ], [ [ "Hydrocortisone", "{u} (Compound) resembles {v} (Compound)", "Triamcinolone" ], [ "Triamcinolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fosaprepitant" ] ], [ [ "Hydrocortisone", "{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}", "Fosaprepitant" ] ], [ [ "Hydrocortisone", "{u} (Compound) resembles {v} (Compound)", "Fludrocortisone" ], [ "Fludrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fosaprepitant" ] ], [ [ "Hydrocortisone", "{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}", "Fosaprepitant" ] ] ]
Hydrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Aprepitant and Aprepitant (Compound) resembles Fosaprepitant (Compound) Hydrocortisone (Compound) causes Abdominal distension (Side Effect) and Abdominal distension (Side Effect) is caused by Fosaprepitant (Compound) Hydrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Bexarotene and Bexarotene may cause a minor interaction that can limit clinical effects when taken with Fosaprepitant Hydrocortisone 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 Fosaprepitant Hydrocortisone 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 Fosaprepitant Hydrocortisone (Compound) resembles Triamcinolone (Compound) and Triamcinolone may cause a moderate interaction that could exacerbate diseases when taken with Fosaprepitant Hydrocortisone 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 Fosaprepitant Hydrocortisone (Compound) resembles Fludrocortisone (Compound) and Fludrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Fosaprepitant Hydrocortisone 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 Fosaprepitant
DB04845
DB12500
309
283
[ "DDInter1001", "DDInter714" ]
Ixabepilone
Fedratinib
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.
Fedratinib, also known as SAR302503 and TG101348, is a tyrosine kinase inhibitor used to treat intermediate-2 and high risk primary and secondary myelofibrosis.[A183176,L8090] It is an anilinopyrimidine derivative. Fedratinib was granted FDA approval on August 16, 2019.
Moderate
1
[ [ [ 309, 24, 283 ] ], [ [ 309, 24, 351 ], [ 351, 23, 283 ] ], [ [ 309, 63, 122 ], [ 122, 23, 283 ] ], [ [ 309, 25, 1339 ], [ 1339, 62, 283 ] ], [ [ 309, 24, 327 ], [ 327, 24, 283 ] ], [ [ 309, 63, 1419 ], [ 1419, 24, 283 ] ], [ [ 309, 25, 676 ], [ 676, 63, 283 ] ], [ [ 309, 24, 1654 ], [ 1654, 63, 283 ] ], [ [ 309, 25, 976 ], [ 976, 24, 283 ] ], [ [ 309, 63, 1236 ], [ 1236, 25, 283 ] ] ]
[ [ [ "Ixabepilone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ] ], [ [ "Ixabepilone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ribociclib" ], [ "Ribociclib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Fedratinib" ] ], [ [ "Ixabepilone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Verapamil" ], [ "Verapamil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Fedratinib" ] ], [ [ "Ixabepilone", "{u} may lead to a major life threatening interaction when taken with {v}", "Berotralstat" ], [ "Berotralstat", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Fedratinib" ] ], [ [ "Ixabepilone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abametapir" ], [ "Abametapir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ] ], [ [ "Ixabepilone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Imatinib" ], [ "Imatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ] ], [ [ "Ixabepilone", "{u} may lead to a major life threatening interaction when taken with {v}", "Upadacitinib" ], [ "Upadacitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ] ], [ [ "Ixabepilone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somapacitan" ], [ "Somapacitan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ] ], [ [ "Ixabepilone", "{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}", "Fedratinib" ] ], [ [ "Ixabepilone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carbamazepine" ], [ "Carbamazepine", "{u} may lead to a major life threatening interaction when taken with {v}", "Fedratinib" ] ] ]
Ixabepilone may cause a moderate interaction that could exacerbate diseases when taken with Ribociclib and Ribociclib may cause a minor interaction that can limit clinical effects when taken with Fedratinib Ixabepilone may cause a moderate interaction that could exacerbate diseases when taken with Verapamil and Verapamil may cause a minor interaction that can limit clinical effects when taken with Fedratinib Ixabepilone may lead to a major life threatening interaction when taken with Berotralstat and Berotralstat may cause a minor interaction that can limit clinical effects when taken with Fedratinib Ixabepilone may cause a moderate interaction that could exacerbate diseases when taken with Abametapir and Abametapir may cause a moderate interaction that could exacerbate diseases when taken with Fedratinib Ixabepilone may cause a moderate interaction that could exacerbate diseases when taken with Imatinib and Imatinib may cause a moderate interaction that could exacerbate diseases when taken with Fedratinib Ixabepilone may lead to a major life threatening interaction when taken with Upadacitinib and Upadacitinib may cause a moderate interaction that could exacerbate diseases when taken with Fedratinib Ixabepilone may cause a moderate interaction that could exacerbate diseases when taken with Somapacitan and Somapacitan may cause a moderate interaction that could exacerbate diseases when taken with Fedratinib Ixabepilone 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 Fedratinib Ixabepilone may cause a moderate interaction that could exacerbate diseases when taken with Carbamazepine and Carbamazepine may lead to a major life threatening interaction when taken with Fedratinib
DB06772
DB13179
310
68
[ "DDInter259", "DDInter1882" ]
Cabazitaxel
Troleandomycin
Cabazitaxel is a taxoid synthesized from 10-deacetylbaccatin III, a compound isolated from the yew tree. As a second-generation semisynthetic microtubule inhibitor, cabazitaxel stabilizes microtubules and induces tumour cell death. Due to its low affinity for the P-glycoprotein (P-gp) efflux pump, cabazitaxel can more readily penetrate the blood–brain barrier compared to other taxanes like [paclitaxel] and [docetaxel].[A7056, A260421, A260621] Cabazitaxel is used to treat metastatic castration-resistant prostate cancer. It was first approved by the FDA on June 17, 2010. It was also approved by the EMA on March 17, 2011 and Health Canada on December 17, 2019.
A macrolide antibiotic that is similar to erythromycin.
Moderate
1
[ [ [ 310, 24, 68 ] ], [ [ 310, 63, 1101 ], [ 1101, 23, 68 ] ], [ [ 310, 63, 309 ], [ 309, 24, 68 ] ], [ [ 310, 24, 760 ], [ 760, 24, 68 ] ], [ [ 310, 24, 1593 ], [ 1593, 25, 68 ] ], [ [ 310, 63, 134 ], [ 134, 25, 68 ] ], [ [ 310, 25, 976 ], [ 976, 25, 68 ] ], [ [ 310, 24, 982 ], [ 982, 64, 68 ] ], [ [ 310, 25, 676 ], [ 676, 64, 68 ] ], [ [ 310, 64, 1377 ], [ 1377, 25, 68 ] ] ]
[ [ [ "Cabazitaxel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Troleandomycin" ] ], [ [ "Cabazitaxel", "{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}", "Troleandomycin" ] ], [ [ "Cabazitaxel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ixabepilone" ], [ "Ixabepilone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Troleandomycin" ] ], [ [ "Cabazitaxel", "{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}", "Troleandomycin" ] ], [ [ "Cabazitaxel", "{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}", "Troleandomycin" ] ], [ [ "Cabazitaxel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vinorelbine" ], [ "Vinorelbine", "{u} may lead to a major life threatening interaction when taken with {v}", "Troleandomycin" ] ], [ [ "Cabazitaxel", "{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}", "Troleandomycin" ] ], [ [ "Cabazitaxel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivosidenib" ], [ "Ivosidenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Troleandomycin" ] ], [ [ "Cabazitaxel", "{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}", "Troleandomycin" ] ], [ [ "Cabazitaxel", "{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}", "Troleandomycin" ] ] ]
Cabazitaxel 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 Troleandomycin Cabazitaxel may cause a moderate interaction that could exacerbate diseases when taken with Ixabepilone and Ixabepilone may cause a moderate interaction that could exacerbate diseases when taken with Troleandomycin Cabazitaxel 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 Troleandomycin Cabazitaxel 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 Troleandomycin Cabazitaxel may cause a moderate interaction that could exacerbate diseases when taken with Vinorelbine and Vinorelbine may lead to a major life threatening interaction when taken with Troleandomycin Cabazitaxel 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 Troleandomycin Cabazitaxel may cause a moderate interaction that could exacerbate diseases when taken with Ivosidenib and Ivosidenib may lead to a major life threatening interaction when taken with Troleandomycin Cabazitaxel 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 Troleandomycin Cabazitaxel 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 Troleandomycin
DB00398
DB01403
79
9
[ "DDInter1702", "DDInter1175" ]
Sorafenib
Methotrimeprazine
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.
A phenothiazine with pharmacological activity similar to that of both chlorpromazine and promethazine. It has the histamine-antagonist properties of the antihistamines together with central nervous system effects resembling those of chlorpromazine. (From Martindale, The Extra Pharmacopoeia, 30th ed, p604)
Moderate
1
[ [ [ 79, 24, 9 ] ], [ [ 79, 24, 1178 ], [ 1178, 40, 9 ] ], [ [ 79, 24, 1164 ], [ 1164, 1, 9 ] ], [ [ 79, 25, 684 ], [ 684, 40, 9 ] ], [ [ 79, 24, 401 ], [ 401, 24, 9 ] ], [ [ 79, 6, 7950 ], [ 7950, 45, 9 ] ], [ [ 79, 18, 7359 ], [ 7359, 57, 9 ] ], [ [ 79, 7, 8386 ], [ 8386, 57, 9 ] ], [ [ 79, 21, 28697 ], [ 28697, 60, 9 ] ], [ [ 79, 23, 112 ], [ 112, 23, 9 ] ] ]
[ [ [ "Sorafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methotrimeprazine" ] ], [ [ "Sorafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trifluoperazine" ], [ "Trifluoperazine", "{u} (Compound) resembles {v} (Compound)", "Methotrimeprazine" ] ], [ [ "Sorafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trimipramine" ], [ "Trimipramine", "{u} (Compound) resembles {v} (Compound)", "Methotrimeprazine" ] ], [ [ "Sorafenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Thioridazine" ], [ "Thioridazine", "{u} (Compound) resembles {v} (Compound)", "Methotrimeprazine" ] ], [ [ "Sorafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promethazine" ], [ "Promethazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methotrimeprazine" ] ], [ [ "Sorafenib", "{u} (Compound) binds {v} (Gene)", "CYP1A2" ], [ "CYP1A2", "{u} (Gene) is bound by {v} (Compound)", "Methotrimeprazine" ] ], [ [ "Sorafenib", "{u} (Compound) downregulates {v} (Gene)", "TXNDC9" ], [ "TXNDC9", "{u} (Gene) is downregulated by {v} (Compound)", "Methotrimeprazine" ] ], [ [ "Sorafenib", "{u} (Compound) upregulates {v} (Gene)", "MTHFD2" ], [ "MTHFD2", "{u} (Gene) is downregulated by {v} (Compound)", "Methotrimeprazine" ] ], [ [ "Sorafenib", "{u} (Compound) causes {v} (Side Effect)", "Drug interaction" ], [ "Drug interaction", "{u} (Side Effect) is caused by {v} (Compound)", "Methotrimeprazine" ] ], [ [ "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}", "Methotrimeprazine" ] ] ]
Sorafenib may cause a moderate interaction that could exacerbate diseases when taken with Trifluoperazine and Trifluoperazine (Compound) resembles Methotrimeprazine (Compound) Sorafenib may cause a moderate interaction that could exacerbate diseases when taken with Trimipramine and Trimipramine (Compound) resembles Methotrimeprazine (Compound) Sorafenib may lead to a major life threatening interaction when taken with Thioridazine and Thioridazine (Compound) resembles Methotrimeprazine (Compound) Sorafenib may cause a moderate interaction that could exacerbate diseases when taken with Promethazine and Promethazine may cause a moderate interaction that could exacerbate diseases when taken with Methotrimeprazine Sorafenib (Compound) binds CYP1A2 (Gene) and CYP1A2 (Gene) is bound by Methotrimeprazine (Compound) Sorafenib (Compound) downregulates TXNDC9 (Gene) and TXNDC9 (Gene) is downregulated by Methotrimeprazine (Compound) Sorafenib (Compound) upregulates MTHFD2 (Gene) and MTHFD2 (Gene) is downregulated by Methotrimeprazine (Compound) Sorafenib (Compound) causes Drug interaction (Side Effect) and Drug interaction (Side Effect) is caused by Methotrimeprazine (Compound) 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 Methotrimeprazine
DB00224
DB00731
215
1,144
[ "DDInter917", "DDInter1269" ]
Indinavir
Nateglinide
A potent and specific HIV protease inhibitor that appears to have good oral bioavailability. [PubChem]
Nateglinide is an oral antihyperglycemic agent used for the treatment of non-insulin-dependent diabetes mellitus (NIDDM). It belongs to the meglitinide class of short-acting insulin secretagogues, which act by binding to β cells of the pancreas to stimulate insulin release. Nateglinide is an amino acid derivative that induces an early insulin response to meals decreasing postprandial blood glucose levels. It should only be taken with meals and meal-time doses should be skipped with any skipped meal. Approximately one month of therapy is required before a decrease in fasting blood glucose is seen. Meglitnides may have a neutral effect on weight or cause a slight increase in weight. The average weight gain caused by meglitinides appears to be lower than that caused by sulfonylureas and insulin and appears to occur only in those naïve to oral antidiabetic agents. Due to their mechanism of action, meglitinides may cause hypoglycemia although the risk is thought to be lower than that of sulfonylureas since their action is dependent on the presence of glucose. In addition to reducing postprandial and fasting blood glucose, meglitnides have been shown to decrease glycosylated hemoglobin (HbA1c) levels, which are reflective of the last 8-10 weeks of glucose control. Meglitinides appear to be more effective at lowering postprandial blood glucose than metformin, sulfonylureas and thiazolidinediones. Nateglinide is extensively metabolized in the liver and excreted in urine (83%) and feces (10%). The major metabolites possess less activity than the parent compound. One minor metabolite, the isoprene, has the same potency as its parent compound.
Moderate
1
[ [ [ 215, 24, 1144 ] ], [ [ 215, 63, 168 ], [ 168, 24, 1144 ] ], [ [ 215, 6, 6799 ], [ 6799, 45, 1144 ] ], [ [ 215, 21, 28787 ], [ 28787, 60, 1144 ] ], [ [ 215, 24, 1051 ], [ 1051, 23, 1144 ] ], [ [ 215, 24, 254 ], [ 254, 24, 1144 ] ], [ [ 215, 25, 629 ], [ 629, 63, 1144 ] ], [ [ 215, 23, 609 ], [ 609, 63, 1144 ] ], [ [ 215, 24, 1142 ], [ 1142, 63, 1144 ] ], [ [ 215, 25, 175 ], [ 175, 24, 1144 ] ] ]
[ [ [ "Indinavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nateglinide" ] ], [ [ "Indinavir", "{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}", "Nateglinide" ] ], [ [ "Indinavir", "{u} (Compound) binds {v} (Gene)", "CYP3A7" ], [ "CYP3A7", "{u} (Gene) is bound by {v} (Compound)", "Nateglinide" ] ], [ [ "Indinavir", "{u} (Compound) causes {v} (Side Effect)", "Dermatitis" ], [ "Dermatitis", "{u} (Side Effect) is caused by {v} (Compound)", "Nateglinide" ] ], [ [ "Indinavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aminoglutethimide" ], [ "Aminoglutethimide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Nateglinide" ] ], [ [ "Indinavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nitisinone" ], [ "Nitisinone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nateglinide" ] ], [ [ "Indinavir", "{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}", "Nateglinide" ] ], [ [ "Indinavir", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Clarithromycin" ], [ "Clarithromycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nateglinide" ] ], [ [ "Indinavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Orlistat" ], [ "Orlistat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nateglinide" ] ], [ [ "Indinavir", "{u} may lead to a major life threatening interaction when taken with {v}", "Triamcinolone" ], [ "Triamcinolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nateglinide" ] ] ]
Indinavir 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 Nateglinide Indinavir (Compound) binds CYP3A7 (Gene) and CYP3A7 (Gene) is bound by Nateglinide (Compound) Indinavir (Compound) causes Dermatitis (Side Effect) and Dermatitis (Side Effect) is caused by Nateglinide (Compound) Indinavir may cause a moderate interaction that could exacerbate diseases when taken with Aminoglutethimide and Aminoglutethimide may cause a minor interaction that can limit clinical effects when taken with Nateglinide Indinavir may cause a moderate interaction that could exacerbate diseases when taken with Nitisinone and Nitisinone may cause a moderate interaction that could exacerbate diseases when taken with Nateglinide Indinavir 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 Nateglinide Indinavir may cause a minor interaction that can limit clinical effects when taken with Clarithromycin and Clarithromycin may cause a moderate interaction that could exacerbate diseases when taken with Nateglinide Indinavir may cause a moderate interaction that could exacerbate diseases when taken with Orlistat and Orlistat may cause a moderate interaction that could exacerbate diseases when taken with Nateglinide Indinavir may lead to a major life threatening interaction when taken with Triamcinolone and Triamcinolone may cause a moderate interaction that could exacerbate diseases when taken with Nateglinide
DB00603
DB01174
303
697
[ "DDInter1137", "DDInter1442" ]
Medroxyprogesterone acetate
Phenobarbital
Medroxyprogesterone acetate (MPA) is a [progesterone] derivative that is more resistant to metabolism for improved pharmacokinetic properties. MPA can be use to treat secondary amenorrhea, endometrial hyperplasia, abnormal uterine bleeding, osteoporosis, vasomotor symptoms in menopause, vulvar and vaginal atrophy, prevent pregnancy, manage pain in endometriosis, prevent pregnancy, and is also used in palliative care for endometrial and renal carcinoma.[L8657,L8660,L8663,L8666,L8669] Medroxyprogesterone acetate was granted FDA approval on 18 June 1959.
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
[ [ [ 303, 24, 697 ] ], [ [ 303, 24, 759 ], [ 759, 1, 697 ] ], [ [ 303, 63, 362 ], [ 362, 1, 697 ] ], [ [ 303, 63, 536 ], [ 536, 40, 697 ] ], [ [ 303, 6, 6017 ], [ 6017, 45, 697 ] ], [ [ 303, 21, 28905 ], [ 28905, 60, 697 ] ], [ [ 303, 64, 1101 ], [ 1101, 23, 697 ] ], [ [ 303, 63, 600 ], [ 600, 23, 697 ] ], [ [ 303, 40, 167 ], [ 167, 24, 697 ] ], [ [ 303, 24, 908 ], [ 908, 63, 697 ] ] ]
[ [ [ "Medroxyprogesterone acetate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenobarbital" ] ], [ [ "Medroxyprogesterone acetate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Primidone" ], [ "Primidone", "{u} (Compound) resembles {v} (Compound)", "Phenobarbital" ] ], [ [ "Medroxyprogesterone acetate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenytoin" ], [ "Phenytoin", "{u} (Compound) resembles {v} (Compound)", "Phenobarbital" ] ], [ [ "Medroxyprogesterone acetate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Secobarbital" ], [ "Secobarbital", "{u} (Compound) resembles {v} (Compound)", "Phenobarbital" ] ], [ [ "Medroxyprogesterone acetate", "{u} (Compound) binds {v} (Gene)", "CYP2C9" ], [ "CYP2C9", "{u} (Gene) is bound by {v} (Compound)", "Phenobarbital" ] ], [ [ "Medroxyprogesterone acetate", "{u} (Compound) causes {v} (Side Effect)", "Irritability" ], [ "Irritability", "{u} (Side Effect) is caused by {v} (Compound)", "Phenobarbital" ] ], [ [ "Medroxyprogesterone acetate", "{u} may lead to a major life threatening interaction when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Phenobarbital" ] ], [ [ "Medroxyprogesterone acetate", "{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}", "Phenobarbital" ] ], [ [ "Medroxyprogesterone acetate", "{u} (Compound) resembles {v} (Compound)", "Hydrocortisone" ], [ "Hydrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenobarbital" ] ], [ [ "Medroxyprogesterone acetate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Golimumab" ], [ "Golimumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenobarbital" ] ] ]
Medroxyprogesterone acetate may cause a moderate interaction that could exacerbate diseases when taken with Primidone and Primidone (Compound) resembles Phenobarbital (Compound) Medroxyprogesterone acetate may cause a moderate interaction that could exacerbate diseases when taken with Phenytoin and Phenytoin (Compound) resembles Phenobarbital (Compound) Medroxyprogesterone acetate may cause a moderate interaction that could exacerbate diseases when taken with Secobarbital and Secobarbital (Compound) resembles Phenobarbital (Compound) Medroxyprogesterone acetate (Compound) binds CYP2C9 (Gene) and CYP2C9 (Gene) is bound by Phenobarbital (Compound) Medroxyprogesterone acetate (Compound) causes Irritability (Side Effect) and Irritability (Side Effect) is caused by Phenobarbital (Compound) Medroxyprogesterone acetate may lead to a major life threatening interaction when taken with Bexarotene and Bexarotene may cause a minor interaction that can limit clinical effects when taken with Phenobarbital Medroxyprogesterone acetate 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 Phenobarbital Medroxyprogesterone acetate (Compound) resembles Hydrocortisone (Compound) and Hydrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Phenobarbital Medroxyprogesterone acetate may cause a moderate interaction that could exacerbate diseases when taken with Golimumab and Golimumab may cause a moderate interaction that could exacerbate diseases when taken with Phenobarbital
DB00694
DB04946
51
924
[ "DDInter485", "DDInter907" ]
Daunorubicin
Iloperidone
A very toxic anthracycline aminoglycoside antineoplastic isolated from Streptomyces peucetius and others, used in treatment of leukemia and other neoplasms.
Iloperidone is an atypical antipsychotic for the treatment of schizophrenia symptoms. Hoechst Marion Roussel Inc. researched the drug until May 1996. In June 1997 they gave the research rights to Titan Pharmaceuticals, who gave the worldwide development, manufacturing, and marketing rights to Novartis in August 1998. On June 9, 2004, Titan Pharmaceuticals gave the Phase III development rights to Vanda Pharmaceuticals. FDA approved on May 9, 2009.
Major
2
[ [ [ 51, 25, 924 ] ], [ [ 51, 24, 1664 ], [ 1664, 1, 924 ] ], [ [ 51, 64, 1425 ], [ 1425, 25, 924 ] ], [ [ 51, 24, 519 ], [ 519, 40, 924 ] ], [ [ 51, 6, 8374 ], [ 8374, 45, 924 ] ], [ [ 51, 7, 9890 ], [ 9890, 57, 924 ] ], [ [ 51, 21, 28809 ], [ 28809, 60, 924 ] ], [ [ 51, 23, 112 ], [ 112, 23, 924 ] ], [ [ 51, 24, 741 ], [ 741, 63, 924 ] ], [ [ 51, 24, 1532 ], [ 1532, 24, 924 ] ] ]
[ [ [ "Daunorubicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Iloperidone" ] ], [ [ "Daunorubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Risperidone" ], [ "Risperidone", "{u} (Compound) resembles {v} (Compound)", "Iloperidone" ] ], [ [ "Daunorubicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Cisapride" ], [ "Cisapride", "{u} may lead to a major life threatening interaction when taken with {v}", "Iloperidone" ] ], [ [ "Daunorubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paliperidone" ], [ "Paliperidone", "{u} (Compound) resembles {v} (Compound)", "Iloperidone" ] ], [ [ "Daunorubicin", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Iloperidone" ] ], [ [ "Daunorubicin", "{u} (Compound) upregulates {v} (Gene)", "DKK3" ], [ "DKK3", "{u} (Gene) is downregulated by {v} (Compound)", "Iloperidone" ] ], [ [ "Daunorubicin", "{u} (Compound) causes {v} (Side Effect)", "Diarrhoea" ], [ "Diarrhoea", "{u} (Side Effect) is caused by {v} (Compound)", "Iloperidone" ] ], [ [ "Daunorubicin", "{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}", "Iloperidone" ] ], [ [ "Daunorubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rolapitant" ], [ "Rolapitant", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iloperidone" ] ], [ [ "Daunorubicin", "{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}", "Iloperidone" ] ] ]
Daunorubicin may cause a moderate interaction that could exacerbate diseases when taken with Risperidone and Risperidone (Compound) resembles Iloperidone (Compound) Daunorubicin may lead to a major life threatening interaction when taken with Cisapride and Cisapride may lead to a major life threatening interaction when taken with Iloperidone Daunorubicin may cause a moderate interaction that could exacerbate diseases when taken with Paliperidone and Paliperidone (Compound) resembles Iloperidone (Compound) Daunorubicin (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Iloperidone (Compound) Daunorubicin (Compound) upregulates DKK3 (Gene) and DKK3 (Gene) is downregulated by Iloperidone (Compound) Daunorubicin (Compound) causes Diarrhoea (Side Effect) and Diarrhoea (Side Effect) is caused by Iloperidone (Compound) Daunorubicin 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 Iloperidone Daunorubicin may cause a moderate interaction that could exacerbate diseases when taken with Rolapitant and Rolapitant may cause a moderate interaction that could exacerbate diseases when taken with Iloperidone Daunorubicin 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 Iloperidone
DB00557
DB01166
252
477
[ "DDInter895", "DDInter379" ]
Hydroxyzine
Cilostazol
Hydroxyzine is a first-generation histamine H<sub>1</sub>-receptor antagonist of the dephenylmethane and piperazine classes that exhibits sedative, anxiolytic, and antiemetic properties.[A1257,A187589] It was first developed in 1955, and has since remained a relatively common treatment for allergic conditions such as pruritus, urticaria, dermatoses, and histamine-mediated pruritus. The active metabolite of hydroxyzine, [cetirizine], is also available as an active ingredient in allergic medications, and is responsible for much of its hydroxyzine's antihistaminic effect. Hydroxyzine is also used for generalized anxiety disorder, tension caused by psychoneurosis, and other conditions with manifestations of anxiety.
Cilostazol is a quinolinone derivative and antiplatelet agent with vasodilating properties that has been used in the symptomatic treatment of intermittent claudication in patients with peripheral ischaemia. It is marketed under the brand name Pletal by Otsuka Pharmaceutical Co.. Cilostazol works by inhibiting both primary and secondary aggregation and reducing calcium-induced contractions.
Moderate
1
[ [ [ 252, 24, 477 ] ], [ [ 252, 6, 12523 ], [ 12523, 45, 477 ] ], [ [ 252, 21, 30397 ], [ 30397, 60, 477 ] ], [ [ 252, 23, 112 ], [ 112, 23, 477 ] ], [ [ 252, 24, 820 ], [ 820, 63, 477 ] ], [ [ 252, 24, 888 ], [ 888, 24, 477 ] ], [ [ 252, 63, 1010 ], [ 1010, 24, 477 ] ], [ [ 252, 1, 623 ], [ 623, 63, 477 ] ], [ [ 252, 40, 827 ], [ 827, 24, 477 ] ], [ [ 252, 25, 478 ], [ 478, 63, 477 ] ] ]
[ [ [ "Hydroxyzine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cilostazol" ] ], [ [ "Hydroxyzine", "{u} (Compound) binds {v} (Gene)", "CYP2D6" ], [ "CYP2D6", "{u} (Gene) is bound by {v} (Compound)", "Cilostazol" ] ], [ [ "Hydroxyzine", "{u} (Compound) causes {v} (Side Effect)", "Drug eruption" ], [ "Drug eruption", "{u} (Side Effect) is caused by {v} (Compound)", "Cilostazol" ] ], [ [ "Hydroxyzine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cilostazol" ] ], [ [ "Hydroxyzine", "{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}", "Cilostazol" ] ], [ [ "Hydroxyzine", "{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}", "Cilostazol" ] ], [ [ "Hydroxyzine", "{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}", "Cilostazol" ] ], [ [ "Hydroxyzine", "{u} (Compound) resembles {v} (Compound)", "Quetiapine" ], [ "Quetiapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cilostazol" ] ], [ [ "Hydroxyzine", "{u} (Compound) resembles {v} (Compound)", "Trazodone" ], [ "Trazodone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cilostazol" ] ], [ [ "Hydroxyzine", "{u} may lead to a major life threatening interaction when taken with {v}", "Nilotinib" ], [ "Nilotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cilostazol" ] ] ]
Hydroxyzine (Compound) binds CYP2D6 (Gene) and CYP2D6 (Gene) is bound by Cilostazol (Compound) Hydroxyzine (Compound) causes Drug eruption (Side Effect) and Drug eruption (Side Effect) is caused by Cilostazol (Compound) Hydroxyzine may cause a minor interaction that can limit clinical effects when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Cilostazol Hydroxyzine 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 Cilostazol Hydroxyzine 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 Cilostazol Hydroxyzine 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 Cilostazol Hydroxyzine (Compound) resembles Quetiapine (Compound) and Quetiapine may cause a moderate interaction that could exacerbate diseases when taken with Cilostazol Hydroxyzine (Compound) resembles Trazodone (Compound) and Trazodone may cause a moderate interaction that could exacerbate diseases when taken with Cilostazol Hydroxyzine may lead to a major life threatening interaction when taken with Nilotinib and Nilotinib may cause a moderate interaction that could exacerbate diseases when taken with Cilostazol
DB08864
DB09330
786
985
[ "DDInter1595", "DDInter1352" ]
Rilpivirine
Osimertinib
Rilpivirine is non-nucleoside reverse transcriptase inhibitor (NNRTI) which is used for the treatment of HIV-1 infections in treatment-naive patients. It is a diarylpyrimidine derivative. The internal conformational flexibility of rilpivirine and the plasticity of it interacting binding site gives it a very high potency and reduces the chance of resistance compared to other NNRTI's. Rilpivirine was developed by Tilbotec, Inc. and FDA approved on May 20, 2011. On November 21, 2017, Rilpivirine, in combination with [dolutegravir], was approved as part of the first complete treatment regimen with only two drugs for the treatment of adults with HIV-1 named Juluca. Rilpivirine in combination with [cabotegravir] was granted FDA approval on 21 January 2021. While previously
Osimertinib is an oral, third-generation epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor (TKI) drug developed by AstraZeneca Pharmaceuticals.[A7926,L43453] Its use is indicated for the treatment of metastatic non-small cell lung cancer (NSCLC) in cases where tumour EGFR expression is positive for the T790M mutation as detected by FDA-approved testing and which has progressed following therapy with a first-generation EGFR tyrosine kinase inhibitor. Approximately 10% of patients with NSCLC have a rapid and clinically effective response to EGFR-TKIs due to the presence of specific activating EGFR mutations within the tumour cells. More specifically, deletions around the LREA motif in exon 19 and exon 21 L858R point mutations are correlated with response to therapy. Development of third-generation EGFR-TKIs, such as osimertinib, has been in response to altered tumour resistance patterns following treatment and toxic side effects that impact patient quality of life. Treatment with first-generation EGFR-TKIs (gefitinib and erlotinib) has been associated with the development of resistance through activating mutations in the EGFR gene. Second-generation EGFR-TKIs (afatinib and dacomitinib) were then developed to be more potent inhibitors, although their use is associated with increased toxicity through nonspecific targeting of wild-type EGFR. In contrast, third-generation inhibitors are specific for the gate-keeper T790M mutations which increases ATP binding activity to EGFR and result in poor prognosis for late-stage disease. Furthermore, osimertinib has been shown to spare wild-type EGFR during therapy, thereby reducing non-specific binding and limiting toxicity.[A7926,A7927,A7931]
Major
2
[ [ [ 786, 25, 985 ] ], [ [ 786, 62, 112 ], [ 112, 23, 985 ] ], [ [ 786, 63, 1478 ], [ 1478, 24, 985 ] ], [ [ 786, 24, 1040 ], [ 1040, 24, 985 ] ], [ [ 786, 24, 657 ], [ 657, 63, 985 ] ], [ [ 786, 64, 1559 ], [ 1559, 24, 985 ] ], [ [ 786, 40, 655 ], [ 655, 24, 985 ] ], [ [ 786, 64, 11 ], [ 11, 25, 985 ] ], [ [ 786, 63, 594 ], [ 594, 25, 985 ] ], [ [ 786, 24, 484 ], [ 484, 64, 985 ] ] ]
[ [ [ "Rilpivirine", "{u} may lead to a major life threatening interaction when taken with {v}", "Osimertinib" ] ], [ [ "Rilpivirine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Osimertinib" ] ], [ [ "Rilpivirine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivacaftor" ], [ "Ivacaftor", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Osimertinib" ] ], [ [ "Rilpivirine", "{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}", "Osimertinib" ] ], [ [ "Rilpivirine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Castor oil" ], [ "Castor oil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Osimertinib" ] ], [ [ "Rilpivirine", "{u} may lead to a major life threatening interaction when taken with {v}", "Famotidine" ], [ "Famotidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Osimertinib" ] ], [ [ "Rilpivirine", "{u} (Compound) resembles {v} (Compound)", "Etravirine" ], [ "Etravirine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Osimertinib" ] ], [ [ "Rilpivirine", "{u} may lead to a major life threatening interaction when taken with {v}", "Toremifene" ], [ "Toremifene", "{u} may lead to a major life threatening interaction when taken with {v}", "Osimertinib" ] ], [ [ "Rilpivirine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bosutinib" ], [ "Bosutinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Osimertinib" ] ], [ [ "Rilpivirine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Entrectinib" ], [ "Entrectinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Osimertinib" ] ] ]
Rilpivirine may cause a minor interaction that can limit clinical effects when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Osimertinib Rilpivirine may cause a moderate interaction that could exacerbate diseases when taken with Ivacaftor and Ivacaftor may cause a moderate interaction that could exacerbate diseases when taken with Osimertinib Rilpivirine 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 Osimertinib Rilpivirine may cause a moderate interaction that could exacerbate diseases when taken with Castor oil and Castor oil may cause a moderate interaction that could exacerbate diseases when taken with Osimertinib Rilpivirine may lead to a major life threatening interaction when taken with Famotidine and Famotidine may cause a moderate interaction that could exacerbate diseases when taken with Osimertinib Rilpivirine (Compound) resembles Etravirine (Compound) and Etravirine may cause a moderate interaction that could exacerbate diseases when taken with Osimertinib Rilpivirine may lead to a major life threatening interaction when taken with Toremifene and Toremifene may lead to a major life threatening interaction when taken with Osimertinib Rilpivirine may cause a moderate interaction that could exacerbate diseases when taken with Bosutinib and Bosutinib may lead to a major life threatening interaction when taken with Osimertinib Rilpivirine may cause a moderate interaction that could exacerbate diseases when taken with Entrectinib and Entrectinib may lead to a major life threatening interaction when taken with Osimertinib
DB01017
DB09275
1,669
813
[ "DDInter1224", "DDInter213" ]
Minocycline
Bismuth subcitrate potassium
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.
A bismuth compound used for peptic ulcer and gastro-oesophageal reflux disease (GORD).
Moderate
1
[ [ [ 1669, 24, 813 ] ], [ [ 1669, 40, 1572 ], [ 1572, 24, 813 ] ], [ [ 1669, 40, 1572 ], [ 1572, 40, 1620 ], [ 1620, 24, 813 ] ], [ [ 1669, 40, 1620 ], [ 1620, 1, 1572 ], [ 1572, 24, 813 ] ], [ [ 1669, 1, 1545 ], [ 1545, 40, 1572 ], [ 1572, 24, 813 ] ], [ [ 1669, 54, 19326 ], [ 19326, 15, 1572 ], [ 1572, 24, 813 ] ], [ [ 1669, 62, 1680 ], [ 1680, 62, 1572 ], [ 1572, 24, 813 ] ], [ [ 1669, 62, 1028 ], [ 1028, 23, 1572 ], [ 1572, 24, 813 ] ], [ [ 1669, 23, 1399 ], [ 1399, 62, 1572 ], [ 1572, 24, 813 ] ], [ [ 1669, 24, 1117 ], [ 1117, 63, 1572 ], [ 1572, 24, 813 ] ] ]
[ [ [ "Minocycline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bismuth subcitrate potassium" ] ], [ [ "Minocycline", "{u} (Compound) resembles {v} (Compound)", "Demeclocycline" ], [ "Demeclocycline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bismuth subcitrate potassium" ] ], [ [ "Minocycline", "{u} (Compound) resembles {v} (Compound)", "Demeclocycline" ], [ "Demeclocycline", "{u} (Compound) resembles {v} (Compound)", "Tetracycline" ], [ "Tetracycline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bismuth subcitrate potassium" ] ], [ [ "Minocycline", "{u} (Compound) resembles {v} (Compound)", "Tetracycline" ], [ "Tetracycline", "{u} (Compound) resembles {v} (Compound)", "Demeclocycline" ], [ "Demeclocycline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bismuth subcitrate potassium" ] ], [ [ "Minocycline", "{u} (Compound) resembles {v} (Compound)", "Oxytetracycline" ], [ "Oxytetracycline", "{u} (Compound) resembles {v} (Compound)", "Demeclocycline" ], [ "Demeclocycline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bismuth subcitrate potassium" ] ], [ [ "Minocycline", "{u} (Compound) is included by {v} (Pharmacologic Class)", "Tetracyclines" ], [ "Tetracyclines", "{u} (Pharmacologic Class) includes {v} (Compound)", "Demeclocycline" ], [ "Demeclocycline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bismuth subcitrate potassium" ] ], [ [ "Minocycline", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Etacrynic acid" ], [ "Etacrynic acid", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Demeclocycline" ], [ "Demeclocycline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bismuth subcitrate potassium" ] ], [ [ "Minocycline", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Torasemide" ], [ "Torasemide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Demeclocycline" ], [ "Demeclocycline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bismuth subcitrate potassium" ] ], [ [ "Minocycline", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Lithium carbonate" ], [ "Lithium carbonate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Demeclocycline" ], [ "Demeclocycline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bismuth subcitrate potassium" ] ], [ [ "Minocycline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium bicarbonate" ], [ "Sodium bicarbonate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Demeclocycline" ], [ "Demeclocycline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bismuth subcitrate potassium" ] ] ]
Minocycline (Compound) resembles Demeclocycline (Compound) and Demeclocycline may cause a moderate interaction that could exacerbate diseases when taken with Bismuth subcitrate potassium Minocycline (Compound) resembles Demeclocycline (Compound) and Demeclocycline (Compound) resembles Tetracycline (Compound) and Tetracycline may cause a moderate interaction that could exacerbate diseases when taken with Bismuth subcitrate potassium Minocycline (Compound) resembles Tetracycline (Compound) and Tetracycline (Compound) resembles Demeclocycline (Compound) and Demeclocycline may cause a moderate interaction that could exacerbate diseases when taken with Bismuth subcitrate potassium Minocycline (Compound) resembles Oxytetracycline (Compound) and Oxytetracycline (Compound) resembles Demeclocycline (Compound) and Demeclocycline may cause a moderate interaction that could exacerbate diseases when taken with Bismuth subcitrate potassium Minocycline (Compound) is included by Tetracyclines (Pharmacologic Class) and Tetracyclines (Pharmacologic Class) includes Demeclocycline (Compound) and Demeclocycline may cause a moderate interaction that could exacerbate diseases when taken with Bismuth subcitrate potassium Minocycline may cause a minor interaction that can limit clinical effects when taken with Etacrynic acid and Etacrynic acid may cause a minor interaction that can limit clinical effects when taken with Demeclocycline and Demeclocycline may cause a moderate interaction that could exacerbate diseases when taken with Bismuth subcitrate potassium Minocycline may cause a minor interaction that can limit clinical effects when taken with Torasemide and Torasemide may cause a minor interaction that can limit clinical effects when taken with Demeclocycline and Demeclocycline may cause a moderate interaction that could exacerbate diseases when taken with Bismuth subcitrate potassium Minocycline may cause a minor interaction that can limit clinical effects when taken with Lithium carbonate and Lithium carbonate may cause a minor interaction that can limit clinical effects when taken with Demeclocycline and Demeclocycline may cause a moderate interaction that could exacerbate diseases when taken with Bismuth subcitrate potassium Minocycline may cause a moderate interaction that could exacerbate diseases when taken with Sodium bicarbonate and Sodium bicarbonate may cause a moderate interaction that could exacerbate diseases when taken with Demeclocycline and Demeclocycline may cause a moderate interaction that could exacerbate diseases when taken with Bismuth subcitrate potassium
DB00951
DB06317
1,072
1,626
[ "DDInter986", "DDInter630" ]
Isoniazid
Elotuzumab
Antibacterial agent used primarily as a tuberculostatic. It remains the treatment of choice for tuberculosis.
Elotuzumab is a humanized IgG1 (Immunoglobulin G) monoclonal antibody indicated in combination with lenalidomide and dexamethasone for the treatment of patients with multiple myeloma who have received one to three prior therapies. Elotuzumab targets SLAMF7, also known as Signaling Lymphocytic Activation Molecule Family member 7, a cell surface glycoprotein. Elotuzumab consists of the complementary determining regions (CDR) of the mouse antibody, MuLuc63, grafted onto human IgG1 heavy and kappa light chain frameworks. Elotuzumab is produced in NS0 cells by recombinant DNA technology. Elotuzumab has a theoretical mass of 148.1 kDa for the intact antibody. Elotuzumab was approved on November 30, 2015 by the U.S. Food and Drug Administration. Elotuzumab is marketed under the brand Empliciti™ by Bristol-Myers Squibb.
Moderate
1
[ [ [ 1072, 24, 1626 ] ], [ [ 1072, 24, 973 ], [ 973, 24, 1626 ] ], [ [ 1072, 63, 597 ], [ 597, 24, 1626 ] ], [ [ 1072, 24, 310 ], [ 310, 63, 1626 ] ], [ [ 1072, 24, 375 ], [ 375, 64, 1626 ] ], [ [ 1072, 63, 1057 ], [ 1057, 25, 1626 ] ], [ [ 1072, 25, 1510 ], [ 1510, 64, 1626 ] ], [ [ 1072, 25, 1377 ], [ 1377, 25, 1626 ] ], [ [ 1072, 24, 973 ], [ 973, 63, 1463 ], [ 1463, 24, 1626 ] ], [ [ 1072, 63, 597 ], [ 597, 24, 973 ], [ 973, 24, 1626 ] ] ]
[ [ [ "Isoniazid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Elotuzumab" ] ], [ [ "Isoniazid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paclitaxel" ], [ "Paclitaxel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Elotuzumab" ] ], [ [ "Isoniazid", "{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}", "Elotuzumab" ] ], [ [ "Isoniazid", "{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}", "Elotuzumab" ] ], [ [ "Isoniazid", "{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}", "Elotuzumab" ] ], [ [ "Isoniazid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Etanercept" ], [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Elotuzumab" ] ], [ [ "Isoniazid", "{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}", "Elotuzumab" ] ], [ [ "Isoniazid", "{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}", "Elotuzumab" ] ], [ [ "Isoniazid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paclitaxel" ], [ "Paclitaxel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lovastatin" ], [ "Lovastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Elotuzumab" ] ], [ [ "Isoniazid", "{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}", "Paclitaxel" ], [ "Paclitaxel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Elotuzumab" ] ] ]
Isoniazid may cause a moderate interaction that could exacerbate diseases when taken with Paclitaxel and Paclitaxel may cause a moderate interaction that could exacerbate diseases when taken with Elotuzumab Isoniazid 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 Elotuzumab Isoniazid 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 Elotuzumab Isoniazid 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 Elotuzumab Isoniazid may cause a moderate interaction that could exacerbate diseases when taken with Etanercept and Etanercept may lead to a major life threatening interaction when taken with Elotuzumab Isoniazid 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 Elotuzumab Isoniazid 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 Elotuzumab Isoniazid may cause a moderate interaction that could exacerbate diseases when taken with Paclitaxel and Paclitaxel may cause a moderate interaction that could exacerbate diseases when taken with Lovastatin and Lovastatin may cause a moderate interaction that could exacerbate diseases when taken with Elotuzumab Isoniazid 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 Paclitaxel and Paclitaxel may cause a moderate interaction that could exacerbate diseases when taken with Elotuzumab
DB09052
DB09472
250
1,383
[ "DDInter220", "DDInter1693" ]
Blinatumomab
Sodium sulfate
Blinatumomab is a BiTE-class (bi-specific T-cell engager) constructed monoclonal antibody formed by the recombinant fusion of an anti-CD3 single-chain variable fragment (scFV) and an anti-CD19 scFV through a short peptide linker.[A254836,L44311] CD3 is an antigen expressed on the surface of T-cells, while CD19 is mostly expressed on the surface of malignant B-cells. Since blinatumomab has an affinity to both antigens, it redirects T-cells to tumor cells expressing CD19 and promotes tumor cell lysis and apoptosis.[A7659,A7660,A254831] Blinatumomab is manufactured by Amgen Inc. and marketed under the brand Blincyto. It was first approved by the FDA in December 2014 for the treatment of CD19-positive B-cell precursor acute lymphoblastic leukemia (ALL) in relapsed and refractory patients.
Sodium Sulfate Anhydrous is the anhydrous, sodium salt form of sulfuric acid. Sodium sulfate anhydrous disassociates in water to provide sodium ions and sulfate ions. Sodium ion is the principal cation of the extracellular fluid and plays a large part in the therapy of fluid and electrolyte disturbances. Sodium sulfate anhydrous is an electrolyte replenisher and is used in isosmotic solutions so that administration does not disturb normal electrolyte balance and does not lead to absorption or excretion of water and ions.
Moderate
1
[ [ [ 250, 24, 1383 ] ], [ [ 250, 24, 1613 ], [ 1613, 24, 1383 ] ], [ [ 250, 63, 828 ], [ 828, 24, 1383 ] ], [ [ 250, 64, 593 ], [ 593, 24, 1383 ] ], [ [ 250, 24, 1267 ], [ 1267, 63, 1383 ] ], [ [ 250, 63, 996 ], [ 996, 25, 1383 ] ], [ [ 250, 64, 695 ], [ 695, 25, 1383 ] ], [ [ 250, 24, 1613 ], [ 1613, 63, 609 ], [ 609, 24, 1383 ] ], [ [ 250, 63, 828 ], [ 828, 25, 609 ], [ 609, 24, 1383 ] ], [ [ 250, 63, 912 ], [ 912, 24, 609 ], [ 609, 24, 1383 ] ] ]
[ [ [ "Blinatumomab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium sulfate" ] ], [ [ "Blinatumomab", "{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}", "Sodium sulfate" ] ], [ [ "Blinatumomab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxycodone" ], [ "Oxycodone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium sulfate" ] ], [ [ "Blinatumomab", "{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}", "Sodium sulfate" ] ], [ [ "Blinatumomab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amifampridine" ], [ "Amifampridine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium sulfate" ] ], [ [ "Blinatumomab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bedaquiline" ], [ "Bedaquiline", "{u} may lead to a major life threatening interaction when taken with {v}", "Sodium sulfate" ] ], [ [ "Blinatumomab", "{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}", "Sodium sulfate" ] ], [ [ "Blinatumomab", "{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}", "Clarithromycin" ], [ "Clarithromycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium sulfate" ] ], [ [ "Blinatumomab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxycodone" ], [ "Oxycodone", "{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}", "Sodium sulfate" ] ], [ [ "Blinatumomab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Interferon beta-1a" ], [ "Interferon beta-1a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clarithromycin" ], [ "Clarithromycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium sulfate" ] ] ]
Blinatumomab 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 Sodium sulfate Blinatumomab may cause a moderate interaction that could exacerbate diseases when taken with Oxycodone and Oxycodone may cause a moderate interaction that could exacerbate diseases when taken with Sodium sulfate Blinatumomab 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 Sodium sulfate Blinatumomab may cause a moderate interaction that could exacerbate diseases when taken with Amifampridine and Amifampridine may cause a moderate interaction that could exacerbate diseases when taken with Sodium sulfate Blinatumomab may cause a moderate interaction that could exacerbate diseases when taken with Bedaquiline and Bedaquiline may lead to a major life threatening interaction when taken with Sodium sulfate Blinatumomab 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 Sodium sulfate Blinatumomab 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 Clarithromycin and Clarithromycin may cause a moderate interaction that could exacerbate diseases when taken with Sodium sulfate Blinatumomab may cause a moderate interaction that could exacerbate diseases when taken with Oxycodone and Oxycodone 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 Sodium sulfate Blinatumomab may cause a moderate interaction that could exacerbate diseases when taken with Interferon beta-1a and Interferon beta-1a may cause a moderate interaction that could exacerbate diseases when taken with Clarithromycin and Clarithromycin may cause a moderate interaction that could exacerbate diseases when taken with Sodium sulfate
DB00030
DB00861
1,685
914
[ "DDInter934", "DDInter551" ]
Insulin human
Diflunisal
Human Insulin, also known as Regular Insulin, is a short-acting form of insulin used for the treatment of hyperglycemia caused by Type 1 and Type 2 Diabetes. Human insulin is produced by recombinant DNA technology and is identical to endogenously produced insulin. Typically prescribed for the management of diabetes mellitus, insulin is a peptide hormone produced by beta cells of the pancreas that promotes glucose metabolism. Insulin is released from the pancreas following a meal to promote the uptake of glucose from the blood into internal organs and tissues such as the liver, fat cells, and skeletal muscle. Absorption of glucose into cells allows for its transformation into glycogen or fat for storage. Insulin also inhibits hepatic glucose production, enhances protein synthesis, and inhibits lipolysis and proteolysis among many other functions. Insulin is an important treatment in the management of Type 1 Diabetes (T1D) which is caused by an autoimmune reaction that destroys
Diflunisal, a salicylate derivative, is a nonsteroidal anti-inflammatory agent (NSAIA) with pharmacologic actions similar to other prototypical NSAIAs. Diflunisal possesses anti-inflammatory, analgesic and antipyretic activity. Though its mechanism of action has not been clearly established, most of its actions appear to be associated with inhibition of prostaglandin synthesis via the arachidonic acid pathway. Diflunisal is used to relieve pain accompanied with inflammation and in the symptomatic treatment of rheumatoid arthritis and osteoarthritis.
Moderate
1
[ [ [ 1685, 24, 914 ] ], [ [ 1685, 24, 417 ], [ 417, 23, 914 ] ], [ [ 1685, 24, 1019 ], [ 1019, 63, 914 ] ], [ [ 1685, 24, 251 ], [ 251, 24, 914 ] ], [ [ 1685, 23, 1621 ], [ 1621, 24, 914 ] ], [ [ 1685, 23, 948 ], [ 948, 63, 914 ] ], [ [ 1685, 63, 305 ], [ 305, 24, 914 ] ], [ [ 1685, 24, 4 ], [ 4, 64, 914 ] ], [ [ 1685, 24, 417 ], [ 417, 6, 1829 ], [ 1829, 45, 914 ] ], [ [ 1685, 24, 1019 ], [ 1019, 63, 1512 ], [ 1512, 24, 914 ] ] ]
[ [ [ "Insulin human", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diflunisal" ] ], [ [ "Insulin human", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sucralfate" ], [ "Sucralfate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Diflunisal" ] ], [ [ "Insulin human", "{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}", "Diflunisal" ] ], [ [ "Insulin human", "{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}", "Diflunisal" ] ], [ [ "Insulin human", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Potassium chloride" ], [ "Potassium chloride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diflunisal" ] ], [ [ "Insulin human", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Potassium gluconate" ], [ "Potassium gluconate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diflunisal" ] ], [ [ "Insulin human", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Asparaginase Escherichia coli" ], [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diflunisal" ] ], [ [ "Insulin human", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Omacetaxine mepesuccinate" ], [ "Omacetaxine mepesuccinate", "{u} may lead to a major life threatening interaction when taken with {v}", "Diflunisal" ] ], [ [ "Insulin human", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sucralfate" ], [ "Sucralfate", "{u} (Compound) binds {v} (Gene)", "ALB" ], [ "ALB", "{u} (Gene) is bound by {v} (Compound)", "Diflunisal" ] ], [ [ "Insulin human", "{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}", "Diclofenac" ], [ "Diclofenac", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diflunisal" ] ] ]
Insulin human may cause a moderate interaction that could exacerbate diseases when taken with Sucralfate and Sucralfate may cause a minor interaction that can limit clinical effects when taken with Diflunisal Insulin human 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 Diflunisal Insulin human 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 Diflunisal Insulin human may cause a minor interaction that can limit clinical effects when taken with Potassium chloride and Potassium chloride may cause a moderate interaction that could exacerbate diseases when taken with Diflunisal Insulin human may cause a minor interaction that can limit clinical effects when taken with Potassium gluconate and Potassium gluconate may cause a moderate interaction that could exacerbate diseases when taken with Diflunisal Insulin human may cause a moderate interaction that could exacerbate diseases when taken with Asparaginase Escherichia coli and Asparaginase Escherichia coli may cause a moderate interaction that could exacerbate diseases when taken with Diflunisal Insulin human may cause a moderate interaction that could exacerbate diseases when taken with Omacetaxine mepesuccinate and Omacetaxine mepesuccinate may lead to a major life threatening interaction when taken with Diflunisal Insulin human may cause a moderate interaction that could exacerbate diseases when taken with Sucralfate and Sucralfate (Compound) binds ALB (Gene) and ALB (Gene) is bound by Diflunisal (Compound) Insulin human 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 Diclofenac and Diclofenac may cause a moderate interaction that could exacerbate diseases when taken with Diflunisal
DB00400
DB00762
353
613
[ "DDInter843", "DDInter973" ]
Griseofulvin
Irinotecan
An antifungal antibiotic. Griseofulvin may be given by mouth in the treatment of tinea infections.
Irinotecan is an antineoplastic enzyme inhibitor primarily used in the treatment of colorectal cancer. It is a derivative of camptothecin that inhibits the action of topoisomerase I. Irinotecan prevents religation of the DNA strand by binding to topoisomerase I-DNA complex, and causes double-strand DNA breakage and cell death. It is a derivative of camptothecin. Irinotecan was approved for the treatment of advanced pancreatic cancer in October, 2015 (irinotecan liposome injection, trade name Onivyde).
Moderate
1
[ [ [ 353, 24, 613 ] ], [ [ 353, 6, 8374 ], [ 8374, 45, 613 ] ], [ [ 353, 21, 28658 ], [ 28658, 60, 613 ] ], [ [ 353, 24, 536 ], [ 536, 24, 613 ] ], [ [ 353, 24, 927 ], [ 927, 63, 613 ] ], [ [ 353, 63, 1023 ], [ 1023, 24, 613 ] ], [ [ 353, 23, 1612 ], [ 1612, 63, 613 ] ], [ [ 353, 62, 1101 ], [ 1101, 24, 613 ] ], [ [ 353, 24, 759 ], [ 759, 64, 613 ] ], [ [ 353, 24, 441 ], [ 441, 25, 613 ] ] ]
[ [ [ "Griseofulvin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Irinotecan" ] ], [ [ "Griseofulvin", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Irinotecan" ] ], [ [ "Griseofulvin", "{u} (Compound) causes {v} (Side Effect)", "Vomiting" ], [ "Vomiting", "{u} (Side Effect) is caused by {v} (Compound)", "Irinotecan" ] ], [ [ "Griseofulvin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Secobarbital" ], [ "Secobarbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Irinotecan" ] ], [ [ "Griseofulvin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Encorafenib" ], [ "Encorafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Irinotecan" ] ], [ [ "Griseofulvin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentobarbital" ], [ "Pentobarbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Irinotecan" ] ], [ [ "Griseofulvin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Fostemsavir" ], [ "Fostemsavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Irinotecan" ] ], [ [ "Griseofulvin", "{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}", "Irinotecan" ] ], [ [ "Griseofulvin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Primidone" ], [ "Primidone", "{u} may lead to a major life threatening interaction when taken with {v}", "Irinotecan" ] ], [ [ "Griseofulvin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Delavirdine" ], [ "Delavirdine", "{u} may lead to a major life threatening interaction when taken with {v}", "Irinotecan" ] ] ]
Griseofulvin (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Irinotecan (Compound) Griseofulvin (Compound) causes Vomiting (Side Effect) and Vomiting (Side Effect) is caused by Irinotecan (Compound) Griseofulvin may cause a moderate interaction that could exacerbate diseases when taken with Secobarbital and Secobarbital may cause a moderate interaction that could exacerbate diseases when taken with Irinotecan Griseofulvin may cause a moderate interaction that could exacerbate diseases when taken with Encorafenib and Encorafenib may cause a moderate interaction that could exacerbate diseases when taken with Irinotecan Griseofulvin may cause a moderate interaction that could exacerbate diseases when taken with Pentobarbital and Pentobarbital may cause a moderate interaction that could exacerbate diseases when taken with Irinotecan Griseofulvin may cause a minor interaction that can limit clinical effects when taken with Fostemsavir and Fostemsavir may cause a moderate interaction that could exacerbate diseases when taken with Irinotecan Griseofulvin 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 Irinotecan Griseofulvin may cause a moderate interaction that could exacerbate diseases when taken with Primidone and Primidone may lead to a major life threatening interaction when taken with Irinotecan Griseofulvin may cause a moderate interaction that could exacerbate diseases when taken with Delavirdine and Delavirdine may lead to a major life threatening interaction when taken with Irinotecan
DB00640
DB13074
1,585
877
[ "DDInter31", "DDInter1110" ]
Adenosine
Macimorelin
The structure of adenosine was first described in 1931, though the vasodilating effects were not described in literature until the 1940s. Adenosine is indicated as an adjunct to thallium-201 in myocardial perfusion scintigraphy, though it is rarely used in this indication, having largely been replaced by [dipyridamole] and [regadenson].[A229833,A229838] Adenosine is also indicated in the treatment of supraventricular tachycardia. Adenosine was granted FDA approval on 30 October 1989.
Macimorelin, a novel and orally active ghrelin mimetic that stimulates GH secretion, is used in the diagnosis of adult GH deficiency (AGHD). More specifically, macimorelin is a peptidomimetic growth hormone secretagogue (GHS) that acts as an agonist of GH secretagogue receptor, or ghrelin receptor (GHS-R1a) to dose-dependently increase GH levels . Growth hormone secretagogues (GHS) represent a new class of pharmacological agents which have the potential to be used in numerous clinical applications. They include treatment for growth retardation in children and cachexia associated with chronic disease such as AIDS and cancer. Growth hormone (GH) is classically linked with linear growth during childhood. In deficiency of this hormone, AGHD is commonly associated with increased fat mass (particularly in the abdominal region), decreased lean body mass, osteopenia, dyslipidemia, insulin resistance, and/or glucose intolerance overtime. In addition, individuals with may be susceptible to cardiovascular complications from altered structures and function . Risk factors of AGHD include a history of childhood-onset GH deficiency or with hypothalamic/pituitary disease, surgery, or irradiation to these areas, head trauma, or evidence of other pituitary hormone deficiencies . While there are various therapies available such as GH replacement therapy, the absence of panhypopituitarism and low serum IGF-I levels with nonspecific clinical symptoms pose challenges to the detection and diagnosis of AGHD. The diagnosis of AGHD requires biochemical confirmation with at least 1 GH stimulation test . Macimorelin is clinically useful since it displays good stability and oral bioavailability with comparable affinity to ghrelin receptor as its endogenous ligand. In clinical studies involving healthy subjects, macimorelin stimulated GH release in a dose-dependent manner with good tolerability . Macimorelin, developed by Aeterna Zentaris, was approved by the FDA in December 2017 under the market name Macrilen for oral solution.
Moderate
1
[ [ [ 1585, 24, 877 ] ], [ [ 1585, 24, 913 ], [ 913, 24, 877 ] ], [ [ 1585, 63, 966 ], [ 966, 24, 877 ] ], [ [ 1585, 24, 485 ], [ 485, 25, 877 ] ], [ [ 1585, 25, 478 ], [ 478, 25, 877 ] ], [ [ 1585, 64, 1424 ], [ 1424, 25, 877 ] ], [ [ 1585, 63, 79 ], [ 79, 25, 877 ] ], [ [ 1585, 25, 982 ], [ 982, 64, 877 ] ], [ [ 1585, 24, 913 ], [ 913, 62, 112 ], [ 112, 23, 877 ] ], [ [ 1585, 63, 966 ], [ 966, 63, 176 ], [ 176, 24, 877 ] ] ]
[ [ [ "Adenosine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Macimorelin" ] ], [ [ "Adenosine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ], [ "Apalutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Macimorelin" ] ], [ [ "Adenosine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Octreotide" ], [ "Octreotide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Macimorelin" ] ], [ [ "Adenosine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentamidine" ], [ "Pentamidine", "{u} may lead to a major life threatening interaction when taken with {v}", "Macimorelin" ] ], [ [ "Adenosine", "{u} may lead to a major life threatening interaction when taken with {v}", "Nilotinib" ], [ "Nilotinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Macimorelin" ] ], [ [ "Adenosine", "{u} may lead to a major life threatening interaction when taken with {v}", "Quinine" ], [ "Quinine", "{u} may lead to a major life threatening interaction when taken with {v}", "Macimorelin" ] ], [ [ "Adenosine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sorafenib" ], [ "Sorafenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Macimorelin" ] ], [ [ "Adenosine", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivosidenib" ], [ "Ivosidenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Macimorelin" ] ], [ [ "Adenosine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ], [ "Apalutamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Macimorelin" ] ], [ [ "Adenosine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Octreotide" ], [ "Octreotide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin glargine" ], [ "Insulin glargine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Macimorelin" ] ] ]
Adenosine may cause a moderate interaction that could exacerbate diseases when taken with Apalutamide and Apalutamide may cause a moderate interaction that could exacerbate diseases when taken with Macimorelin Adenosine may cause a moderate interaction that could exacerbate diseases when taken with Octreotide and Octreotide may cause a moderate interaction that could exacerbate diseases when taken with Macimorelin Adenosine may cause a moderate interaction that could exacerbate diseases when taken with Pentamidine and Pentamidine may lead to a major life threatening interaction when taken with Macimorelin Adenosine may lead to a major life threatening interaction when taken with Nilotinib and Nilotinib may lead to a major life threatening interaction when taken with Macimorelin Adenosine may lead to a major life threatening interaction when taken with Quinine and Quinine may lead to a major life threatening interaction when taken with Macimorelin Adenosine may cause a moderate interaction that could exacerbate diseases when taken with Sorafenib and Sorafenib may lead to a major life threatening interaction when taken with Macimorelin Adenosine may lead to a major life threatening interaction when taken with Ivosidenib and Ivosidenib may lead to a major life threatening interaction when taken with Macimorelin Adenosine may cause a moderate interaction that could exacerbate diseases when taken with Apalutamide and Apalutamide may cause a minor interaction that can limit clinical effects when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Macimorelin Adenosine may cause a moderate interaction that could exacerbate diseases when taken with Octreotide and Octreotide may cause a moderate interaction that could exacerbate diseases when taken with Insulin glargine and Insulin glargine may cause a moderate interaction that could exacerbate diseases when taken with Macimorelin
DB00530
DB00553
1,195
92
[ "DDInter667", "DDInter1177" ]
Erlotinib
Methoxsalen
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
A naturally occurring furocoumarin compound found in several species of plants, including Psoralea corylifolia. It is a photoactive substance that forms DNA adducts in the presence of ultraviolet A irradiation.
Moderate
1
[ [ [ 1195, 24, 92 ] ], [ [ 1195, 6, 8374 ], [ 8374, 45, 92 ] ], [ [ 1195, 7, 2602 ], [ 2602, 46, 92 ] ], [ [ 1195, 18, 6495 ], [ 6495, 57, 92 ] ], [ [ 1195, 21, 28640 ], [ 28640, 60, 92 ] ], [ [ 1195, 1, 883 ], [ 883, 24, 92 ] ], [ [ 1195, 24, 33 ], [ 33, 63, 92 ] ], [ [ 1195, 63, 612 ], [ 612, 24, 92 ] ], [ [ 1195, 40, 1069 ], [ 1069, 63, 92 ] ], [ [ 1195, 25, 213 ], [ 213, 64, 92 ] ] ]
[ [ [ "Erlotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methoxsalen" ] ], [ [ "Erlotinib", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Methoxsalen" ] ], [ [ "Erlotinib", "{u} (Compound) upregulates {v} (Gene)", "PTK2B" ], [ "PTK2B", "{u} (Gene) is upregulated by {v} (Compound)", "Methoxsalen" ] ], [ [ "Erlotinib", "{u} (Compound) downregulates {v} (Gene)", "S100A6" ], [ "S100A6", "{u} (Gene) is downregulated by {v} (Compound)", "Methoxsalen" ] ], [ [ "Erlotinib", "{u} (Compound) causes {v} (Side Effect)", "Depression" ], [ "Depression", "{u} (Side Effect) is caused by {v} (Compound)", "Methoxsalen" ] ], [ [ "Erlotinib", "{u} (Compound) resembles {v} (Compound)", "Gefitinib" ], [ "Gefitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methoxsalen" ] ], [ [ "Erlotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amiodarone" ], [ "Amiodarone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methoxsalen" ] ], [ [ "Erlotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Verteporfin" ], [ "Verteporfin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methoxsalen" ] ], [ [ "Erlotinib", "{u} (Compound) resembles {v} (Compound)", "Vandetanib" ], [ "Vandetanib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methoxsalen" ] ], [ [ "Erlotinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Aminolevulinic acid" ], [ "Aminolevulinic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Methoxsalen" ] ] ]
Erlotinib (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Methoxsalen (Compound) Erlotinib (Compound) upregulates PTK2B (Gene) and PTK2B (Gene) is upregulated by Methoxsalen (Compound) Erlotinib (Compound) downregulates S100A6 (Gene) and S100A6 (Gene) is downregulated by Methoxsalen (Compound) Erlotinib (Compound) causes Depression (Side Effect) and Depression (Side Effect) is caused by Methoxsalen (Compound) Erlotinib (Compound) resembles Gefitinib (Compound) and Gefitinib may cause a moderate interaction that could exacerbate diseases when taken with Methoxsalen Erlotinib may cause a moderate interaction that could exacerbate diseases when taken with Amiodarone and Amiodarone may cause a moderate interaction that could exacerbate diseases when taken with Methoxsalen Erlotinib may cause a moderate interaction that could exacerbate diseases when taken with Verteporfin and Verteporfin may cause a moderate interaction that could exacerbate diseases when taken with Methoxsalen Erlotinib (Compound) resembles Vandetanib (Compound) and Vandetanib may cause a moderate interaction that could exacerbate diseases when taken with Methoxsalen Erlotinib may lead to a major life threatening interaction when taken with Aminolevulinic acid and Aminolevulinic acid may lead to a major life threatening interaction when taken with Methoxsalen
DB00757
DB01611
1,166
1,487
[ "DDInter581", "DDInter893" ]
Dolasetron
Hydroxychloroquine
Dolasetron is an antinauseant and antiemetic agent indicated for the prevention of nausea and vomiting associated with moderately-emetogenic cancer chemotherapy and for the prevention of postoperative nausea and vomiting. Dolasetron is a highly specific and selective serotonin 5-HT3 receptor antagonist. This drug is not shown to have activity at other known serotonin receptors, and has low affinity for dopamine receptors.
Hydroxychloroquine is a racemic mixture consisting of an R and S enantiomer. Hydroxychloroquine is an aminoquinoline like [chloroquine]. It is a commonly prescribed medication in the treatment of uncomplicated malaria, rheumatoid arthritis, chronic discoid lupus erythematosus, and systemic lupus erythematosus. Hydroxychloroquine is also used for the prophylaxis of malaria in regions where chloroquine resistance is unlikely. It was developed during World War II as a derivative of [quinacrine] with less severe side effects. Chloroquine and hydroxychloroquine are both being investigated for the treatment of SARS-CoV-2. **The FDA emergency use authorization for hydroxychloroquine and [chloroquine] in the treatment of COVID-19 was revoked on 15 June 2020.** Hydroxychloroquine was granted FDA approval on 18 April 1955. A recent study reported a fatality in the group being treated with hydroxychloroquine for COVID-19.
Major
2
[ [ [ 1166, 25, 1487 ] ], [ [ 1166, 25, 1520 ], [ 1520, 25, 1487 ] ], [ [ 1166, 6, 12523 ], [ 12523, 45, 1487 ] ], [ [ 1166, 21, 28803 ], [ 28803, 60, 1487 ] ], [ [ 1166, 23, 1247 ], [ 1247, 23, 1487 ] ], [ [ 1166, 64, 88 ], [ 88, 23, 1487 ] ], [ [ 1166, 24, 286 ], [ 286, 63, 1487 ] ], [ [ 1166, 64, 521 ], [ 521, 24, 1487 ] ], [ [ 1166, 63, 1516 ], [ 1516, 24, 1487 ] ], [ [ 1166, 62, 690 ], [ 690, 24, 1487 ] ] ]
[ [ [ "Dolasetron", "{u} may lead to a major life threatening interaction when taken with {v}", "Hydroxychloroquine" ] ], [ [ "Dolasetron", "{u} may lead to a major life threatening interaction when taken with {v}", "Primaquine" ], [ "Primaquine", "{u} may lead to a major life threatening interaction when taken with {v}", "Hydroxychloroquine" ] ], [ [ "Dolasetron", "{u} (Compound) binds {v} (Gene)", "CYP2D6" ], [ "CYP2D6", "{u} (Gene) is bound by {v} (Compound)", "Hydroxychloroquine" ] ], [ [ "Dolasetron", "{u} (Compound) causes {v} (Side Effect)", "Anaemia" ], [ "Anaemia", "{u} (Side Effect) is caused by {v} (Compound)", "Hydroxychloroquine" ] ], [ [ "Dolasetron", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sulfamethoxazole" ], [ "Sulfamethoxazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Hydroxychloroquine" ] ], [ [ "Dolasetron", "{u} may lead to a major life threatening interaction when taken with {v}", "Metoprolol" ], [ "Metoprolol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Hydroxychloroquine" ] ], [ [ "Dolasetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium hydroxide" ], [ "Magnesium hydroxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydroxychloroquine" ] ], [ [ "Dolasetron", "{u} may lead to a major life threatening interaction when taken with {v}", "Goserelin" ], [ "Goserelin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydroxychloroquine" ] ], [ [ "Dolasetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Galantamine" ], [ "Galantamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydroxychloroquine" ] ], [ [ "Dolasetron", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Rifabutin" ], [ "Rifabutin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydroxychloroquine" ] ] ]
Dolasetron may lead to a major life threatening interaction when taken with Primaquine and Primaquine may lead to a major life threatening interaction when taken with Hydroxychloroquine Dolasetron (Compound) binds CYP2D6 (Gene) and CYP2D6 (Gene) is bound by Hydroxychloroquine (Compound) Dolasetron (Compound) causes Anaemia (Side Effect) and Anaemia (Side Effect) is caused by Hydroxychloroquine (Compound) Dolasetron may cause a minor interaction that can limit clinical effects when taken with Sulfamethoxazole and Sulfamethoxazole may cause a minor interaction that can limit clinical effects when taken with Hydroxychloroquine Dolasetron may lead to a major life threatening interaction when taken with Metoprolol and Metoprolol may cause a minor interaction that can limit clinical effects when taken with Hydroxychloroquine Dolasetron may cause a moderate interaction that could exacerbate diseases when taken with Magnesium hydroxide and Magnesium hydroxide may cause a moderate interaction that could exacerbate diseases when taken with Hydroxychloroquine Dolasetron may lead to a major life threatening interaction when taken with Goserelin and Goserelin may cause a moderate interaction that could exacerbate diseases when taken with Hydroxychloroquine Dolasetron may cause a moderate interaction that could exacerbate diseases when taken with Galantamine and Galantamine may cause a moderate interaction that could exacerbate diseases when taken with Hydroxychloroquine Dolasetron may cause a minor interaction that can limit clinical effects when taken with Rifabutin and Rifabutin may cause a moderate interaction that could exacerbate diseases when taken with Hydroxychloroquine
DB00959
DB01124
1,486
1,411
[ "DDInter1191", "DDInter1828" ]
Methylprednisolone
Tolbutamide
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.
Tolbutamide is an oral antihyperglycemic agent used for the treatment of non-insulin-dependent diabetes mellitus (NIDDM). It is structurally similar to acetohexamide, chlorpropamide and tolazamide and belongs to the sulfonylurea class of insulin secretagogues, which act by stimulating β cells of the pancreas to release insulin. Sulfonylureas increase both basal insulin secretion and meal-stimulated insulin release. Medications in this class differ in their dose, rate of absorption, duration of action, route of elimination and binding site on their target pancreatic β cell receptor. Sulfonylureas also increase peripheral glucose utilization, decrease hepatic gluconeogenesis and may increase the number and sensitivity of insulin receptors. Sulfonylureas are associated with weight gain, though less so than insulin. Due to their mechanism of action, sulfonylureas may cause hypoglycemia and require consistent food intake to decrease this risk. The risk of hypoglycemia is increased in elderly, debilitated and malnourished individuals. Tolbutamide appears to be metabolized in the liver. Tolbutamide and its metabolites are excreted in urine (75-85%) and feces.
Moderate
1
[ [ [ 1486, 24, 1411 ] ], [ [ 1486, 24, 959 ], [ 959, 40, 1411 ] ], [ [ 1486, 63, 245 ], [ 245, 40, 1411 ] ], [ [ 1486, 21, 28746 ], [ 28746, 60, 1411 ] ], [ [ 1486, 24, 1551 ], [ 1551, 23, 1411 ] ], [ [ 1486, 24, 1478 ], [ 1478, 63, 1411 ] ], [ [ 1486, 63, 1014 ], [ 1014, 24, 1411 ] ], [ [ 1486, 24, 1340 ], [ 1340, 24, 1411 ] ], [ [ 1486, 1, 303 ], [ 303, 24, 1411 ] ], [ [ 1486, 23, 480 ], [ 480, 24, 1411 ] ] ]
[ [ [ "Methylprednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tolbutamide" ] ], [ [ "Methylprednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glipizide" ], [ "Glipizide", "{u} (Compound) resembles {v} (Compound)", "Tolbutamide" ] ], [ [ "Methylprednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glimepiride" ], [ "Glimepiride", "{u} (Compound) resembles {v} (Compound)", "Tolbutamide" ] ], [ [ "Methylprednisolone", "{u} (Compound) causes {v} (Side Effect)", "Erythema" ], [ "Erythema", "{u} (Side Effect) is caused by {v} (Compound)", "Tolbutamide" ] ], [ [ "Methylprednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methyldopa" ], [ "Methyldopa", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Tolbutamide" ] ], [ [ "Methylprednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivacaftor" ], [ "Ivacaftor", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tolbutamide" ] ], [ [ "Methylprednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Benzthiazide" ], [ "Benzthiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tolbutamide" ] ], [ [ "Methylprednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deserpidine" ], [ "Deserpidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tolbutamide" ] ], [ [ "Methylprednisolone", "{u} (Compound) resembles {v} (Compound)", "Medroxyprogesterone acetate" ], [ "Medroxyprogesterone acetate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tolbutamide" ] ], [ [ "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}", "Tolbutamide" ] ] ]
Methylprednisolone may cause a moderate interaction that could exacerbate diseases when taken with Glipizide and Glipizide (Compound) resembles Tolbutamide (Compound) Methylprednisolone may cause a moderate interaction that could exacerbate diseases when taken with Glimepiride and Glimepiride (Compound) resembles Tolbutamide (Compound) Methylprednisolone (Compound) causes Erythema (Side Effect) and Erythema (Side Effect) is caused by Tolbutamide (Compound) Methylprednisolone may cause a moderate interaction that could exacerbate diseases when taken with Methyldopa and Methyldopa may cause a minor interaction that can limit clinical effects when taken with Tolbutamide Methylprednisolone may cause a moderate interaction that could exacerbate diseases when taken with Ivacaftor and Ivacaftor may cause a moderate interaction that could exacerbate diseases when taken with Tolbutamide Methylprednisolone may cause a moderate interaction that could exacerbate diseases when taken with Benzthiazide and Benzthiazide may cause a moderate interaction that could exacerbate diseases when taken with Tolbutamide Methylprednisolone may cause a moderate interaction that could exacerbate diseases when taken with Deserpidine and Deserpidine may cause a moderate interaction that could exacerbate diseases when taken with Tolbutamide Methylprednisolone (Compound) resembles Medroxyprogesterone acetate (Compound) and Medroxyprogesterone acetate may cause a moderate interaction that could exacerbate diseases when taken with Tolbutamide 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 Tolbutamide
DB06335
DB11986
761
484
[ "DDInter1646", "DDInter648" ]
Saxagliptin
Entrectinib
Saxagliptin (rINN) is an orally active hypoglycemic (anti-diabetic drug) of the new dipeptidyl peptidase-4 (DPP-4) inhibitor class of drugs. FDA approved on July 31, 2009.
Entrectinib is a tropomyosin receptor tyrosine kinase (TRK) TRKA, TRKB, TRKC, proto-oncogene tyrosine-protein kinase ROS1, and anaplastic lymphoma kinase (ALK) inhibitor. It was approved by the FDA in August 2019 for use in the treatment of ROS1-positive metastatic non-small cell lung cancer and NTRK gene fusion positive solid tumors. Entrectinib's approved use is meant as a last line of therapy due to its accelerated approval based on early trial data. This therapy offers benefit over similar ALK inhibitors such as [alectinib], [ceritinib], and [lorlatinib] due to a wider range of targets.
Moderate
1
[ [ [ 761, 24, 484 ] ], [ [ 761, 63, 222 ], [ 222, 23, 484 ] ], [ [ 761, 63, 1197 ], [ 1197, 24, 484 ] ], [ [ 761, 24, 1320 ], [ 1320, 24, 484 ] ], [ [ 761, 24, 1412 ], [ 1412, 63, 484 ] ], [ [ 761, 64, 1101 ], [ 1101, 24, 484 ] ], [ [ 761, 63, 215 ], [ 215, 25, 484 ] ], [ [ 761, 64, 246 ], [ 246, 25, 484 ] ], [ [ 761, 24, 875 ], [ 875, 25, 484 ] ], [ [ 761, 24, 68 ], [ 68, 64, 484 ] ] ]
[ [ [ "Saxagliptin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Entrectinib" ] ], [ [ "Saxagliptin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sibutramine" ], [ "Sibutramine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Entrectinib" ] ], [ [ "Saxagliptin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Norethisterone" ], [ "Norethisterone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Entrectinib" ] ], [ [ "Saxagliptin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Elagolix" ], [ "Elagolix", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Entrectinib" ] ], [ [ "Saxagliptin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calaspargase pegol" ], [ "Calaspargase pegol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Entrectinib" ] ], [ [ "Saxagliptin", "{u} may lead to a major life threatening interaction when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Entrectinib" ] ], [ [ "Saxagliptin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Indinavir" ], [ "Indinavir", "{u} may lead to a major life threatening interaction when taken with {v}", "Entrectinib" ] ], [ [ "Saxagliptin", "{u} may lead to a major life threatening interaction when taken with {v}", "Gatifloxacin" ], [ "Gatifloxacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Entrectinib" ] ], [ [ "Saxagliptin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fosaprepitant" ], [ "Fosaprepitant", "{u} may lead to a major life threatening interaction when taken with {v}", "Entrectinib" ] ], [ [ "Saxagliptin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Troleandomycin" ], [ "Troleandomycin", "{u} may lead to a major life threatening interaction when taken with {v}", "Entrectinib" ] ] ]
Saxagliptin may cause a moderate interaction that could exacerbate diseases when taken with Sibutramine and Sibutramine may cause a minor interaction that can limit clinical effects when taken with Entrectinib Saxagliptin may cause a moderate interaction that could exacerbate diseases when taken with Norethisterone and Norethisterone may cause a moderate interaction that could exacerbate diseases when taken with Entrectinib Saxagliptin may cause a moderate interaction that could exacerbate diseases when taken with Elagolix and Elagolix may cause a moderate interaction that could exacerbate diseases when taken with Entrectinib Saxagliptin may cause a moderate interaction that could exacerbate diseases when taken with Calaspargase pegol and Calaspargase pegol may cause a moderate interaction that could exacerbate diseases when taken with Entrectinib Saxagliptin may lead to a major life threatening interaction when taken with Bexarotene and Bexarotene may cause a moderate interaction that could exacerbate diseases when taken with Entrectinib Saxagliptin may cause a moderate interaction that could exacerbate diseases when taken with Indinavir and Indinavir may lead to a major life threatening interaction when taken with Entrectinib Saxagliptin may lead to a major life threatening interaction when taken with Gatifloxacin and Gatifloxacin may lead to a major life threatening interaction when taken with Entrectinib Saxagliptin may cause a moderate interaction that could exacerbate diseases when taken with Fosaprepitant and Fosaprepitant may lead to a major life threatening interaction when taken with Entrectinib Saxagliptin may cause a moderate interaction that could exacerbate diseases when taken with Troleandomycin and Troleandomycin may lead to a major life threatening interaction when taken with Entrectinib
DB11363
DB14761
1,276
242
[ "DDInter39", "DDInter1578" ]
Alectinib
Remdesivir
Alectinib is a second generation oral drug that selectively inhibits the activity of anaplastic lymphoma kinase (ALK) tyrosine kinase. It is specifically used in the treatment of non-small cell lung cancer (NSCLC) expressing the ALK-EML4 (echinoderm microtubule-associated protein-like 4) fusion protein that causes proliferation of NSCLC cells. Inhibition of ALK prevents phosphorylation and subsequent downstream activation of STAT3 and AKT resulting in reduced tumour cell viability. Approved under accelerated approval in 2015, alectinib is indicated for use in patients who have progressed on or were not tolerant of crizotinib, which is associated with the development of resistance.
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the causative agent of coronavirus disease 2019 (COVID-19), which is a respiratory disease that is capable of progressing to viral pneumonia and acute respiratory distress syndrome (ARDS); COVID-19 can be fatal. Like other RNA viruses, SARS-CoV-2 depends on an RNA-dependent RNA polymerase (RdRp) enzyme complex for genomic replication, which can be inhibited by a class of drugs known as nucleoside analogues. Remdesivir (GS-5734) is an adenosine triphosphate analogue first described in the literature in 2016 as a potential treatment for Ebola.[A191379, A222393] Broad antiviral activity of remdesivir is suggested by its mechanism of action, and to date, it has demonstrated _in vitro_ activity against the _Arenaviridae_, _Flaviviridae_, _Filoviridae_, _Paramyxoviridae_, _Pneumoviridae_, and _Coronaviridae_ viral families. Remdesivir activity against the _Coronaviridae_ family was first demonstrated in 2017, leading to considerable interest in remdesivir as a possible treatment for COVID-19.[A191427, A198810] Remdesivir was confirmed as a non-obligate chain terminator of RdRp from SARS-CoV-2 and the related SARS-CoV and MERS-CoV, and has been investigated in multiple COVID-19 clinical trials.[L12174, L12177] After initially being granted an FDA Emergency Use Authorization (EUA) on May 1st, 2020, remdesivir was fully approved by the FDA for the treatment of COVID-19 on October 22, 2020. Remdesivir is currently marketed under the trademark name VEKLURY by Gilead Sciences Inc. Remdesivir was also approved by the European Commission on July 3, 2020. Remdesivir in combination with [baricitinib] for the treatment of COVID-19, was granted an FDA Emergency Use Authorization on November 19, 2020.
Moderate
1
[ [ [ 1276, 24, 242 ] ], [ [ 1276, 64, 1377 ], [ 1377, 24, 242 ] ], [ [ 1276, 63, 384 ], [ 384, 24, 242 ] ], [ [ 1276, 64, 1377 ], [ 1377, 25, 1130 ], [ 1130, 24, 242 ] ], [ [ 1276, 63, 384 ], [ 384, 63, 1130 ], [ 1130, 24, 242 ] ], [ [ 1276, 63, 482 ], [ 482, 24, 1130 ], [ 1130, 24, 242 ] ], [ [ 1276, 63, 1011 ], [ 1011, 64, 1377 ], [ 1377, 24, 242 ] ], [ [ 1276, 64, 1510 ], [ 1510, 64, 1130 ], [ 1130, 24, 242 ] ], [ [ 1276, 63, 1011 ], [ 1011, 25, 129 ], [ 129, 24, 242 ] ], [ [ 1276, 64, 1510 ], [ 1510, 24, 129 ], [ 129, 24, 242 ] ] ]
[ [ [ "Alectinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Remdesivir" ] ], [ [ "Alectinib", "{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}", "Remdesivir" ] ], [ [ "Alectinib", "{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}", "Remdesivir" ] ], [ [ "Alectinib", "{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}", "Pioglitazone" ], [ "Pioglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Remdesivir" ] ], [ [ "Alectinib", "{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}", "Pioglitazone" ], [ "Pioglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Remdesivir" ] ], [ [ "Alectinib", "{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}", "Pioglitazone" ], [ "Pioglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Remdesivir" ] ], [ [ "Alectinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fingolimod" ], [ "Fingolimod", "{u} may lead to a major life threatening interaction when taken with {v}", "Leflunomide" ], [ "Leflunomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Remdesivir" ] ], [ [ "Alectinib", "{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}", "Pioglitazone" ], [ "Pioglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Remdesivir" ] ], [ [ "Alectinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fingolimod" ], [ "Fingolimod", "{u} may lead to a major life threatening interaction when taken with {v}", "Enzalutamide" ], [ "Enzalutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Remdesivir" ] ], [ [ "Alectinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ], [ "Teriflunomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enzalutamide" ], [ "Enzalutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Remdesivir" ] ] ]
Alectinib 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 Remdesivir Alectinib 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 Remdesivir Alectinib 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 Pioglitazone and Pioglitazone may cause a moderate interaction that could exacerbate diseases when taken with Remdesivir Alectinib 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 Pioglitazone and Pioglitazone may cause a moderate interaction that could exacerbate diseases when taken with Remdesivir Alectinib 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 Pioglitazone and Pioglitazone may cause a moderate interaction that could exacerbate diseases when taken with Remdesivir Alectinib may cause a moderate interaction that could exacerbate diseases when taken with Fingolimod and Fingolimod may lead to a major life threatening interaction when taken with Leflunomide and Leflunomide may cause a moderate interaction that could exacerbate diseases when taken with Remdesivir Alectinib 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 Pioglitazone and Pioglitazone may cause a moderate interaction that could exacerbate diseases when taken with Remdesivir Alectinib may cause a moderate interaction that could exacerbate diseases when taken with Fingolimod and Fingolimod may lead to a major life threatening interaction when taken with Enzalutamide and Enzalutamide may cause a moderate interaction that could exacerbate diseases when taken with Remdesivir Alectinib may lead to a major life threatening interaction when taken with Teriflunomide and Teriflunomide may cause a moderate interaction that could exacerbate diseases when taken with Enzalutamide and Enzalutamide may cause a moderate interaction that could exacerbate diseases when taken with Remdesivir
DB00377
DB09330
1,494
985
[ "DDInter1382", "DDInter1352" ]
Palonosetron
Osimertinib
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.
Osimertinib is an oral, third-generation epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor (TKI) drug developed by AstraZeneca Pharmaceuticals.[A7926,L43453] Its use is indicated for the treatment of metastatic non-small cell lung cancer (NSCLC) in cases where tumour EGFR expression is positive for the T790M mutation as detected by FDA-approved testing and which has progressed following therapy with a first-generation EGFR tyrosine kinase inhibitor. Approximately 10% of patients with NSCLC have a rapid and clinically effective response to EGFR-TKIs due to the presence of specific activating EGFR mutations within the tumour cells. More specifically, deletions around the LREA motif in exon 19 and exon 21 L858R point mutations are correlated with response to therapy. Development of third-generation EGFR-TKIs, such as osimertinib, has been in response to altered tumour resistance patterns following treatment and toxic side effects that impact patient quality of life. Treatment with first-generation EGFR-TKIs (gefitinib and erlotinib) has been associated with the development of resistance through activating mutations in the EGFR gene. Second-generation EGFR-TKIs (afatinib and dacomitinib) were then developed to be more potent inhibitors, although their use is associated with increased toxicity through nonspecific targeting of wild-type EGFR. In contrast, third-generation inhibitors are specific for the gate-keeper T790M mutations which increases ATP binding activity to EGFR and result in poor prognosis for late-stage disease. Furthermore, osimertinib has been shown to spare wild-type EGFR during therapy, thereby reducing non-specific binding and limiting toxicity.[A7926,A7927,A7931]
Major
2
[ [ [ 1494, 25, 985 ] ], [ [ 1494, 23, 1247 ], [ 1247, 23, 985 ] ], [ [ 1494, 24, 480 ], [ 480, 24, 985 ] ], [ [ 1494, 24, 657 ], [ 657, 63, 985 ] ], [ [ 1494, 63, 1181 ], [ 1181, 24, 985 ] ], [ [ 1494, 64, 529 ], [ 529, 24, 985 ] ], [ [ 1494, 25, 704 ], [ 704, 24, 985 ] ], [ [ 1494, 25, 1097 ], [ 1097, 63, 985 ] ], [ [ 1494, 24, 843 ], [ 843, 25, 985 ] ], [ [ 1494, 25, 11 ], [ 11, 25, 985 ] ] ]
[ [ [ "Palonosetron", "{u} may lead to a major life threatening interaction when taken with {v}", "Osimertinib" ] ], [ [ "Palonosetron", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sulfamethoxazole" ], [ "Sulfamethoxazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Osimertinib" ] ], [ [ "Palonosetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Formoterol" ], [ "Formoterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Osimertinib" ] ], [ [ "Palonosetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Castor oil" ], [ "Castor oil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Osimertinib" ] ], [ [ "Palonosetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Terfenadine" ], [ "Terfenadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Osimertinib" ] ], [ [ "Palonosetron", "{u} may lead to a major life threatening interaction when taken with {v}", "Fluvoxamine" ], [ "Fluvoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Osimertinib" ] ], [ [ "Palonosetron", "{u} may lead to a major life threatening interaction when taken with {v}", "Fentanyl" ], [ "Fentanyl", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Osimertinib" ] ], [ [ "Palonosetron", "{u} may lead to a major life threatening interaction when taken with {v}", "Lasmiditan" ], [ "Lasmiditan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Osimertinib" ] ], [ [ "Palonosetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetrabenazine" ], [ "Tetrabenazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Osimertinib" ] ], [ [ "Palonosetron", "{u} may lead to a major life threatening interaction when taken with {v}", "Toremifene" ], [ "Toremifene", "{u} may lead to a major life threatening interaction when taken with {v}", "Osimertinib" ] ] ]
Palonosetron may cause a minor interaction that can limit clinical effects when taken with Sulfamethoxazole and Sulfamethoxazole may cause a minor interaction that can limit clinical effects when taken with Osimertinib Palonosetron may cause a moderate interaction that could exacerbate diseases when taken with Formoterol and Formoterol may cause a moderate interaction that could exacerbate diseases when taken with Osimertinib Palonosetron may cause a moderate interaction that could exacerbate diseases when taken with Castor oil and Castor oil may cause a moderate interaction that could exacerbate diseases when taken with Osimertinib Palonosetron may cause a moderate interaction that could exacerbate diseases when taken with Terfenadine and Terfenadine may cause a moderate interaction that could exacerbate diseases when taken with Osimertinib Palonosetron may lead to a major life threatening interaction when taken with Fluvoxamine and Fluvoxamine may cause a moderate interaction that could exacerbate diseases when taken with Osimertinib Palonosetron may lead to a major life threatening interaction when taken with Fentanyl and Fentanyl may cause a moderate interaction that could exacerbate diseases when taken with Osimertinib Palonosetron may lead to a major life threatening interaction when taken with Lasmiditan and Lasmiditan may cause a moderate interaction that could exacerbate diseases when taken with Osimertinib Palonosetron may cause a moderate interaction that could exacerbate diseases when taken with Tetrabenazine and Tetrabenazine may lead to a major life threatening interaction when taken with Osimertinib Palonosetron may lead to a major life threatening interaction when taken with Toremifene and Toremifene may lead to a major life threatening interaction when taken with Osimertinib
DB00514
DB01100
506
1,568
[ "DDInter527", "DDInter1470" ]
Dextromethorphan
Pimozide
Dextromethorphan is a levorphanol derivative and codeine analog commonly used as a cough suppressant and also a drug of abuse. Although similar in structure to other opioids, it has minimal interaction with opioid receptors. Dextromethorphan was granted FDA approval before 3 December 1957.[A215412,L14997]
A diphenylbutylpiperidine that is effective as an antipsychotic agent and as an alternative to haloperidol for the suppression of vocal and motor tics in patients with Tourette syndrome. Although the precise mechanism of action is unknown, blockade of postsynaptic dopamine receptors has been postulated. (From AMA Drug Evaluations Annual, 1994, p403)
Moderate
1
[ [ [ 506, 24, 1568 ] ], [ [ 506, 63, 78 ], [ 78, 40, 1568 ] ], [ [ 506, 6, 7940 ], [ 7940, 45, 1568 ] ], [ [ 506, 7, 8386 ], [ 8386, 46, 1568 ] ], [ [ 506, 21, 28921 ], [ 28921, 60, 1568 ] ], [ [ 506, 24, 649 ], [ 649, 63, 1568 ] ], [ [ 506, 63, 13 ], [ 13, 24, 1568 ] ], [ [ 506, 25, 222 ], [ 222, 63, 1568 ] ], [ [ 506, 24, 100 ], [ 100, 24, 1568 ] ], [ [ 506, 24, 868 ], [ 868, 64, 1568 ] ] ]
[ [ [ "Dextromethorphan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pimozide" ] ], [ [ "Dextromethorphan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Droperidol" ], [ "Droperidol", "{u} (Compound) resembles {v} (Compound)", "Pimozide" ] ], [ [ "Dextromethorphan", "{u} (Compound) binds {v} (Gene)", "OPRK1" ], [ "OPRK1", "{u} (Gene) is bound by {v} (Compound)", "Pimozide" ] ], [ [ "Dextromethorphan", "{u} (Compound) upregulates {v} (Gene)", "MTHFD2" ], [ "MTHFD2", "{u} (Gene) is upregulated by {v} (Compound)", "Pimozide" ] ], [ [ "Dextromethorphan", "{u} (Compound) causes {v} (Side Effect)", "Dizziness" ], [ "Dizziness", "{u} (Side Effect) is caused by {v} (Compound)", "Pimozide" ] ], [ [ "Dextromethorphan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ], [ "Clofedanol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pimozide" ] ], [ [ "Dextromethorphan", "{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}", "Pimozide" ] ], [ [ "Dextromethorphan", "{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}", "Pimozide" ] ], [ [ "Dextromethorphan", "{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}", "Pimozide" ] ], [ [ "Dextromethorphan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vemurafenib" ], [ "Vemurafenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Pimozide" ] ] ]
Dextromethorphan may cause a moderate interaction that could exacerbate diseases when taken with Droperidol and Droperidol (Compound) resembles Pimozide (Compound) Dextromethorphan (Compound) binds OPRK1 (Gene) and OPRK1 (Gene) is bound by Pimozide (Compound) Dextromethorphan (Compound) upregulates MTHFD2 (Gene) and MTHFD2 (Gene) is upregulated by Pimozide (Compound) Dextromethorphan (Compound) causes Dizziness (Side Effect) and Dizziness (Side Effect) is caused by Pimozide (Compound) Dextromethorphan may cause a moderate interaction that could exacerbate diseases when taken with Clofedanol and Clofedanol may cause a moderate interaction that could exacerbate diseases when taken with Pimozide Dextromethorphan 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 Pimozide Dextromethorphan 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 Pimozide Dextromethorphan 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 Pimozide Dextromethorphan may cause a moderate interaction that could exacerbate diseases when taken with Vemurafenib and Vemurafenib may lead to a major life threatening interaction when taken with Pimozide
DB00495
DB00888
139
1,001
[ "DDInter1961", "DDInter1133" ]
Zidovudine
Mechlorethamine
A dideoxynucleoside compound in which the 3&#39;-hydroxy group on the sugar moiety has been replaced by an azido group. This modification prevents the formation of phosphodiester linkages which are needed for the completion of nucleic acid chains. The compound is a potent inhibitor of HIV replication, acting as a chain-terminator of viral DNA during reverse transcription. It improves immunologic function, partially reverses the HIV-induced neurological dysfunction, and improves certain other clinical abnormalities associated with AIDS. Its principal toxic effect is dose-dependent suppression of bone marrow, resulting in anemia and leukopenia. [PubChem]
A vesicant and necrotizing irritant destructive to mucous membranes, mechlorethamine is an alkylating drug. It was formerly used as a war gas. The hydrochloride is used as an antineoplastic in Hodgkin's disease and lymphomas. It causes severe gastrointestinal and bone marrow damage. The FDA granted marketing approval for the orphan drug Valchlor (mechlorethamine) gel on August 23, 2013 for the topical treatment of stage IA and IB mycosis fungoides-type cutaneous T-cell lymphoma (CTCL) in patients who have received prior skin-directed therapy. Each tube of Valchlor contains 0.016% of mechlorethamine which is equivalent to 0.02% mechlorethamine HCl.
Moderate
1
[ [ [ 139, 24, 1001 ] ], [ [ 139, 24, 450 ], [ 450, 1, 1001 ] ], [ [ 139, 21, 28725 ], [ 28725, 60, 1001 ] ], [ [ 139, 24, 51 ], [ 51, 24, 1001 ] ], [ [ 139, 24, 1683 ], [ 1683, 63, 1001 ] ], [ [ 139, 63, 66 ], [ 66, 24, 1001 ] ], [ [ 139, 74, 141 ], [ 141, 24, 1001 ] ], [ [ 139, 25, 1377 ], [ 1377, 64, 1001 ] ], [ [ 139, 24, 770 ], [ 770, 64, 1001 ] ], [ [ 139, 64, 581 ], [ 581, 25, 1001 ] ] ]
[ [ [ "Zidovudine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mechlorethamine" ] ], [ [ "Zidovudine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyclophosphamide" ], [ "Cyclophosphamide", "{u} (Compound) resembles {v} (Compound)", "Mechlorethamine" ] ], [ [ "Zidovudine", "{u} (Compound) causes {v} (Side Effect)", "Pancytopenia" ], [ "Pancytopenia", "{u} (Side Effect) is caused by {v} (Compound)", "Mechlorethamine" ] ], [ [ "Zidovudine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Daunorubicin" ], [ "Daunorubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mechlorethamine" ] ], [ [ "Zidovudine", "{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}", "Mechlorethamine" ] ], [ [ "Zidovudine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Efalizumab" ], [ "Efalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mechlorethamine" ] ], [ [ "Zidovudine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Floxuridine" ], [ "Floxuridine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mechlorethamine" ] ], [ [ "Zidovudine", "{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}", "Mechlorethamine" ] ], [ [ "Zidovudine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Thalidomide" ], [ "Thalidomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Mechlorethamine" ] ], [ [ "Zidovudine", "{u} may lead to a major life threatening interaction when taken with {v}", "Infliximab" ], [ "Infliximab", "{u} may lead to a major life threatening interaction when taken with {v}", "Mechlorethamine" ] ] ]
Zidovudine may cause a moderate interaction that could exacerbate diseases when taken with Cyclophosphamide and Cyclophosphamide (Compound) resembles Mechlorethamine (Compound) Zidovudine (Compound) causes Pancytopenia (Side Effect) and Pancytopenia (Side Effect) is caused by Mechlorethamine (Compound) Zidovudine may cause a moderate interaction that could exacerbate diseases when taken with Daunorubicin and Daunorubicin may cause a moderate interaction that could exacerbate diseases when taken with Mechlorethamine Zidovudine 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 Mechlorethamine Zidovudine may cause a moderate interaction that could exacerbate diseases when taken with Efalizumab and Efalizumab may cause a moderate interaction that could exacerbate diseases when taken with Mechlorethamine Zidovudine (Compound) resembles Floxuridine (Compound) and Zidovudine may cause a moderate interaction that could exacerbate diseases when taken with Floxuridine and Floxuridine may cause a moderate interaction that could exacerbate diseases when taken with Mechlorethamine Zidovudine 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 Mechlorethamine Zidovudine may cause a moderate interaction that could exacerbate diseases when taken with Thalidomide and Thalidomide may lead to a major life threatening interaction when taken with Mechlorethamine Zidovudine may lead to a major life threatening interaction when taken with Infliximab and Infliximab may lead to a major life threatening interaction when taken with Mechlorethamine
DB00241
DB12141
288
971
[ "DDInter257", "DDInter817" ]
Butalbital
Gilteritinib
Butalbital, or 5-allyl-5-isobutylbarbituric acid, is a derivative of barbituric acid which the hydrogens at position 5 are substituted by an allyl group and an isobutyl group. It is a short-to-intermediate acting member of barbiturates that exhibit muscle-relaxing and anti-anxiety properties that produce central nervous system (CNS) depression that ranges from mild sedation to general anesthesia. Butalbital has a low degree of selectivity and a narrow therapeutic index. Typically indicated to manage tension (or muscle contraction) headaches, butalbital is often combined with one or more therapeutic agents, such as acetylsalicylic acid, acetaminophen, aspirin, and caffeine. There have not been clinical trials that evaluate the clinical efficacy of butalbital in migraines thus it is not indicated for such condition. As with other barbiturates
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
[ [ [ 288, 24, 971 ] ], [ [ 288, 24, 1135 ], [ 1135, 23, 971 ] ], [ [ 288, 24, 466 ], [ 466, 62, 971 ] ], [ [ 288, 40, 1023 ], [ 1023, 24, 971 ] ], [ [ 288, 24, 820 ], [ 820, 24, 971 ] ], [ [ 288, 23, 752 ], [ 752, 24, 971 ] ], [ [ 288, 24, 1476 ], [ 1476, 63, 971 ] ], [ [ 288, 1, 536 ], [ 536, 24, 971 ] ], [ [ 288, 25, 475 ], [ 475, 24, 971 ] ], [ [ 288, 23, 1101 ], [ 1101, 25, 971 ] ] ]
[ [ [ "Butalbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gilteritinib" ] ], [ [ "Butalbital", "{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}", "Gilteritinib" ] ], [ [ "Butalbital", "{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}", "Gilteritinib" ] ], [ [ "Butalbital", "{u} (Compound) resembles {v} (Compound)", "Pentobarbital" ], [ "Pentobarbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gilteritinib" ] ], [ [ "Butalbital", "{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" ] ], [ [ "Butalbital", "{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}", "Gilteritinib" ] ], [ [ "Butalbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brigatinib" ], [ "Brigatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gilteritinib" ] ], [ [ "Butalbital", "{u} (Compound) resembles {v} (Compound)", "Secobarbital" ], [ "Secobarbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gilteritinib" ] ], [ [ "Butalbital", "{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}", "Gilteritinib" ] ], [ [ "Butalbital", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may lead to a major life threatening interaction when taken with {v}", "Gilteritinib" ] ] ]
Butalbital 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 Gilteritinib Butalbital 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 Gilteritinib Butalbital (Compound) resembles Pentobarbital (Compound) and Pentobarbital may cause a moderate interaction that could exacerbate diseases when taken with Gilteritinib Butalbital 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 Butalbital 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 Gilteritinib Butalbital may cause a moderate interaction that could exacerbate diseases when taken with Brigatinib and Brigatinib may cause a moderate interaction that could exacerbate diseases when taken with Gilteritinib Butalbital (Compound) resembles Secobarbital (Compound) and Secobarbital may cause a moderate interaction that could exacerbate diseases when taken with Gilteritinib Butalbital 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 Gilteritinib Butalbital may cause a minor interaction that can limit clinical effects when taken with Bexarotene and Bexarotene may lead to a major life threatening interaction when taken with Gilteritinib
DB00279
DB00988
1,152
817
[ "DDInter1074", "DDInter584" ]
Liothyronine
Dopamine
Liothyronine is a thyroidal hormone T3 which is normally produced by the thyroid gland in a ratio 4:1 when compared with T4: T3. Liothyronine is the active form of thyroxine which is composed in a basic chemical structure by a tyrosine with bound iodine. The exogenous liothyronine product was developed by King Pharmaceuticals and FDA approved in 1956.
One of the catecholamine neurotransmitters in the brain. It is derived from tyrosine and is the precursor to norepinephrine and epinephrine. Dopamine is a major transmitter in the extrapyramidal system of the brain, and important in regulating movement. A family of receptors (receptors, dopamine) mediate its action.
Moderate
1
[ [ [ 1152, 24, 817 ] ], [ [ 1152, 24, 532 ], [ 532, 1, 817 ] ], [ [ 1152, 1, 1191 ], [ 1191, 1, 817 ] ], [ [ 1152, 24, 874 ], [ 874, 40, 817 ] ], [ [ 1152, 21, 29024 ], [ 29024, 60, 817 ] ], [ [ 1152, 24, 433 ], [ 433, 63, 817 ] ], [ [ 1152, 24, 473 ], [ 473, 24, 817 ] ], [ [ 1152, 63, 73 ], [ 73, 24, 817 ] ], [ [ 1152, 1, 542 ], [ 542, 24, 817 ] ], [ [ 1152, 24, 1264 ], [ 1264, 64, 817 ] ] ]
[ [ [ "Liothyronine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dopamine" ] ], [ [ "Liothyronine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dobutamine" ], [ "Dobutamine", "{u} (Compound) resembles {v} (Compound)", "Dopamine" ] ], [ [ "Liothyronine", "{u} (Compound) resembles {v} (Compound)", "Levodopa" ], [ "Levodopa", "{u} (Compound) resembles {v} (Compound)", "Dopamine" ] ], [ [ "Liothyronine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Epinephrine" ], [ "Epinephrine", "{u} (Compound) resembles {v} (Compound)", "Dopamine" ] ], [ [ "Liothyronine", "{u} (Compound) causes {v} (Side Effect)", "Hypertension" ], [ "Hypertension", "{u} (Side Effect) is caused by {v} (Compound)", "Dopamine" ] ], [ [ "Liothyronine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ertugliflozin" ], [ "Ertugliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dopamine" ] ], [ [ "Liothyronine", "{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}", "Dopamine" ] ], [ [ "Liothyronine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phentermine" ], [ "Phentermine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dopamine" ] ], [ [ "Liothyronine", "{u} (Compound) resembles {v} (Compound)", "Levothyroxine" ], [ "Levothyroxine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dopamine" ] ], [ [ "Liothyronine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ], [ "Doxepin", "{u} may lead to a major life threatening interaction when taken with {v}", "Dopamine" ] ] ]
Liothyronine may cause a moderate interaction that could exacerbate diseases when taken with Dobutamine and Dobutamine (Compound) resembles Dopamine (Compound) Liothyronine (Compound) resembles Levodopa (Compound) and Levodopa (Compound) resembles Dopamine (Compound) Liothyronine may cause a moderate interaction that could exacerbate diseases when taken with Epinephrine and Epinephrine (Compound) resembles Dopamine (Compound) Liothyronine (Compound) causes Hypertension (Side Effect) and Hypertension (Side Effect) is caused by Dopamine (Compound) Liothyronine may cause a moderate interaction that could exacerbate diseases when taken with Ertugliflozin and Ertugliflozin may cause a moderate interaction that could exacerbate diseases when taken with Dopamine Liothyronine 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 Dopamine Liothyronine may cause a moderate interaction that could exacerbate diseases when taken with Phentermine and Phentermine may cause a moderate interaction that could exacerbate diseases when taken with Dopamine Liothyronine (Compound) resembles Levothyroxine (Compound) and Levothyroxine may cause a moderate interaction that could exacerbate diseases when taken with Dopamine Liothyronine may cause a moderate interaction that could exacerbate diseases when taken with Doxepin and Doxepin may lead to a major life threatening interaction when taken with Dopamine
DB00047
DB01238
176
673
[ "DDInter932", "DDInter118" ]
Insulin glargine
Aripiprazole
Insulin glargine is a long-acting form of insulin used for the treatment of hyperglycemia caused by Type 1 and Type 2 Diabetes. Insulin is typically prescribed for the management of diabetes mellitus to mimic the activity of endogenously produced human insulin, a peptide hormone produced by beta cells of the pancreas that promotes glucose metabolism. Insulin is released from the pancreas following a meal to promote the uptake of glucose from the blood into internal organs and tissues such as the liver, fat cells, and skeletal muscle. Absorption of glucose into cells allows for its transformation into glycogen or fat for storage. Insulin also inhibits hepatic glucose production, enhances protein synthesis, and inhibits lipolysis and proteolysis. Insulin is an important treatment in the management of Type 1 Diabetes (T1D), which is caused by an autoimmune reaction that destroys the beta cells of the pancreas, resulting in the body not being able to produce or
Aripiprazole is an atypical antipsychotic orally indicated for the treatment of schizophrenia, bipolar I, major depressive disorder, irritability associated with autism, and Tourette's. It is also indicated as an injection for agitation associated with schizophrenia or bipolar mania. Aripiprazole exerts its effects through agonism of dopaminergic and 5-HT1A receptors and antagonism of alpha-adrenergic and 5-HT2A receptors.[L45859,A4393] Aripiprazole was given FDA approval on November 15, 2002.
Moderate
1
[ [ [ 176, 24, 673 ] ], [ [ 176, 24, 1630 ], [ 1630, 1, 673 ] ], [ [ 176, 24, 1039 ], [ 1039, 24, 673 ] ], [ [ 176, 24, 761 ], [ 761, 63, 673 ] ], [ [ 176, 23, 274 ], [ 274, 24, 673 ] ], [ [ 176, 63, 521 ], [ 521, 24, 673 ] ], [ [ 176, 24, 1630 ], [ 1630, 1, 851 ], [ 851, 1, 673 ] ], [ [ 176, 24, 1039 ], [ 1039, 64, 851 ], [ 851, 1, 673 ] ], [ [ 176, 24, 1424 ], [ 1424, 24, 851 ], [ 851, 1, 673 ] ], [ [ 176, 24, 761 ], [ 761, 63, 851 ], [ 851, 1, 673 ] ] ]
[ [ [ "Insulin glargine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aripiprazole" ] ], [ [ "Insulin glargine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Perphenazine" ], [ "Perphenazine", "{u} (Compound) resembles {v} (Compound)", "Aripiprazole" ] ], [ [ "Insulin glargine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexfenfluramine" ], [ "Dexfenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aripiprazole" ] ], [ [ "Insulin glargine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Saxagliptin" ], [ "Saxagliptin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aripiprazole" ] ], [ [ "Insulin glargine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Phentolamine" ], [ "Phentolamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aripiprazole" ] ], [ [ "Insulin glargine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Goserelin" ], [ "Goserelin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aripiprazole" ] ], [ [ "Insulin glargine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Perphenazine" ], [ "Perphenazine", "{u} (Compound) resembles {v} (Compound)", "Nefazodone" ], [ "Nefazodone", "{u} (Compound) resembles {v} (Compound)", "Aripiprazole" ] ], [ [ "Insulin glargine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexfenfluramine" ], [ "Dexfenfluramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Nefazodone" ], [ "Nefazodone", "{u} (Compound) resembles {v} (Compound)", "Aripiprazole" ] ], [ [ "Insulin glargine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Quinine" ], [ "Quinine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nefazodone" ], [ "Nefazodone", "{u} (Compound) resembles {v} (Compound)", "Aripiprazole" ] ], [ [ "Insulin glargine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Saxagliptin" ], [ "Saxagliptin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nefazodone" ], [ "Nefazodone", "{u} (Compound) resembles {v} (Compound)", "Aripiprazole" ] ] ]
Insulin glargine may cause a moderate interaction that could exacerbate diseases when taken with Perphenazine and Perphenazine (Compound) resembles Aripiprazole (Compound) Insulin glargine may cause a moderate interaction that could exacerbate diseases when taken with Dexfenfluramine and Dexfenfluramine may cause a moderate interaction that could exacerbate diseases when taken with Aripiprazole Insulin glargine may cause a moderate interaction that could exacerbate diseases when taken with Saxagliptin and Saxagliptin may cause a moderate interaction that could exacerbate diseases when taken with Aripiprazole Insulin glargine may cause a minor interaction that can limit clinical effects when taken with Phentolamine and Phentolamine may cause a moderate interaction that could exacerbate diseases when taken with Aripiprazole Insulin glargine may cause a moderate interaction that could exacerbate diseases when taken with Goserelin and Goserelin may cause a moderate interaction that could exacerbate diseases when taken with Aripiprazole Insulin glargine may cause a moderate interaction that could exacerbate diseases when taken with Perphenazine and Perphenazine (Compound) resembles Nefazodone (Compound) and Nefazodone (Compound) resembles Aripiprazole (Compound) Insulin glargine may cause a moderate interaction that could exacerbate diseases when taken with Dexfenfluramine and Dexfenfluramine may lead to a major life threatening interaction when taken with Nefazodone and Nefazodone (Compound) resembles Aripiprazole (Compound) Insulin glargine may cause a moderate interaction that could exacerbate diseases when taken with Quinine and Quinine may cause a moderate interaction that could exacerbate diseases when taken with Nefazodone and Nefazodone (Compound) resembles Aripiprazole (Compound) Insulin glargine may cause a moderate interaction that could exacerbate diseases when taken with Saxagliptin and Saxagliptin may cause a moderate interaction that could exacerbate diseases when taken with Nefazodone and Nefazodone (Compound) resembles Aripiprazole (Compound)
DB06081
DB06605
1,046
1,409
[ "DDInter286", "DDInter108" ]
Caplacizumab
Apixaban
Caplacizumab, firstly called ALX-0081, is a humanized single-variable-domain immunoglobulin consisting of two identical humanized building blocks genetically linked by a three-alanine linker. Caplacizumab was developed by Ablynx, a Sanofi company and FDA approved on February 6, 2019, and approved previously by the EU in October 2018 as a combination therapy with plasma exchange and immunosuppression.
Apixaban is an oral, direct, and highly selective factor Xa (FXa) inhibitor of both free and bound FXa, as well as prothrombinase, independent of antithrombin III for the prevention and treatment of thromboembolic diseases[Label,A6897]. It is marketed under the name Eliquis[Label,L6043]. Apixaban was approved by the FDA on December 28, 2012.
Major
2
[ [ [ 1046, 25, 1409 ] ], [ [ 1046, 23, 539 ], [ 539, 62, 1409 ] ], [ [ 1046, 63, 109 ], [ 109, 24, 1409 ] ], [ [ 1046, 24, 41 ], [ 41, 63, 1409 ] ], [ [ 1046, 25, 298 ], [ 298, 63, 1409 ] ], [ [ 1046, 25, 235 ], [ 235, 64, 1409 ] ], [ [ 1046, 64, 1047 ], [ 1047, 25, 1409 ] ], [ [ 1046, 63, 24 ], [ 24, 25, 1409 ] ], [ [ 1046, 25, 39 ], [ 39, 25, 1409 ] ], [ [ 1046, 23, 539 ], [ 539, 62, 802 ], [ 802, 64, 1409 ] ] ]
[ [ [ "Caplacizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Apixaban" ] ], [ [ "Caplacizumab", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Capsicum" ], [ "Capsicum", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Apixaban" ] ], [ [ "Caplacizumab", "{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}", "Apixaban" ] ], [ [ "Caplacizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levomilnacipran" ], [ "Levomilnacipran", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apixaban" ] ], [ [ "Caplacizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Protein C" ], [ "Protein C", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apixaban" ] ], [ [ "Caplacizumab", "{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}", "Apixaban" ] ], [ [ "Caplacizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Trastuzumab emtansine" ], [ "Trastuzumab emtansine", "{u} may lead to a major life threatening interaction when taken with {v}", "Apixaban" ] ], [ [ "Caplacizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tolmetin" ], [ "Tolmetin", "{u} may lead to a major life threatening interaction when taken with {v}", "Apixaban" ] ], [ [ "Caplacizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Panobinostat" ], [ "Panobinostat", "{u} may lead to a major life threatening interaction when taken with {v}", "Apixaban" ] ], [ [ "Caplacizumab", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Capsicum" ], [ "Capsicum", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Tinzaparin" ], [ "Tinzaparin", "{u} may lead to a major life threatening interaction when taken with {v}", "Apixaban" ] ] ]
Caplacizumab may cause a minor interaction that can limit clinical effects when taken with Capsicum and Capsicum may cause a minor interaction that can limit clinical effects when taken with Apixaban Caplacizumab 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 Apixaban Caplacizumab may cause a moderate interaction that could exacerbate diseases when taken with Levomilnacipran and Levomilnacipran may cause a moderate interaction that could exacerbate diseases when taken with Apixaban Caplacizumab may lead to a major life threatening interaction when taken with Protein C and Protein C may cause a moderate interaction that could exacerbate diseases when taken with Apixaban Caplacizumab 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 Apixaban Caplacizumab may lead to a major life threatening interaction when taken with Trastuzumab emtansine and Trastuzumab emtansine may lead to a major life threatening interaction when taken with Apixaban Caplacizumab may cause a moderate interaction that could exacerbate diseases when taken with Tolmetin and Tolmetin may lead to a major life threatening interaction when taken with Apixaban Caplacizumab may lead to a major life threatening interaction when taken with Panobinostat and Panobinostat may lead to a major life threatening interaction when taken with Apixaban Caplacizumab may cause a minor interaction that can limit clinical effects when taken with Capsicum and Capsicum may cause a minor interaction that can limit clinical effects when taken with Tinzaparin and Tinzaparin may lead to a major life threatening interaction when taken with Apixaban
DB00381
DB05239
376
866
[ "DDInter79", "DDInter425" ]
Amlodipine
Cobimetinib
Amlodipine, initially approved by the FDA in 1987, is a popular antihypertensive drug belonging to the group of drugs called _dihydropyridine calcium channel blockers_. Due to their selectivity for the peripheral blood vessels, dihydropyridine calcium channel blockers are associated with a lower incidence of myocardial depression and cardiac conduction abnormalities than other calcium channel blockers. Amlodipine is commonly used in the treatment of high blood pressure and angina. Amlodipine has antioxidant properties and an ability to enhance the production of nitric oxide (NO), an important vasodilator that decreases blood pressure. The option for single daily dosing of amlodipine is an attractive feature of this drug [FDA label].
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.
Moderate
1
[ [ [ 376, 24, 866 ] ], [ [ 376, 24, 214 ], [ 214, 63, 866 ] ], [ [ 376, 1, 336 ], [ 336, 24, 866 ] ], [ [ 376, 63, 1101 ], [ 1101, 24, 866 ] ], [ [ 376, 23, 578 ], [ 578, 63, 866 ] ], [ [ 376, 24, 597 ], [ 597, 24, 866 ] ], [ [ 376, 40, 409 ], [ 409, 24, 866 ] ], [ [ 376, 24, 1419 ], [ 1419, 25, 866 ] ], [ [ 376, 24, 908 ], [ 908, 64, 866 ] ], [ [ 376, 63, 600 ], [ 600, 25, 866 ] ] ]
[ [ [ "Amlodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cobimetinib" ] ], [ [ "Amlodipine", "{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}", "Cobimetinib" ] ], [ [ "Amlodipine", "{u} (Compound) resembles {v} (Compound)", "Nifedipine" ], [ "Nifedipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cobimetinib" ] ], [ [ "Amlodipine", "{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}", "Cobimetinib" ] ], [ [ "Amlodipine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ticagrelor" ], [ "Ticagrelor", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cobimetinib" ] ], [ [ "Amlodipine", "{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}", "Cobimetinib" ] ], [ [ "Amlodipine", "{u} (Compound) resembles {v} (Compound)", "Felodipine" ], [ "Felodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cobimetinib" ] ], [ [ "Amlodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Imatinib" ], [ "Imatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Cobimetinib" ] ], [ [ "Amlodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Golimumab" ], [ "Golimumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Cobimetinib" ] ], [ [ "Amlodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fluconazole" ], [ "Fluconazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Cobimetinib" ] ] ]
Amlodipine 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 Cobimetinib Amlodipine (Compound) resembles Nifedipine (Compound) and Nifedipine may cause a moderate interaction that could exacerbate diseases when taken with Cobimetinib Amlodipine 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 Cobimetinib Amlodipine may cause a minor interaction that can limit clinical effects when taken with Ticagrelor and Ticagrelor may cause a moderate interaction that could exacerbate diseases when taken with Cobimetinib Amlodipine 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 Cobimetinib Amlodipine (Compound) resembles Felodipine (Compound) and Felodipine may cause a moderate interaction that could exacerbate diseases when taken with Cobimetinib Amlodipine may cause a moderate interaction that could exacerbate diseases when taken with Imatinib and Imatinib may lead to a major life threatening interaction when taken with Cobimetinib Amlodipine may cause a moderate interaction that could exacerbate diseases when taken with Golimumab and Golimumab may lead to a major life threatening interaction when taken with Cobimetinib Amlodipine may cause a moderate interaction that could exacerbate diseases when taken with Fluconazole and Fluconazole may lead to a major life threatening interaction when taken with Cobimetinib
DB06210
DB08880
72
1,510
[ "DDInter631", "DDInter1771" ]
Eltrombopag
Teriflunomide
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.
Teriflunomide is the active metabolite of leflunomide, and it acts as an immunomodulatory agent by inhibiting pyrimidine synthesis. It is marketed under the name Aubagio® and is indicated for the treatment of multiple sclerosis, specifically relapsing forms. The FDA label states an important warning about the risk of hepatoxicity and teratogenicity for patients using teriflunomide.
Major
2
[ [ [ 72, 25, 1510 ] ], [ [ 72, 24, 1193 ], [ 1193, 62, 1510 ] ], [ [ 72, 24, 1033 ], [ 1033, 63, 1510 ] ], [ [ 72, 63, 473 ], [ 473, 24, 1510 ] ], [ [ 72, 24, 1449 ], [ 1449, 24, 1510 ] ], [ [ 72, 24, 637 ], [ 637, 64, 1510 ] ], [ [ 72, 24, 788 ], [ 788, 25, 1510 ] ], [ [ 72, 63, 681 ], [ 681, 25, 1510 ] ], [ [ 72, 64, 1451 ], [ 1451, 25, 1510 ] ], [ [ 72, 25, 350 ], [ 350, 64, 1510 ] ] ]
[ [ [ "Eltrombopag", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ] ], [ [ "Eltrombopag", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zinc gluconate" ], [ "Zinc gluconate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Teriflunomide" ] ], [ [ "Eltrombopag", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alpelisib" ], [ "Alpelisib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Teriflunomide" ] ], [ [ "Eltrombopag", "{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}", "Teriflunomide" ] ], [ [ "Eltrombopag", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Simeprevir" ], [ "Simeprevir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Teriflunomide" ] ], [ [ "Eltrombopag", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Asparaginase Erwinia chrysanthemi" ], [ "Asparaginase Erwinia chrysanthemi", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ] ], [ [ "Eltrombopag", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pitavastatin" ], [ "Pitavastatin", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ] ], [ [ "Eltrombopag", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pravastatin" ], [ "Pravastatin", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ] ], [ [ "Eltrombopag", "{u} may lead to a major life threatening interaction when taken with {v}", "Interferon alfa-n1" ], [ "Interferon alfa-n1", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ] ], [ [ "Eltrombopag", "{u} may lead to a major life threatening interaction when taken with {v}", "Carfilzomib" ], [ "Carfilzomib", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ] ] ]
Eltrombopag may cause a moderate interaction that could exacerbate diseases when taken with Zinc gluconate and Zinc gluconate may cause a minor interaction that can limit clinical effects when taken with Teriflunomide Eltrombopag may cause a moderate interaction that could exacerbate diseases when taken with Alpelisib and Alpelisib may cause a moderate interaction that could exacerbate diseases when taken with Teriflunomide Eltrombopag 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 Teriflunomide Eltrombopag may cause a moderate interaction that could exacerbate diseases when taken with Simeprevir and Simeprevir may cause a moderate interaction that could exacerbate diseases when taken with Teriflunomide Eltrombopag may cause a moderate interaction that could exacerbate diseases when taken with Asparaginase Erwinia chrysanthemi and Asparaginase Erwinia chrysanthemi may lead to a major life threatening interaction when taken with Teriflunomide Eltrombopag may cause a moderate interaction that could exacerbate diseases when taken with Pitavastatin and Pitavastatin may lead to a major life threatening interaction when taken with Teriflunomide Eltrombopag may cause a moderate interaction that could exacerbate diseases when taken with Pravastatin and Pravastatin may lead to a major life threatening interaction when taken with Teriflunomide Eltrombopag may lead to a major life threatening interaction when taken with Interferon alfa-n1 and Interferon alfa-n1 may lead to a major life threatening interaction when taken with Teriflunomide Eltrombopag may lead to a major life threatening interaction when taken with Carfilzomib and Carfilzomib may lead to a major life threatening interaction when taken with Teriflunomide
DB00801
DB01181
1,563
1,532
[ "DDInter850", "DDInter906" ]
Halazepam
Ifosfamide
Halazepam is a _benzodiazepine_ derivative drug exerting anxiolytic, anticonvulsant, sedative, a muscle relaxing effects.[A1212, A178114] It has been shown to be less toxic than chlordiazepoxide or diazepam. This drug is no longer marketed in the United States, and was withdrawn by _Schering_, its manufacturer, in 2009.[L6226, L6229]
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
[ [ [ 1563, 24, 1532 ] ], [ [ 1563, 63, 1648 ], [ 1648, 24, 1532 ] ], [ [ 1563, 1, 481 ], [ 481, 63, 1532 ] ], [ [ 1563, 24, 401 ], [ 401, 24, 1532 ] ], [ [ 1563, 40, 1382 ], [ 1382, 24, 1532 ] ], [ [ 1563, 24, 849 ], [ 849, 63, 1532 ] ], [ [ 1563, 64, 475 ], [ 475, 24, 1532 ] ], [ [ 1563, 1, 905 ], [ 905, 24, 1532 ] ], [ [ 1563, 40, 1418 ], [ 1418, 63, 1532 ] ], [ [ 1563, 24, 770 ], [ 770, 25, 1532 ] ] ]
[ [ [ "Halazepam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ifosfamide" ] ], [ [ "Halazepam", "{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" ] ], [ [ "Halazepam", "{u} (Compound) resembles {v} (Compound)", "Quazepam" ], [ "Quazepam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ifosfamide" ] ], [ [ "Halazepam", "{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}", "Ifosfamide" ] ], [ [ "Halazepam", "{u} (Compound) resembles {v} (Compound)", "Midazolam" ], [ "Midazolam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ifosfamide" ] ], [ [ "Halazepam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepyramine" ], [ "Mepyramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ifosfamide" ] ], [ [ "Halazepam", "{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}", "Ifosfamide" ] ], [ [ "Halazepam", "{u} (Compound) resembles {v} (Compound)", "Lorazepam" ], [ "Lorazepam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ifosfamide" ] ], [ [ "Halazepam", "{u} (Compound) resembles {v} (Compound)", "Estazolam" ], [ "Estazolam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ifosfamide" ] ], [ [ "Halazepam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Thalidomide" ], [ "Thalidomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Ifosfamide" ] ] ]
Halazepam 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 Halazepam (Compound) resembles Quazepam (Compound) and Quazepam may cause a moderate interaction that could exacerbate diseases when taken with Ifosfamide Halazepam 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 Ifosfamide Halazepam (Compound) resembles Midazolam (Compound) and Midazolam may cause a moderate interaction that could exacerbate diseases when taken with Ifosfamide Halazepam may cause a moderate interaction that could exacerbate diseases when taken with Mepyramine and Mepyramine may cause a moderate interaction that could exacerbate diseases when taken with Ifosfamide Halazepam 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 Ifosfamide Halazepam (Compound) resembles Lorazepam (Compound) and Lorazepam may cause a moderate interaction that could exacerbate diseases when taken with Ifosfamide Halazepam (Compound) resembles Estazolam (Compound) and Estazolam may cause a moderate interaction that could exacerbate diseases when taken with Ifosfamide Halazepam may cause a moderate interaction that could exacerbate diseases when taken with Thalidomide and Thalidomide may lead to a major life threatening interaction when taken with Ifosfamide
DB00331
DB04938
1,645
1,423
[ "DDInter1164", "DDInter1353" ]
Metformin
Ospemifene
Metformin is a biguanide antihyperglycemic agent and first-line pharmacotherapy used in the management of type II diabetes.[L12207,A176173] Metformin is considered an antihyperglycemic drug because it lowers blood glucose concentrations in type II diabetes without causing hypoglycemia. It is commonly described as an "insulin sensitizer", leading to a decrease in insulin resistance and a clinically significant reduction of plasma fasting insulin levels. Another well-known benefit of this drug is modest weight loss, making it an effective choice for obese patients type II diabetes. Metformin was first approved in Canada in 1972, and received subsequent FDA approval in the US in 1995.
Ospemifene is a new selective non-hormonal estrogen receptor modulator (SERM) that is used for the treatment of moderate to severe dyspareunia, a symptom of vulvar and vaginal atrophy, due to menopause. FDA approved on February 26, 2013.
Moderate
1
[ [ [ 1645, 24, 1423 ] ], [ [ 1645, 24, 485 ], [ 485, 40, 1423 ] ], [ [ 1645, 21, 28883 ], [ 28883, 60, 1423 ] ], [ [ 1645, 24, 1142 ], [ 1142, 24, 1423 ] ], [ [ 1645, 24, 485 ], [ 485, 6, 10215 ], [ 10215, 45, 1423 ] ], [ [ 1645, 21, 28883 ], [ 28883, 60, 549 ], [ 549, 63, 1423 ] ], [ [ 1645, 21, 29579 ], [ 29579, 60, 79 ], [ 79, 24, 1423 ] ], [ [ 1645, 7, 2065 ], [ 2065, 46, 485 ], [ 485, 40, 1423 ] ], [ [ 1645, 24, 609 ], [ 609, 63, 485 ], [ 485, 40, 1423 ] ], [ [ 1645, 24, 1142 ], [ 1142, 21, 28883 ], [ 28883, 60, 1423 ] ] ]
[ [ [ "Metformin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ospemifene" ] ], [ [ "Metformin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentamidine" ], [ "Pentamidine", "{u} (Compound) resembles {v} (Compound)", "Ospemifene" ] ], [ [ "Metformin", "{u} (Compound) causes {v} (Side Effect)", "Skin disorder" ], [ "Skin disorder", "{u} (Side Effect) is caused by {v} (Compound)", "Ospemifene" ] ], [ [ "Metformin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Orlistat" ], [ "Orlistat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ospemifene" ] ], [ [ "Metformin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentamidine" ], [ "Pentamidine", "{u} (Compound) binds {v} (Gene)", "CYP2C19" ], [ "CYP2C19", "{u} (Gene) is bound by {v} (Compound)", "Ospemifene" ] ], [ [ "Metformin", "{u} (Compound) causes {v} (Side Effect)", "Skin disorder" ], [ "Skin disorder", "{u} (Side Effect) is caused by {v} (Compound)", "Dapagliflozin" ], [ "Dapagliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ospemifene" ] ], [ [ "Metformin", "{u} (Compound) causes {v} (Side Effect)", "Breast disorder" ], [ "Breast disorder", "{u} (Side Effect) is caused by {v} (Compound)", "Sorafenib" ], [ "Sorafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ospemifene" ] ], [ [ "Metformin", "{u} (Compound) upregulates {v} (Gene)", "SRC" ], [ "SRC", "{u} (Gene) is upregulated by {v} (Compound)", "Pentamidine" ], [ "Pentamidine", "{u} (Compound) resembles {v} (Compound)", "Ospemifene" ] ], [ [ "Metformin", "{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}", "Pentamidine" ], [ "Pentamidine", "{u} (Compound) resembles {v} (Compound)", "Ospemifene" ] ], [ [ "Metformin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Orlistat" ], [ "Orlistat", "{u} (Compound) causes {v} (Side Effect)", "Skin disorder" ], [ "Skin disorder", "{u} (Side Effect) is caused by {v} (Compound)", "Ospemifene" ] ] ]
Metformin may cause a moderate interaction that could exacerbate diseases when taken with Pentamidine and Pentamidine (Compound) resembles Ospemifene (Compound) Metformin (Compound) causes Skin disorder (Side Effect) and Skin disorder (Side Effect) is caused by Ospemifene (Compound) Metformin may cause a moderate interaction that could exacerbate diseases when taken with Orlistat and Orlistat may cause a moderate interaction that could exacerbate diseases when taken with Ospemifene Metformin may cause a moderate interaction that could exacerbate diseases when taken with Pentamidine and Pentamidine (Compound) binds CYP2C19 (Gene) and CYP2C19 (Gene) is bound by Ospemifene (Compound) Metformin (Compound) causes Skin disorder (Side Effect) and Skin disorder (Side Effect) is caused by Dapagliflozin (Compound) and Dapagliflozin may cause a moderate interaction that could exacerbate diseases when taken with Ospemifene Metformin (Compound) causes Breast disorder (Side Effect) and Breast disorder (Side Effect) is caused by Sorafenib (Compound) and Sorafenib may cause a moderate interaction that could exacerbate diseases when taken with Ospemifene Metformin (Compound) upregulates SRC (Gene) and SRC (Gene) is upregulated by Pentamidine (Compound) and Pentamidine (Compound) resembles Ospemifene (Compound) Metformin 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 Pentamidine and Pentamidine (Compound) resembles Ospemifene (Compound) Metformin may cause a moderate interaction that could exacerbate diseases when taken with Orlistat and Orlistat (Compound) causes Skin disorder (Side Effect) and Skin disorder (Side Effect) is caused by Ospemifene (Compound)
DB09065
DB11691
760
1,499
[ "DDInter424", "DDInter1258" ]
Cobicistat
Naldemedine
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.
Naldemedine is an opioid receptor antagonist [FDA Label]. It is a modified form of to which a side chain has been added to increase molecular weight and polar surface area resulting in restricted transport across the blood brain barrier. Naldemedine was approved in 2017 in both the US and Japan for the treatment of Opioid-induced Constipation.
Moderate
1
[ [ [ 760, 24, 1499 ] ], [ [ 760, 63, 307 ], [ 307, 23, 1499 ] ], [ [ 760, 64, 932 ], [ 932, 24, 1499 ] ], [ [ 760, 63, 723 ], [ 723, 24, 1499 ] ], [ [ 760, 25, 960 ], [ 960, 63, 1499 ] ], [ [ 760, 24, 1654 ], [ 1654, 63, 1499 ] ], [ [ 760, 24, 98 ], [ 98, 24, 1499 ] ], [ [ 760, 62, 555 ], [ 555, 24, 1499 ] ], [ [ 760, 25, 1456 ], [ 1456, 24, 1499 ] ], [ [ 760, 64, 697 ], [ 697, 25, 1499 ] ] ]
[ [ [ "Cobicistat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Naldemedine" ] ], [ [ "Cobicistat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Modafinil" ], [ "Modafinil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Naldemedine" ] ], [ [ "Cobicistat", "{u} may lead to a major life threatening interaction when taken with {v}", "Mifepristone" ], [ "Mifepristone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Naldemedine" ] ], [ [ "Cobicistat", "{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}", "Naldemedine" ] ], [ [ "Cobicistat", "{u} may lead to a major life threatening interaction when taken with {v}", "Istradefylline" ], [ "Istradefylline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Naldemedine" ] ], [ [ "Cobicistat", "{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}", "Naldemedine" ] ], [ [ "Cobicistat", "{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}", "Naldemedine" ] ], [ [ "Cobicistat", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Netupitant" ], [ "Netupitant", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Naldemedine" ] ], [ [ "Cobicistat", "{u} may lead to a major life threatening interaction when taken with {v}", "Venetoclax" ], [ "Venetoclax", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Naldemedine" ] ], [ [ "Cobicistat", "{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}", "Naldemedine" ] ] ]
Cobicistat may cause a moderate interaction that could exacerbate diseases when taken with Modafinil and Modafinil may cause a minor interaction that can limit clinical effects when taken with Naldemedine Cobicistat may lead to a major life threatening interaction when taken with Mifepristone and Mifepristone may cause a moderate interaction that could exacerbate diseases when taken with Naldemedine Cobicistat 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 Naldemedine Cobicistat may lead to a major life threatening interaction when taken with Istradefylline and Istradefylline may cause a moderate interaction that could exacerbate diseases when taken with Naldemedine Cobicistat 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 Naldemedine Cobicistat 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 Naldemedine Cobicistat may cause a minor interaction that can limit clinical effects when taken with Netupitant and Netupitant may cause a moderate interaction that could exacerbate diseases when taken with Naldemedine Cobicistat may lead to a major life threatening interaction when taken with Venetoclax and Venetoclax may cause a moderate interaction that could exacerbate diseases when taken with Naldemedine Cobicistat 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 Naldemedine
DB00211
DB00687
1,290
870
[ "DDInter1213", "DDInter747" ]
Midodrine
Fludrocortisone
An ethanolamine derivative that is an adrenergic alpha agonist. It is used as a vasoconstrictor agent in the treatment of hypotension.
Fludrocortisone is a synthetic mineralocorticoid used in conjunction with [hydrocortisone] to replace missing endogenous corticosteroids in patients with adrenal insufficiency.[A187169,A187187] It is functionally similar to [aldosterone], the body's primary endogenous mineralocorticoid, and is structurally analogous to [cortisol], differing only by a fluorine atom at the 9-position of the steroid structure - this fluorination is thought to be crucial to fludrocortisone's significant mineralocorticoid potency.
Moderate
1
[ [ [ 1290, 24, 870 ] ], [ [ 1290, 21, 28714 ], [ 28714, 60, 870 ] ], [ [ 1290, 24, 688 ], [ 688, 62, 870 ] ], [ [ 1290, 23, 1645 ], [ 1645, 24, 870 ] ], [ [ 1290, 24, 760 ], [ 760, 63, 870 ] ], [ [ 1290, 24, 593 ], [ 593, 64, 870 ] ], [ [ 1290, 21, 28714 ], [ 28714, 60, 1220 ], [ 1220, 40, 870 ] ], [ [ 1290, 24, 688 ], [ 688, 23, 1220 ], [ 1220, 40, 870 ] ], [ [ 1290, 24, 659 ], [ 659, 62, 1220 ], [ 1220, 40, 870 ] ], [ [ 1290, 23, 1645 ], [ 1645, 24, 1220 ], [ 1220, 40, 870 ] ] ]
[ [ [ "Midodrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fludrocortisone" ] ], [ [ "Midodrine", "{u} (Compound) causes {v} (Side Effect)", "Asthenia" ], [ "Asthenia", "{u} (Side Effect) is caused by {v} (Compound)", "Fludrocortisone" ] ], [ [ "Midodrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Salbutamol" ], [ "Salbutamol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Fludrocortisone" ] ], [ [ "Midodrine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metformin" ], [ "Metformin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fludrocortisone" ] ], [ [ "Midodrine", "{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}", "Fludrocortisone" ] ], [ [ "Midodrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bupropion" ], [ "Bupropion", "{u} may lead to a major life threatening interaction when taken with {v}", "Fludrocortisone" ] ], [ [ "Midodrine", "{u} (Compound) causes {v} (Side Effect)", "Asthenia" ], [ "Asthenia", "{u} (Side Effect) is caused by {v} (Compound)", "Dexamethasone" ], [ "Dexamethasone", "{u} (Compound) resembles {v} (Compound)", "Fludrocortisone" ] ], [ [ "Midodrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Salbutamol" ], [ "Salbutamol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Dexamethasone" ], [ "Dexamethasone", "{u} (Compound) resembles {v} (Compound)", "Fludrocortisone" ] ], [ [ "Midodrine", "{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}", "Dexamethasone" ], [ "Dexamethasone", "{u} (Compound) resembles {v} (Compound)", "Fludrocortisone" ] ], [ [ "Midodrine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metformin" ], [ "Metformin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexamethasone" ], [ "Dexamethasone", "{u} (Compound) resembles {v} (Compound)", "Fludrocortisone" ] ] ]
Midodrine (Compound) causes Asthenia (Side Effect) and Asthenia (Side Effect) is caused by Fludrocortisone (Compound) Midodrine may cause a moderate interaction that could exacerbate diseases when taken with Salbutamol and Salbutamol may cause a minor interaction that can limit clinical effects when taken with Fludrocortisone Midodrine may cause a minor interaction that can limit clinical effects when taken with Metformin and Metformin may cause a moderate interaction that could exacerbate diseases when taken with Fludrocortisone Midodrine 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 Fludrocortisone Midodrine may cause a moderate interaction that could exacerbate diseases when taken with Bupropion and Bupropion may lead to a major life threatening interaction when taken with Fludrocortisone Midodrine (Compound) causes Asthenia (Side Effect) and Asthenia (Side Effect) is caused by Dexamethasone (Compound) and Dexamethasone (Compound) resembles Fludrocortisone (Compound) Midodrine may cause a moderate interaction that could exacerbate diseases when taken with Salbutamol and Salbutamol may cause a minor interaction that can limit clinical effects when taken with Dexamethasone and Dexamethasone (Compound) resembles Fludrocortisone (Compound) Midodrine 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 Dexamethasone and Dexamethasone (Compound) resembles Fludrocortisone (Compound) Midodrine may cause a minor interaction that can limit clinical effects when taken with Metformin and Metformin may cause a moderate interaction that could exacerbate diseases when taken with Dexamethasone and Dexamethasone (Compound) resembles Fludrocortisone (Compound)
DB01072
DB08901
915
1,468
[ "DDInter129", "DDInter1492" ]
Atazanavir
Ponatinib
Atazanavir (formerly known as BMS-232632) is an antiretroviral drug of the protease inhibitor (PI) class. Like other antiretrovirals, it is used to treat infection of human immunodeficiency virus (HIV). Atazanavir is distinguished from other PIs in that it can be given once daily (rather than requiring multiple doses per day) and has lesser effects on the patient's lipid profile (the amounts of cholesterol and other fatty substances in the blood). Like other protease inhibitors, it is used only in combination with other HIV medications. The U.S. Food and Drug Administration (FDA) approved atazanavir on June 20, 2003.
Ponatinib is a novel Bcr-Abl tyrosine kinase inhibitor that is especially effective against the T315I mutation for the treatment of chronic myeloid leukemia. FDA approved on December 14, 2012.
Major
2
[ [ [ 915, 25, 1468 ] ], [ [ 915, 25, 478 ], [ 478, 24, 1468 ] ], [ [ 915, 6, 4973 ], [ 4973, 45, 1468 ] ], [ [ 915, 21, 29024 ], [ 29024, 60, 1468 ] ], [ [ 915, 64, 1194 ], [ 1194, 23, 1468 ] ], [ [ 915, 24, 1283 ], [ 1283, 23, 1468 ] ], [ [ 915, 25, 379 ], [ 379, 23, 1468 ] ], [ [ 915, 24, 1475 ], [ 1475, 62, 1468 ] ], [ [ 915, 25, 1135 ], [ 1135, 62, 1468 ] ], [ [ 915, 63, 353 ], [ 353, 24, 1468 ] ] ]
[ [ [ "Atazanavir", "{u} may lead to a major life threatening interaction when taken with {v}", "Ponatinib" ] ], [ [ "Atazanavir", "{u} may lead to a major life threatening interaction when taken with {v}", "Nilotinib" ], [ "Nilotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ponatinib" ] ], [ [ "Atazanavir", "{u} (Compound) binds {v} (Gene)", "ABCB1" ], [ "ABCB1", "{u} (Gene) is bound by {v} (Compound)", "Ponatinib" ] ], [ [ "Atazanavir", "{u} (Compound) causes {v} (Side Effect)", "Hypertension" ], [ "Hypertension", "{u} (Side Effect) is caused by {v} (Compound)", "Ponatinib" ] ], [ [ "Atazanavir", "{u} may lead to a major life threatening interaction when taken with {v}", "Ranitidine" ], [ "Ranitidine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ponatinib" ] ], [ [ "Atazanavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium oxide" ], [ "Magnesium oxide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ponatinib" ] ], [ [ "Atazanavir", "{u} may lead to a major life threatening interaction when taken with {v}", "Rabeprazole" ], [ "Rabeprazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ponatinib" ] ], [ [ "Atazanavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium citrate" ], [ "Sodium citrate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ponatinib" ] ], [ [ "Atazanavir", "{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}", "Ponatinib" ] ], [ [ "Atazanavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Griseofulvin" ], [ "Griseofulvin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ponatinib" ] ] ]
Atazanavir may lead to a major life threatening interaction when taken with Nilotinib and Nilotinib may cause a moderate interaction that could exacerbate diseases when taken with Ponatinib Atazanavir (Compound) binds ABCB1 (Gene) and ABCB1 (Gene) is bound by Ponatinib (Compound) Atazanavir (Compound) causes Hypertension (Side Effect) and Hypertension (Side Effect) is caused by Ponatinib (Compound) Atazanavir may lead to a major life threatening interaction when taken with Ranitidine and Ranitidine may cause a minor interaction that can limit clinical effects when taken with Ponatinib Atazanavir may cause a moderate interaction that could exacerbate diseases when taken with Magnesium oxide and Magnesium oxide may cause a minor interaction that can limit clinical effects when taken with Ponatinib Atazanavir may lead to a major life threatening interaction when taken with Rabeprazole and Rabeprazole may cause a minor interaction that can limit clinical effects when taken with Ponatinib Atazanavir may cause a moderate interaction that could exacerbate diseases when taken with Sodium citrate and Sodium citrate may cause a minor interaction that can limit clinical effects when taken with Ponatinib Atazanavir 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 Ponatinib Atazanavir may cause a moderate interaction that could exacerbate diseases when taken with Griseofulvin and Griseofulvin may cause a moderate interaction that could exacerbate diseases when taken with Ponatinib
DB00468
DB00845
1,424
1,490
[ "DDInter1557", "DDInter406" ]
Quinine
Clofazimine
An alkaloid derived from the bark of the cinchona tree. It is used as an antimalarial drug, and is the active ingredient in extracts of the cinchona that have been used for that purpose since before 1633. Quinine is also a mild antipyretic and analgesic and has been used in common cold preparations for that purpose. It was used commonly and as a bitter and flavoring agent, and is still useful for the treatment of babesiosis. Quinine is also useful in some muscular disorders, especially nocturnal leg cramps and myotonia congenita, because of its direct effects on muscle membrane and sodium channels. The mechanisms of its antimalarial effects are not well understood.
Clofazimine is a highly lipophilic antimicrobial riminophenazine dye used in combination with other agents, such as [dapsone], for the treatment of leprosy. It was originally described in 1957 and was the prototypical riminophenazine dye - a bright-red dye that, in its clinical use, results in long-lasting discoloration of the skin and bodily fluids. Although it carries _in vitro_ activity against other mycobacterium, such as _Mycobacterium tuberculosis_, it is generally considered an ineffective treatment in comparison to classic tuberculosis treatments such as [rifampicin] and [isoniazid].
Moderate
1
[ [ [ 1424, 24, 1490 ] ], [ [ 1424, 6, 4973 ], [ 4973, 45, 1490 ] ], [ [ 1424, 21, 28787 ], [ 28787, 60, 1490 ] ], [ [ 1424, 23, 112 ], [ 112, 62, 1490 ] ], [ [ 1424, 25, 1250 ], [ 1250, 63, 1490 ] ], [ [ 1424, 24, 51 ], [ 51, 24, 1490 ] ], [ [ 1424, 24, 594 ], [ 594, 63, 1490 ] ], [ [ 1424, 63, 1494 ], [ 1494, 24, 1490 ] ], [ [ 1424, 25, 543 ], [ 543, 24, 1490 ] ], [ [ 1424, 64, 1181 ], [ 1181, 24, 1490 ] ] ]
[ [ [ "Quinine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofazimine" ] ], [ [ "Quinine", "{u} (Compound) binds {v} (Gene)", "ABCB1" ], [ "ABCB1", "{u} (Gene) is bound by {v} (Compound)", "Clofazimine" ] ], [ [ "Quinine", "{u} (Compound) causes {v} (Side Effect)", "Dermatitis" ], [ "Dermatitis", "{u} (Side Effect) is caused by {v} (Compound)", "Clofazimine" ] ], [ [ "Quinine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Clofazimine" ] ], [ [ "Quinine", "{u} may lead to a major life threatening interaction when taken with {v}", "Pazopanib" ], [ "Pazopanib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofazimine" ] ], [ [ "Quinine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Daunorubicin" ], [ "Daunorubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofazimine" ] ], [ [ "Quinine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bosutinib" ], [ "Bosutinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofazimine" ] ], [ [ "Quinine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Palonosetron" ], [ "Palonosetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofazimine" ] ], [ [ "Quinine", "{u} may lead to a major life threatening interaction when taken with {v}", "Loperamide" ], [ "Loperamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofazimine" ] ], [ [ "Quinine", "{u} may lead to a major life threatening interaction when taken with {v}", "Terfenadine" ], [ "Terfenadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofazimine" ] ] ]
Quinine (Compound) binds ABCB1 (Gene) and ABCB1 (Gene) is bound by Clofazimine (Compound) Quinine (Compound) causes Dermatitis (Side Effect) and Dermatitis (Side Effect) is caused by Clofazimine (Compound) Quinine may cause a minor interaction that can limit clinical effects when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Clofazimine Quinine may lead to a major life threatening interaction when taken with Pazopanib and Pazopanib may cause a moderate interaction that could exacerbate diseases when taken with Clofazimine Quinine may cause a moderate interaction that could exacerbate diseases when taken with Daunorubicin and Daunorubicin may cause a moderate interaction that could exacerbate diseases when taken with Clofazimine Quinine may cause a moderate interaction that could exacerbate diseases when taken with Bosutinib and Bosutinib may cause a moderate interaction that could exacerbate diseases when taken with Clofazimine Quinine may cause a moderate interaction that could exacerbate diseases when taken with Palonosetron and Palonosetron may cause a moderate interaction that could exacerbate diseases when taken with Clofazimine Quinine may lead to a major life threatening interaction when taken with Loperamide and Loperamide may cause a moderate interaction that could exacerbate diseases when taken with Clofazimine Quinine may lead to a major life threatening interaction when taken with Terfenadine and Terfenadine may cause a moderate interaction that could exacerbate diseases when taken with Clofazimine
DB00622
DB08912
1,081
1,040
[ "DDInter1287", "DDInter462" ]
Nicardipine
Dabrafenib
A potent calcium channel blockader with marked vasodilator action. It has antihypertensive properties and is effective in the treatment of angina and coronary spasms without showing cardiodepressant effects. It has also been used in the treatment of asthma and enhances the action of specific antineoplastic agents. [PubChem]
Dabrafenib mesylate (Tafinlar) is a reversible ATP-competitive kinase inhibitor and targets the MAPK pathway. It was approved on May 29, 2013, for the treatment of melanoma with V600E or V6000K mutation. It was also used for metastatic non-small cell lung cancer with the same mutation. In May 2018, Tafinlar (dabrafenib), in combination with Mekinist (), was approved to treat anaplastic thyroid cancer caused by an abnormal BRAF V600E gene.
Moderate
1
[ [ [ 1081, 24, 1040 ] ], [ [ 1081, 6, 4973 ], [ 4973, 45, 1040 ] ], [ [ 1081, 18, 7478 ], [ 7478, 46, 1040 ] ], [ [ 1081, 18, 3616 ], [ 3616, 57, 1040 ] ], [ [ 1081, 21, 28900 ], [ 28900, 60, 1040 ] ], [ [ 1081, 63, 1101 ], [ 1101, 23, 1040 ] ], [ [ 1081, 24, 870 ], [ 870, 24, 1040 ] ], [ [ 1081, 40, 336 ], [ 336, 24, 1040 ] ], [ [ 1081, 25, 129 ], [ 129, 24, 1040 ] ], [ [ 1081, 63, 752 ], [ 752, 24, 1040 ] ] ]
[ [ [ "Nicardipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dabrafenib" ] ], [ [ "Nicardipine", "{u} (Compound) binds {v} (Gene)", "ABCB1" ], [ "ABCB1", "{u} (Gene) is bound by {v} (Compound)", "Dabrafenib" ] ], [ [ "Nicardipine", "{u} (Compound) downregulates {v} (Gene)", "TRAPPC6A" ], [ "TRAPPC6A", "{u} (Gene) is upregulated by {v} (Compound)", "Dabrafenib" ] ], [ [ "Nicardipine", "{u} (Compound) downregulates {v} (Gene)", "CDC45" ], [ "CDC45", "{u} (Gene) is downregulated by {v} (Compound)", "Dabrafenib" ] ], [ [ "Nicardipine", "{u} (Compound) causes {v} (Side Effect)", "Abdominal pain" ], [ "Abdominal pain", "{u} (Side Effect) is caused by {v} (Compound)", "Dabrafenib" ] ], [ [ "Nicardipine", "{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}", "Dabrafenib" ] ], [ [ "Nicardipine", "{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}", "Dabrafenib" ] ], [ [ "Nicardipine", "{u} (Compound) resembles {v} (Compound)", "Nifedipine" ], [ "Nifedipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dabrafenib" ] ], [ [ "Nicardipine", "{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}", "Dabrafenib" ] ], [ [ "Nicardipine", "{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}", "Dabrafenib" ] ] ]
Nicardipine (Compound) binds ABCB1 (Gene) and ABCB1 (Gene) is bound by Dabrafenib (Compound) Nicardipine (Compound) downregulates TRAPPC6A (Gene) and TRAPPC6A (Gene) is upregulated by Dabrafenib (Compound) Nicardipine (Compound) downregulates CDC45 (Gene) and CDC45 (Gene) is downregulated by Dabrafenib (Compound) Nicardipine (Compound) causes Abdominal pain (Side Effect) and Abdominal pain (Side Effect) is caused by Dabrafenib (Compound) Nicardipine 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 Dabrafenib Nicardipine 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 Dabrafenib Nicardipine (Compound) resembles Nifedipine (Compound) and Nifedipine may cause a moderate interaction that could exacerbate diseases when taken with Dabrafenib Nicardipine 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 Dabrafenib Nicardipine 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 Dabrafenib
DB00673
DB05316
723
749
[ "DDInter112", "DDInter1467" ]
Aprepitant
Pimavanserin
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).
Pimavanserin is an atypical antipsychotic indicated for the treatment of psychiatric disorders. Although the exact mechanism of action is unknown, it is thought that pimavanserin interacts with the serotonin receptors, particularly the 5-HT<sub>2A</sub> and HT<sub>2C</sub> receptors. Unlike other atypical antipsychotics, pimavanserin lacks inherent dopaminergic activity. In fact, pimavanserin is the first antipsychotic drug without D<sub>2</sub> blocking activity. Therefore, pimavanserin can be used to treat psychotic symptoms without causing extrapyramidal or worsening motor symptoms.[A232613,A232573] Pimavanserin is marketed under the trade name NUPLAZID and developed by Acadia Pharmaceuticals. It was approved by the FDA in April 2016 for the treatment of hallucinations and delusions associated with Parkinson's disease psychosis thanks to favorable results from a pivotal six-week, randomized, placebo-controlled, parallel-group study.[L48241,A232573] Pimavanserin was also under review as a potential treatment for dementia-related psychosis; however, as of April 2021, FDA approval has not been granted for this indication despite previous breakthrough designation.
Moderate
1
[ [ [ 723, 24, 749 ] ], [ [ 723, 63, 522 ], [ 522, 24, 749 ] ], [ [ 723, 24, 392 ], [ 392, 24, 749 ] ], [ [ 723, 25, 594 ], [ 594, 63, 749 ] ], [ [ 723, 24, 1250 ], [ 1250, 63, 749 ] ], [ [ 723, 62, 1101 ], [ 1101, 24, 749 ] ], [ [ 723, 64, 1557 ], [ 1557, 24, 749 ] ], [ [ 723, 25, 477 ], [ 477, 24, 749 ] ], [ [ 723, 63, 11 ], [ 11, 25, 749 ] ], [ [ 723, 24, 868 ], [ 868, 64, 749 ] ] ]
[ [ [ "Aprepitant", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pimavanserin" ] ], [ [ "Aprepitant", "{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}", "Pimavanserin" ] ], [ [ "Aprepitant", "{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}", "Pimavanserin" ] ], [ [ "Aprepitant", "{u} may lead to a major life threatening interaction when taken with {v}", "Bosutinib" ], [ "Bosutinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pimavanserin" ] ], [ [ "Aprepitant", "{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}", "Pimavanserin" ] ], [ [ "Aprepitant", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pimavanserin" ] ], [ [ "Aprepitant", "{u} may lead to a major life threatening interaction when taken with {v}", "Astemizole" ], [ "Astemizole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pimavanserin" ] ], [ [ "Aprepitant", "{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}", "Pimavanserin" ] ], [ [ "Aprepitant", "{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}", "Pimavanserin" ] ], [ [ "Aprepitant", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vemurafenib" ], [ "Vemurafenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Pimavanserin" ] ] ]
Aprepitant 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 Pimavanserin Aprepitant 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 Pimavanserin Aprepitant may lead to a major life threatening interaction when taken with Bosutinib and Bosutinib may cause a moderate interaction that could exacerbate diseases when taken with Pimavanserin Aprepitant 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 Pimavanserin Aprepitant may cause a minor interaction that can limit clinical effects when taken with Bexarotene and Bexarotene may cause a moderate interaction that could exacerbate diseases when taken with Pimavanserin Aprepitant may lead to a major life threatening interaction when taken with Astemizole and Astemizole may cause a moderate interaction that could exacerbate diseases when taken with Pimavanserin Aprepitant 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 Pimavanserin Aprepitant 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 Pimavanserin Aprepitant may cause a moderate interaction that could exacerbate diseases when taken with Vemurafenib and Vemurafenib may lead to a major life threatening interaction when taken with Pimavanserin
DB00761
DB00850
1,621
1,630
[ "DDInter1497", "DDInter1432" ]
Potassium chloride
Perphenazine
A white crystal or crystalline powder used as an electrolyte replenisher, in the treatment of hypokalemia, in buffer solutions, and in fertilizers and explosives. The FDA withdrew its approval for the use of all solid oral dosage form drug products containing potassium chloride that supply 100 mg or more of potassium per dosage unit, except for controlled-release dosage forms and those products formulated for preparation of solution prior to ingestion.
An antipsychotic phenothiazine derivative with actions and uses similar to those of chlorpromazine.
Major
2
[ [ [ 1621, 25, 1630 ] ], [ [ 1621, 64, 252 ], [ 252, 40, 1630 ] ], [ [ 1621, 25, 1178 ], [ 1178, 40, 1630 ] ], [ [ 1621, 21, 28809 ], [ 28809, 60, 1630 ] ], [ [ 1621, 25, 832 ], [ 832, 24, 1630 ] ], [ [ 1621, 25, 103 ], [ 103, 63, 1630 ] ], [ [ 1621, 64, 352 ], [ 352, 24, 1630 ] ], [ [ 1621, 62, 1685 ], [ 1685, 24, 1630 ] ], [ [ 1621, 23, 1296 ], [ 1296, 63, 1630 ] ], [ [ 1621, 25, 104 ], [ 104, 74, 1630 ] ] ]
[ [ [ "Potassium chloride", "{u} may lead to a major life threatening interaction when taken with {v}", "Perphenazine" ] ], [ [ "Potassium chloride", "{u} may lead to a major life threatening interaction when taken with {v}", "Hydroxyzine" ], [ "Hydroxyzine", "{u} (Compound) resembles {v} (Compound)", "Perphenazine" ] ], [ [ "Potassium chloride", "{u} may lead to a major life threatening interaction when taken with {v}", "Trifluoperazine" ], [ "Trifluoperazine", "{u} (Compound) resembles {v} (Compound)", "Perphenazine" ] ], [ [ "Potassium chloride", "{u} (Compound) causes {v} (Side Effect)", "Diarrhoea" ], [ "Diarrhoea", "{u} (Side Effect) is caused by {v} (Compound)", "Perphenazine" ] ], [ [ "Potassium chloride", "{u} may lead to a major life threatening interaction when taken with {v}", "Tripelennamine" ], [ "Tripelennamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Perphenazine" ] ], [ [ "Potassium chloride", "{u} may lead to a major life threatening interaction when taken with {v}", "Acrivastine" ], [ "Acrivastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Perphenazine" ] ], [ [ "Potassium chloride", "{u} may lead to a major life threatening interaction when taken with {v}", "Trospium" ], [ "Trospium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Perphenazine" ] ], [ [ "Potassium chloride", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Insulin human" ], [ "Insulin human", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Perphenazine" ] ], [ [ "Potassium chloride", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Insulin degludec" ], [ "Insulin degludec", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Perphenazine" ] ], [ [ "Potassium chloride", "{u} may lead to a major life threatening interaction when taken with {v}", "Methdilazine" ], [ "Methdilazine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Perphenazine" ] ] ]
Potassium chloride may lead to a major life threatening interaction when taken with Hydroxyzine and Hydroxyzine (Compound) resembles Perphenazine (Compound) Potassium chloride may lead to a major life threatening interaction when taken with Trifluoperazine and Trifluoperazine (Compound) resembles Perphenazine (Compound) Potassium chloride (Compound) causes Diarrhoea (Side Effect) and Diarrhoea (Side Effect) is caused by Perphenazine (Compound) Potassium chloride may lead to a major life threatening interaction when taken with Tripelennamine and Tripelennamine may cause a moderate interaction that could exacerbate diseases when taken with Perphenazine Potassium chloride may lead to a major life threatening interaction when taken with Acrivastine and Acrivastine may cause a moderate interaction that could exacerbate diseases when taken with Perphenazine Potassium chloride may lead to a major life threatening interaction when taken with Trospium and Trospium may cause a moderate interaction that could exacerbate diseases when taken with Perphenazine Potassium chloride may cause a minor interaction that can limit clinical effects when taken with Insulin human and Insulin human may cause a moderate interaction that could exacerbate diseases when taken with Perphenazine Potassium chloride may cause a minor interaction that can limit clinical effects when taken with Insulin degludec and Insulin degludec may cause a moderate interaction that could exacerbate diseases when taken with Perphenazine Potassium chloride may lead to a major life threatening interaction when taken with Methdilazine and Methdilazine (Compound) resembles Perphenazine (Compound) and Methdilazine may cause a moderate interaction that could exacerbate diseases when taken with Perphenazine
DB00270
DB00443
1,428
251
[ "DDInter993", "DDInter195" ]
Isradipine
Betamethasone
Isradipine belongs to the dihydropyridine (DHP) class of calcium channel blockers (CCBs), the most widely used class of CCBs. It is structurally related to felodipine, nifedipine, and nimodipine and is the most potent calcium-channel blocking agent of the DHP class. Isradipine binds to calcium channels with high affinity and specificity and inhibits calcium flux into cardiac and arterial smooth muscle cells. It exhibits greater selectivity towards arterial smooth muscle cells owing to alternative splicing of the alpha-1 subunit of the channel and increased prevalence of inactive channels in smooth muscle cells. Isradipine may be used to treat mild to moderate essential hypertension.
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.
Moderate
1
[ [ [ 1428, 24, 251 ] ], [ [ 1428, 24, 617 ], [ 617, 40, 251 ] ], [ [ 1428, 24, 870 ], [ 870, 1, 251 ] ], [ [ 1428, 6, 8374 ], [ 8374, 45, 251 ] ], [ [ 1428, 18, 3106 ], [ 3106, 57, 251 ] ], [ [ 1428, 21, 29081 ], [ 29081, 60, 251 ] ], [ [ 1428, 63, 58 ], [ 58, 24, 251 ] ], [ [ 1428, 24, 433 ], [ 433, 63, 251 ] ], [ [ 1428, 1, 84 ], [ 84, 24, 251 ] ], [ [ 1428, 1, 409 ], [ 409, 63, 251 ] ] ]
[ [ [ "Isradipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Betamethasone" ] ], [ [ "Isradipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Budesonide" ], [ "Budesonide", "{u} (Compound) resembles {v} (Compound)", "Betamethasone" ] ], [ [ "Isradipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fludrocortisone" ], [ "Fludrocortisone", "{u} (Compound) resembles {v} (Compound)", "Betamethasone" ] ], [ [ "Isradipine", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Betamethasone" ] ], [ [ "Isradipine", "{u} (Compound) downregulates {v} (Gene)", "DNAJA3" ], [ "DNAJA3", "{u} (Gene) is downregulated by {v} (Compound)", "Betamethasone" ] ], [ [ "Isradipine", "{u} (Compound) causes {v} (Side Effect)", "Angioedema" ], [ "Angioedema", "{u} (Side Effect) is caused by {v} (Compound)", "Betamethasone" ] ], [ [ "Isradipine", "{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}", "Betamethasone" ] ], [ [ "Isradipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ertugliflozin" ], [ "Ertugliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Betamethasone" ] ], [ [ "Isradipine", "{u} (Compound) resembles {v} (Compound)", "Nisoldipine" ], [ "Nisoldipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Betamethasone" ] ], [ [ "Isradipine", "{u} (Compound) resembles {v} (Compound)", "Felodipine" ], [ "Felodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Betamethasone" ] ] ]
Isradipine may cause a moderate interaction that could exacerbate diseases when taken with Budesonide and Budesonide (Compound) resembles Betamethasone (Compound) Isradipine may cause a moderate interaction that could exacerbate diseases when taken with Fludrocortisone and Fludrocortisone (Compound) resembles Betamethasone (Compound) Isradipine (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Betamethasone (Compound) Isradipine (Compound) downregulates DNAJA3 (Gene) and DNAJA3 (Gene) is downregulated by Betamethasone (Compound) Isradipine (Compound) causes Angioedema (Side Effect) and Angioedema (Side Effect) is caused by Betamethasone (Compound) Isradipine 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 Betamethasone Isradipine may cause a moderate interaction that could exacerbate diseases when taken with Ertugliflozin and Ertugliflozin may cause a moderate interaction that could exacerbate diseases when taken with Betamethasone Isradipine (Compound) resembles Nisoldipine (Compound) and Nisoldipine may cause a moderate interaction that could exacerbate diseases when taken with Betamethasone Isradipine (Compound) resembles Felodipine (Compound) and Felodipine may cause a moderate interaction that could exacerbate diseases when taken with Betamethasone
DB11978
DB14840
124
861
[ "DDInter822", "DDInter1601" ]
Glasdegib
Ripretinib
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
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
[ [ [ 124, 24, 861 ] ], [ [ 124, 64, 351 ], [ 351, 24, 861 ] ], [ [ 124, 63, 353 ], [ 353, 24, 861 ] ], [ [ 124, 25, 1017 ], [ 1017, 24, 861 ] ], [ [ 124, 24, 1476 ], [ 1476, 24, 861 ] ], [ [ 124, 64, 384 ], [ 384, 25, 861 ] ], [ [ 124, 64, 351 ], [ 351, 24, 214 ], [ 214, 24, 861 ] ], [ [ 124, 63, 353 ], [ 353, 24, 351 ], [ 351, 24, 861 ] ], [ [ 124, 64, 1456 ], [ 1456, 25, 351 ], [ 351, 24, 861 ] ], [ [ 124, 63, 392 ], [ 392, 25, 351 ], [ 351, 24, 861 ] ] ]
[ [ [ "Glasdegib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ripretinib" ] ], [ [ "Glasdegib", "{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" ] ], [ [ "Glasdegib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Griseofulvin" ], [ "Griseofulvin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ripretinib" ] ], [ [ "Glasdegib", "{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}", "Ripretinib" ] ], [ [ "Glasdegib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brigatinib" ], [ "Brigatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ripretinib" ] ], [ [ "Glasdegib", "{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}", "Ripretinib" ] ], [ [ "Glasdegib", "{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}", "Fostamatinib" ], [ "Fostamatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ripretinib" ] ], [ [ "Glasdegib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Griseofulvin" ], [ "Griseofulvin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ribociclib" ], [ "Ribociclib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ripretinib" ] ], [ [ "Glasdegib", "{u} may lead to a major life threatening interaction when taken with {v}", "Venetoclax" ], [ "Venetoclax", "{u} may lead to a major life threatening interaction when taken with {v}", "Ribociclib" ], [ "Ribociclib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ripretinib" ] ], [ [ "Glasdegib", "{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}", "Ribociclib" ], [ "Ribociclib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ripretinib" ] ] ]
Glasdegib 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 Glasdegib may cause a moderate interaction that could exacerbate diseases when taken with Griseofulvin and Griseofulvin may cause a moderate interaction that could exacerbate diseases when taken with Ripretinib Glasdegib 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 Ripretinib Glasdegib may cause a moderate interaction that could exacerbate diseases when taken with Brigatinib and Brigatinib may cause a moderate interaction that could exacerbate diseases when taken with Ripretinib Glasdegib 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 Ripretinib Glasdegib 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 Fostamatinib and Fostamatinib may cause a moderate interaction that could exacerbate diseases when taken with Ripretinib Glasdegib may cause a moderate interaction that could exacerbate diseases when taken with Griseofulvin and Griseofulvin may cause a moderate interaction that could exacerbate diseases when taken with Ribociclib and Ribociclib may cause a moderate interaction that could exacerbate diseases when taken with Ripretinib Glasdegib may lead to a major life threatening interaction when taken with Venetoclax and Venetoclax may lead to a major life threatening interaction when taken with Ribociclib and Ribociclib may cause a moderate interaction that could exacerbate diseases when taken with Ripretinib Glasdegib 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 Ribociclib and Ribociclib may cause a moderate interaction that could exacerbate diseases when taken with Ripretinib
DB00912
DB08899
473
129
[ "DDInter1581", "DDInter649" ]
Repaglinide
Enzalutamide
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
Enzalutamide is an androgen receptor (AR) inhibitor for the treatment of castration-resistant prostate cancer (CRPC), both metastatic and non-metastatic. It is a second-generation antiandrogen agent that the FDA approved on August 31, 2012.[L40639, A252667] Although androgen deprivation therapy (ADT) is the first-line treatment of prostate cancer and remission can be achieved, arising resistance is inevitable, becoming castration-resistant prostate cancer. Until recently, docetaxel is the only treatment available for metastatic CRPC; however, AR inhibitors have been developed for more targeted therapy, although first-generation AR inhibitors like bicalutamide did not substantially increase the survival rate. Second-generation such as enzalutamide is more efficacious due to a higher affinity to AR and no partial agonist activity compared to bicalutamide.[A252667,A252642] Due to a favorable pharmacological profile, a phase 1 study of enzalutamide was initiated in July 2007. Compared to the average time of 10 to 15 years for a drug to go from pre-clinical to clinical studies, enzalutamide was developed relatively rapidly.
Moderate
1
[ [ [ 473, 24, 129 ] ], [ [ 473, 24, 918 ], [ 918, 1, 129 ] ], [ [ 473, 6, 8374 ], [ 8374, 45, 129 ] ], [ [ 473, 21, 28703 ], [ 28703, 60, 129 ] ], [ [ 473, 24, 1247 ], [ 1247, 23, 129 ] ], [ [ 473, 24, 1060 ], [ 1060, 62, 129 ] ], [ [ 473, 24, 1510 ], [ 1510, 24, 129 ] ], [ [ 473, 63, 529 ], [ 529, 24, 129 ] ], [ [ 473, 24, 1320 ], [ 1320, 63, 129 ] ], [ [ 473, 25, 1206 ], [ 1206, 24, 129 ] ] ]
[ [ [ "Repaglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enzalutamide" ] ], [ [ "Repaglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bicalutamide" ], [ "Bicalutamide", "{u} (Compound) resembles {v} (Compound)", "Enzalutamide" ] ], [ [ "Repaglinide", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Enzalutamide" ] ], [ [ "Repaglinide", "{u} (Compound) causes {v} (Side Effect)", "Pruritus" ], [ "Pruritus", "{u} (Side Effect) is caused by {v} (Compound)", "Enzalutamide" ] ], [ [ "Repaglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sulfamethoxazole" ], [ "Sulfamethoxazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Enzalutamide" ] ], [ [ "Repaglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enfortumab vedotin" ], [ "Enfortumab vedotin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Enzalutamide" ] ], [ [ "Repaglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Teriflunomide" ], [ "Teriflunomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enzalutamide" ] ], [ [ "Repaglinide", "{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}", "Enzalutamide" ] ], [ [ "Repaglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Elagolix" ], [ "Elagolix", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enzalutamide" ] ], [ [ "Repaglinide", "{u} may lead to a major life threatening interaction when taken with {v}", "Gemfibrozil" ], [ "Gemfibrozil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enzalutamide" ] ] ]
Repaglinide may cause a moderate interaction that could exacerbate diseases when taken with Bicalutamide and Bicalutamide (Compound) resembles Enzalutamide (Compound) Repaglinide (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Enzalutamide (Compound) Repaglinide (Compound) causes Pruritus (Side Effect) and Pruritus (Side Effect) is caused by Enzalutamide (Compound) Repaglinide may cause a moderate interaction that could exacerbate diseases when taken with Sulfamethoxazole and Sulfamethoxazole may cause a minor interaction that can limit clinical effects when taken with Enzalutamide Repaglinide may cause a moderate interaction that could exacerbate diseases when taken with Enfortumab vedotin and Enfortumab vedotin may cause a minor interaction that can limit clinical effects when taken with Enzalutamide Repaglinide may cause a moderate interaction that could exacerbate diseases when taken with Teriflunomide and Teriflunomide may cause a moderate interaction that could exacerbate diseases when taken with Enzalutamide Repaglinide 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 Enzalutamide Repaglinide may cause a moderate interaction that could exacerbate diseases when taken with Elagolix and Elagolix may cause a moderate interaction that could exacerbate diseases when taken with Enzalutamide Repaglinide may lead to a major life threatening interaction when taken with Gemfibrozil and Gemfibrozil may cause a moderate interaction that could exacerbate diseases when taken with Enzalutamide
DB01618
DB09076
776
1,116
[ "DDInter1239", "DDInter1899" ]
Molindone
Umeclidinium
An indole derivative effective in schizophrenia and other psychoses and possibly useful in the treatment of the aggressive type of undersocialized conduct disorder. Molindone has much lower affinity for D2 receptors than most antipsychotic agents and has a relatively low affinity for D1 receptors. It has only low to moderate affinity for cholinergic and alpha-adrenergic receptors. Some electrophysiologic data from animals indicate that molindone has certain characteristics that resemble those of clozapine. (From AMA Drug Evaluations Annual, 1994, p283)
Umeclidinium is a long-acting muscarinic antagonist (LAMA) used as a maintenance treatment for symptoms of chronic obstructive pulmonary disease (COPD). COPD is a progressive obstructive lung disease characterized by shortness of breath, cough, sputum production, and chronically poor airflow with a forced expiratory volume in 1 second (FEV1) of less than 80%. Maintenance of the airway is controlled by the parasympathetic nervous system, particularly by the abundance of the muscarinic subtype 3 (M3) in the airway smooth muscle. Parasympathetic ganglia are associated with the larger airways while postganglionic fibers innervate the smaller diameter bronchioles contributing to airway resistance. By blocking the M3 muscarinic receptor, umeclidinium inhibits the binding of acetylcholine and thereby opens up the airways by preventing bronchoconstriction. However, even though umeclidinium monotherapy is well-tolerated for up to 14 days, it is more likely to be used in combination therapy, as the international Gold Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines recommended the use of two long-acting bronchodilators with differing mechanisms of action to maximize efficacy and minimize adverse effects.[A7718,A7714] Umeclidinium was approved by the FDA in April 2014 under the brand name Incruse Ellipta as a standalone product. Later, it was further approved as a combination product with [vilanterol] and [vilanterol]/[fluticasone furoate] under the brand name ANORO ELLIPTA and TRELEGY ELLIPTA respectively.[L44461,L44456]. ANORO ELLIPTA was approved in December 2013 while TRELEGY ELLIPTA was approved in September 2017.[L46881,L46886]
Moderate
1
[ [ [ 776, 24, 1116 ] ], [ [ 776, 24, 849 ], [ 849, 24, 1116 ] ], [ [ 776, 63, 401 ], [ 401, 24, 1116 ] ], [ [ 776, 24, 103 ], [ 103, 63, 1116 ] ], [ [ 776, 24, 849 ], [ 849, 63, 1300 ], [ 1300, 24, 1116 ] ], [ [ 776, 24, 1511 ], [ 1511, 24, 849 ], [ 849, 24, 1116 ] ], [ [ 776, 63, 401 ], [ 401, 24, 849 ], [ 849, 24, 1116 ] ], [ [ 776, 63, 662 ], [ 662, 35, 849 ], [ 849, 24, 1116 ] ], [ [ 776, 63, 401 ], [ 401, 64, 1300 ], [ 1300, 24, 1116 ] ], [ [ 776, 63, 1442 ], [ 1442, 63, 1300 ], [ 1300, 24, 1116 ] ] ]
[ [ [ "Molindone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Umeclidinium" ] ], [ [ "Molindone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepyramine" ], [ "Mepyramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Umeclidinium" ] ], [ [ "Molindone", "{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}", "Umeclidinium" ] ], [ [ "Molindone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acrivastine" ], [ "Acrivastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Umeclidinium" ] ], [ [ "Molindone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepyramine" ], [ "Mepyramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Haloperidol" ], [ "Haloperidol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Umeclidinium" ] ], [ [ "Molindone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepenzolate" ], [ "Mepenzolate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepyramine" ], [ "Mepyramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Umeclidinium" ] ], [ [ "Molindone", "{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}", "Mepyramine" ], [ "Mepyramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Umeclidinium" ] ], [ [ "Molindone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carbinoxamine" ], [ "Carbinoxamine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepyramine" ], [ "Mepyramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Umeclidinium" ] ], [ [ "Molindone", "{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}", "Haloperidol" ], [ "Haloperidol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Umeclidinium" ] ], [ [ "Molindone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Scopolamine" ], [ "Scopolamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Haloperidol" ], [ "Haloperidol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Umeclidinium" ] ] ]
Molindone may cause a moderate interaction that could exacerbate diseases when taken with Mepyramine and Mepyramine may cause a moderate interaction that could exacerbate diseases when taken with Umeclidinium Molindone 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 Umeclidinium Molindone may cause a moderate interaction that could exacerbate diseases when taken with Acrivastine and Acrivastine may cause a moderate interaction that could exacerbate diseases when taken with Umeclidinium Molindone may cause a moderate interaction that could exacerbate diseases when taken with Mepyramine and Mepyramine may cause a moderate interaction that could exacerbate diseases when taken with Haloperidol and Haloperidol may cause a moderate interaction that could exacerbate diseases when taken with Umeclidinium Molindone may cause a moderate interaction that could exacerbate diseases when taken with Mepenzolate and Mepenzolate may cause a moderate interaction that could exacerbate diseases when taken with Mepyramine and Mepyramine may cause a moderate interaction that could exacerbate diseases when taken with Umeclidinium Molindone 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 Mepyramine and Mepyramine may cause a moderate interaction that could exacerbate diseases when taken with Umeclidinium Molindone may cause a moderate interaction that could exacerbate diseases when taken with Carbinoxamine and Carbinoxamine (Compound) resembles Mepyramine (Compound) and Carbinoxamine may cause a moderate interaction that could exacerbate diseases when taken with Mepyramine and Mepyramine may cause a moderate interaction that could exacerbate diseases when taken with Umeclidinium Molindone 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 Haloperidol and Haloperidol may cause a moderate interaction that could exacerbate diseases when taken with Umeclidinium Molindone may cause a moderate interaction that could exacerbate diseases when taken with Scopolamine and Scopolamine may cause a moderate interaction that could exacerbate diseases when taken with Haloperidol and Haloperidol may cause a moderate interaction that could exacerbate diseases when taken with Umeclidinium
DB04845
DB08820
309
1,478
[ "DDInter1001", "DDInter997" ]
Ixabepilone
Ivacaftor
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.
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
[ [ [ 309, 24, 1478 ] ], [ [ 309, 6, 8374 ], [ 8374, 45, 1478 ] ], [ [ 309, 21, 29998 ], [ 29998, 60, 1478 ] ], [ [ 309, 62, 307 ], [ 307, 23, 1478 ] ], [ [ 309, 24, 1362 ], [ 1362, 63, 1478 ] ], [ [ 309, 63, 804 ], [ 804, 24, 1478 ] ], [ [ 309, 24, 655 ], [ 655, 24, 1478 ] ], [ [ 309, 63, 600 ], [ 600, 25, 1478 ] ], [ [ 309, 24, 1593 ], [ 1593, 64, 1478 ] ], [ [ 309, 25, 1339 ], [ 1339, 64, 1478 ] ] ]
[ [ [ "Ixabepilone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivacaftor" ] ], [ [ "Ixabepilone", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Ivacaftor" ] ], [ [ "Ixabepilone", "{u} (Compound) causes {v} (Side Effect)", "Hyperaesthesia" ], [ "Hyperaesthesia", "{u} (Side Effect) is caused by {v} (Compound)", "Ivacaftor" ] ], [ [ "Ixabepilone", "{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}", "Ivacaftor" ] ], [ [ "Ixabepilone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olaparib" ], [ "Olaparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivacaftor" ] ], [ [ "Ixabepilone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sulfinpyrazone" ], [ "Sulfinpyrazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivacaftor" ] ], [ [ "Ixabepilone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Etravirine" ], [ "Etravirine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivacaftor" ] ], [ [ "Ixabepilone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fluconazole" ], [ "Fluconazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivacaftor" ] ], [ [ "Ixabepilone", "{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" ] ], [ [ "Ixabepilone", "{u} may lead to a major life threatening interaction when taken with {v}", "Berotralstat" ], [ "Berotralstat", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivacaftor" ] ] ]
Ixabepilone (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Ivacaftor (Compound) Ixabepilone (Compound) causes Hyperaesthesia (Side Effect) and Hyperaesthesia (Side Effect) is caused by Ivacaftor (Compound) Ixabepilone 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 Ivacaftor Ixabepilone may cause a moderate interaction that could exacerbate diseases when taken with Olaparib and Olaparib may cause a moderate interaction that could exacerbate diseases when taken with Ivacaftor Ixabepilone may cause a moderate interaction that could exacerbate diseases when taken with Sulfinpyrazone and Sulfinpyrazone may cause a moderate interaction that could exacerbate diseases when taken with Ivacaftor Ixabepilone may cause a moderate interaction that could exacerbate diseases when taken with Etravirine and Etravirine may cause a moderate interaction that could exacerbate diseases when taken with Ivacaftor Ixabepilone may cause a moderate interaction that could exacerbate diseases when taken with Fluconazole and Fluconazole may lead to a major life threatening interaction when taken with Ivacaftor Ixabepilone 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 Ixabepilone may lead to a major life threatening interaction when taken with Berotralstat and Berotralstat may lead to a major life threatening interaction when taken with Ivacaftor
DB00852
DB01276
1,445
123
[ "DDInter1545", "DDInter706" ]
Pseudoephedrine
Exenatide
Pseudoephedrine is structurally related to [ephedrine] but exerts a weaker effect on the sympathetic nervous system.[A188820,A188823] Both drugs naturally occur in in ephedra plant which have a history of use in traditional Eastern medicine and were first researched in the west in 1889. The decongestant effect of pseudoephedrine was described in dogs in 1927.
Exenatide is a glucagon-like peptide-1 (GLP-1) analog. It activates the GLP-1 receptor and increases insulin secretion, decreases glucagon secretion, and slows gastric emptying to improve glycemic control. Exenatide was given FDA approval on April 28, 2005. It is available as immediate- and extended-release formulations.[L42685,L42690] Bydureon, the brand name product of extended-release exenatide in an injectable suspension, was discontinued in 2021. Bydureon BCise, an auto-injector extended-release formulation, remains available.
Moderate
1
[ [ [ 1445, 24, 123 ] ], [ [ 1445, 63, 1252 ], [ 1252, 23, 123 ] ], [ [ 1445, 24, 939 ], [ 939, 24, 123 ] ], [ [ 1445, 63, 1685 ], [ 1685, 24, 123 ] ], [ [ 1445, 1, 280 ], [ 280, 63, 123 ] ], [ [ 1445, 24, 1254 ], [ 1254, 63, 123 ] ], [ [ 1445, 74, 1466 ], [ 1466, 24, 123 ] ], [ [ 1445, 35, 1529 ], [ 1529, 63, 123 ] ], [ [ 1445, 63, 1252 ], [ 1252, 63, 1636 ], [ 1636, 24, 123 ] ], [ [ 1445, 24, 939 ], [ 939, 63, 1636 ], [ 1636, 24, 123 ] ] ]
[ [ [ "Pseudoephedrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Exenatide" ] ], [ [ "Pseudoephedrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Digoxin" ], [ "Digoxin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Exenatide" ] ], [ [ "Pseudoephedrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Benzphetamine" ], [ "Benzphetamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Exenatide" ] ], [ [ "Pseudoephedrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin human" ], [ "Insulin human", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Exenatide" ] ], [ [ "Pseudoephedrine", "{u} (Compound) resembles {v} (Compound)", "Mephentermine" ], [ "Mephentermine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Exenatide" ] ], [ [ "Pseudoephedrine", "{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}", "Exenatide" ] ], [ [ "Pseudoephedrine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenylpropanolamine" ], [ "Phenylpropanolamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Exenatide" ] ], [ [ "Pseudoephedrine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metamfetamine" ], [ "Metamfetamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Exenatide" ] ], [ [ "Pseudoephedrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Digoxin" ], [ "Digoxin", "{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}", "Exenatide" ] ], [ [ "Pseudoephedrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Benzphetamine" ], [ "Benzphetamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenylephrine" ], [ "Phenylephrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Exenatide" ] ] ]
Pseudoephedrine may cause a moderate interaction that could exacerbate diseases when taken with Digoxin and Digoxin may cause a minor interaction that can limit clinical effects when taken with Exenatide Pseudoephedrine may cause a moderate interaction that could exacerbate diseases when taken with Benzphetamine and Benzphetamine may cause a moderate interaction that could exacerbate diseases when taken with Exenatide Pseudoephedrine may cause a moderate interaction that could exacerbate diseases when taken with Insulin human and Insulin human may cause a moderate interaction that could exacerbate diseases when taken with Exenatide Pseudoephedrine (Compound) resembles Mephentermine (Compound) and Mephentermine may cause a moderate interaction that could exacerbate diseases when taken with Exenatide Pseudoephedrine 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 Exenatide Pseudoephedrine (Compound) resembles Phenylpropanolamine (Compound) and Pseudoephedrine may cause a moderate interaction that could exacerbate diseases when taken with Phenylpropanolamine and Phenylpropanolamine may cause a moderate interaction that could exacerbate diseases when taken with Exenatide Pseudoephedrine (Compound) resembles Metamfetamine (Compound) and Pseudoephedrine may cause a moderate interaction that could exacerbate diseases when taken with Metamfetamine and Metamfetamine may cause a moderate interaction that could exacerbate diseases when taken with Exenatide Pseudoephedrine may cause a moderate interaction that could exacerbate diseases when taken with Digoxin and Digoxin 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 Exenatide Pseudoephedrine may cause a moderate interaction that could exacerbate diseases when taken with Benzphetamine and Benzphetamine may cause a moderate interaction that could exacerbate diseases when taken with Phenylephrine and Phenylephrine may cause a moderate interaction that could exacerbate diseases when taken with Exenatide
DB01591
DB06589
667
1,250
[ "DDInter1696", "DDInter1400" ]
Solifenacin
Pazopanib
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.
Pazopanib is a small molecule inhibitor of multiple protein tyrosine kinases with potential antineoplastic activity. It is developed by GlaxoSmithKline and was FDA approved on October 19, 2009.
Moderate
1
[ [ [ 667, 24, 1250 ] ], [ [ 667, 6, 8374 ], [ 8374, 45, 1250 ] ], [ [ 667, 21, 28658 ], [ 28658, 60, 1250 ] ], [ [ 667, 62, 112 ], [ 112, 23, 1250 ] ], [ [ 667, 63, 1151 ], [ 1151, 24, 1250 ] ], [ [ 667, 24, 28 ], [ 28, 63, 1250 ] ], [ [ 667, 24, 1342 ], [ 1342, 24, 1250 ] ], [ [ 667, 64, 11 ], [ 11, 25, 1250 ] ], [ [ 667, 25, 868 ], [ 868, 64, 1250 ] ], [ [ 667, 63, 477 ], [ 477, 25, 1250 ] ] ]
[ [ [ "Solifenacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pazopanib" ] ], [ [ "Solifenacin", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Pazopanib" ] ], [ [ "Solifenacin", "{u} (Compound) causes {v} (Side Effect)", "Vomiting" ], [ "Vomiting", "{u} (Side Effect) is caused by {v} (Compound)", "Pazopanib" ] ], [ [ "Solifenacin", "{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}", "Pazopanib" ] ], [ [ "Solifenacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sunitinib" ], [ "Sunitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pazopanib" ] ], [ [ "Solifenacin", "{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}", "Pazopanib" ] ], [ [ "Solifenacin", "{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}", "Pazopanib" ] ], [ [ "Solifenacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Toremifene" ], [ "Toremifene", "{u} may lead to a major life threatening interaction when taken with {v}", "Pazopanib" ] ], [ [ "Solifenacin", "{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}", "Pazopanib" ] ], [ [ "Solifenacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cilostazol" ], [ "Cilostazol", "{u} may lead to a major life threatening interaction when taken with {v}", "Pazopanib" ] ] ]
Solifenacin (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Pazopanib (Compound) Solifenacin (Compound) causes Vomiting (Side Effect) and Vomiting (Side Effect) is caused by Pazopanib (Compound) Solifenacin 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 Pazopanib Solifenacin may cause a moderate interaction that could exacerbate diseases when taken with Sunitinib and Sunitinib may cause a moderate interaction that could exacerbate diseases when taken with Pazopanib Solifenacin 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 Pazopanib Solifenacin 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 Pazopanib Solifenacin may lead to a major life threatening interaction when taken with Toremifene and Toremifene may lead to a major life threatening interaction when taken with Pazopanib Solifenacin 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 Pazopanib Solifenacin may cause a moderate interaction that could exacerbate diseases when taken with Cilostazol and Cilostazol may lead to a major life threatening interaction when taken with Pazopanib
DB06605
DB12147
1,409
241
[ "DDInter108", "DDInter661" ]
Apixaban
Erdafitinib
Apixaban is an oral, direct, and highly selective factor Xa (FXa) inhibitor of both free and bound FXa, as well as prothrombinase, independent of antithrombin III for the prevention and treatment of thromboembolic diseases[Label,A6897]. It is marketed under the name Eliquis[Label,L6043]. Apixaban was approved by the FDA on December 28, 2012.
In early April of 2019, the US FDA approved Janssen Pharmaceutical Companies' brand name Balversa (erdafitinib) as the first-ever fibroblast growth factor receptor (FGFR) kinase inhibitor indicated for patients with locally advanced or metastatic urothelial carcinoma, with susceptible FGFR3 or FGFR2 genetic alterations, that has progressed during or following platinum-containing chemotherapy, including within 12 months of neoadjuvant or adjuvant platinum-containing chemotherapy. [L5956, L5959] At the same time, the FDA also approved the therascreen FGFR RGQ RT-PCR Kit (Qiagen) for utilization as a companion diagnostic with erdafitinib for selecting patients for the indicated therapy [L5956, L5959]. Erdafitinib is the first personalized treatment targeting susceptible FGFR genetic alterations for patients with metastatic bladder cancer, which demonstrates the development of more personalized and precise medicines tailoring to a patient's specific genetic mutation.[L5956, L5959] Considering urothelial cancer is statistically the fourth most common kind of cancer in the world, the introduction of erdafitinib offers a much-needed new option in the ever-expanding therapeutic tool kit to treat such a prevalent medical condition.
Moderate
1
[ [ [ 1409, 24, 241 ] ], [ [ 1409, 24, 1456 ], [ 1456, 24, 241 ] ], [ [ 1409, 24, 982 ], [ 982, 63, 241 ] ], [ [ 1409, 25, 578 ], [ 578, 24, 241 ] ], [ [ 1409, 63, 1419 ], [ 1419, 24, 241 ] ], [ [ 1409, 25, 1421 ], [ 1421, 63, 241 ] ], [ [ 1409, 64, 792 ], [ 792, 24, 241 ] ], [ [ 1409, 63, 1220 ], [ 1220, 25, 241 ] ], [ [ 1409, 24, 1017 ], [ 1017, 25, 241 ] ], [ [ 1409, 25, 1604 ], [ 1604, 25, 241 ] ] ]
[ [ [ "Apixaban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Erdafitinib" ] ], [ [ "Apixaban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Venetoclax" ], [ "Venetoclax", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Erdafitinib" ] ], [ [ "Apixaban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivosidenib" ], [ "Ivosidenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Erdafitinib" ] ], [ [ "Apixaban", "{u} may lead to a major life threatening interaction when taken with {v}", "Ticagrelor" ], [ "Ticagrelor", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Erdafitinib" ] ], [ [ "Apixaban", "{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}", "Erdafitinib" ] ], [ [ "Apixaban", "{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}", "Erdafitinib" ] ], [ [ "Apixaban", "{u} may lead to a major life threatening interaction when taken with {v}", "Rivaroxaban" ], [ "Rivaroxaban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Erdafitinib" ] ], [ [ "Apixaban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexamethasone" ], [ "Dexamethasone", "{u} may lead to a major life threatening interaction when taken with {v}", "Erdafitinib" ] ], [ [ "Apixaban", "{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}", "Erdafitinib" ] ], [ [ "Apixaban", "{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}", "Erdafitinib" ] ] ]
Apixaban may cause a moderate interaction that could exacerbate diseases when taken with Venetoclax and Venetoclax may cause a moderate interaction that could exacerbate diseases when taken with Erdafitinib Apixaban may cause a moderate interaction that could exacerbate diseases when taken with Ivosidenib and Ivosidenib may cause a moderate interaction that could exacerbate diseases when taken with Erdafitinib Apixaban may lead to a major life threatening interaction when taken with Ticagrelor and Ticagrelor may cause a moderate interaction that could exacerbate diseases when taken with Erdafitinib Apixaban 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 Erdafitinib Apixaban 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 Erdafitinib Apixaban may lead to a major life threatening interaction when taken with Rivaroxaban and Rivaroxaban may cause a moderate interaction that could exacerbate diseases when taken with Erdafitinib Apixaban may cause a moderate interaction that could exacerbate diseases when taken with Dexamethasone and Dexamethasone may lead to a major life threatening interaction when taken with Erdafitinib Apixaban 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 Erdafitinib Apixaban 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 Erdafitinib
DB00169
DB00562
386
1,014
[ "DDInter367", "DDInter188" ]
Cholecalciferol
Benzthiazide
Vitamin D, in general, is a secosteroid generated in the skin when 7-dehydrocholesterol located there interacts with ultraviolet irradiation - like that commonly found in sunlight. Both the endogenous form of vitamin D (that results from 7-dehydrocholesterol transformation), vitamin D3 (cholecalciferol), and the plant-derived form, vitamin D2 (ergocalciferol), are considered the main forms of vitamin d and are found in various types of food for daily intake. Structurally, ergocalciferol differs from cholecalciferol in that it possesses a double bond between C22 and C23 and has an additional methyl group at C24. Finally, ergocalciferol is pharmacologically less potent than cholecalciferol, which makes vitamin D3 the preferred agent for medical use. Appropriate levels of vitamin D must be upheld in the body in order to maintain calcium and phosphorus levels in a
Benzthiazide is used to treat hypertension and edema. Like other thiazides, benzthiazide promotes water loss from the body (diuretics). They inhibit Na+/Cl- reabsorption from the distal convoluted tubules in the kidneys. Thiazides also cause loss of potassium and an increase in serum uric acid. Thiazides are often used to treat hypertension, but their hypotensive effects are not necessarily due to their diuretic activity. Thiazides have been shown to prevent hypertension-related morbidity and mortality although the mechanism is not fully understood. Thiazides cause vasodilation by activating calcium-activated potassium channels (large conductance) in vascular smooth muscles and inhibiting various carbonic anhydrases in vascular tissue.
Moderate
1
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[ [ [ "Cholecalciferol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Benzthiazide" ] ], [ [ "Cholecalciferol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metolazone" ], [ "Metolazone", "{u} (Compound) resembles {v} (Compound)", "Benzthiazide" ] ], [ [ "Cholecalciferol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trichlormethiazide" ], [ "Trichlormethiazide", "{u} (Compound) resembles {v} (Compound)", "Benzthiazide" ] ], [ [ "Cholecalciferol", "{u} may lead to a major life threatening interaction when taken with {v}", "Doxercalciferol" ], [ "Doxercalciferol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Benzthiazide" ] ], [ [ "Cholecalciferol", "{u} (Compound) resembles {v} (Compound) and {u} may lead to a major life threatening interaction when taken with {v}", "Ergocalciferol" ], [ "Ergocalciferol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Benzthiazide" ] ], [ [ "Cholecalciferol", "{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}", "Benzthiazide" ] ], [ [ "Cholecalciferol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metolazone" ], [ "Metolazone", "{u} (Compound) resembles {v} (Compound)", "Methyclothiazide" ], [ "Methyclothiazide", "{u} (Compound) resembles {v} (Compound)", "Benzthiazide" ] ], [ [ "Cholecalciferol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trichlormethiazide" ], [ "Trichlormethiazide", "{u} (Compound) resembles {v} (Compound)", "Bendroflumethiazide" ], [ "Bendroflumethiazide", "{u} (Compound) resembles {v} (Compound)", "Benzthiazide" ] ], [ [ "Cholecalciferol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorothiazide" ], [ "Chlorothiazide", "{u} (Compound) resembles {v} (Compound)", "Metolazone" ], [ "Metolazone", "{u} (Compound) resembles {v} (Compound)", "Benzthiazide" ] ], [ [ "Cholecalciferol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydrochlorothiazide" ], [ "Hydrochlorothiazide", "{u} (Compound) resembles {v} (Compound)", "Trichlormethiazide" ], [ "Trichlormethiazide", "{u} (Compound) resembles {v} (Compound)", "Benzthiazide" ] ] ]
Cholecalciferol may cause a moderate interaction that could exacerbate diseases when taken with Metolazone and Metolazone (Compound) resembles Benzthiazide (Compound) Cholecalciferol may cause a moderate interaction that could exacerbate diseases when taken with Trichlormethiazide and Trichlormethiazide (Compound) resembles Benzthiazide (Compound) Cholecalciferol may lead to a major life threatening interaction when taken with Doxercalciferol and Doxercalciferol may cause a moderate interaction that could exacerbate diseases when taken with Benzthiazide Cholecalciferol (Compound) resembles Ergocalciferol (Compound) and Cholecalciferol may lead to a major life threatening interaction when taken with Ergocalciferol and Ergocalciferol may cause a moderate interaction that could exacerbate diseases when taken with Benzthiazide Cholecalciferol 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 Benzthiazide Cholecalciferol may cause a moderate interaction that could exacerbate diseases when taken with Metolazone and Metolazone (Compound) resembles Methyclothiazide (Compound) and Methyclothiazide (Compound) resembles Benzthiazide (Compound) Cholecalciferol may cause a moderate interaction that could exacerbate diseases when taken with Trichlormethiazide and Trichlormethiazide (Compound) resembles Bendroflumethiazide (Compound) and Bendroflumethiazide (Compound) resembles Benzthiazide (Compound) Cholecalciferol may cause a moderate interaction that could exacerbate diseases when taken with Chlorothiazide and Chlorothiazide (Compound) resembles Metolazone (Compound) and Metolazone (Compound) resembles Benzthiazide (Compound) Cholecalciferol may cause a moderate interaction that could exacerbate diseases when taken with Hydrochlorothiazide and Hydrochlorothiazide (Compound) resembles Trichlormethiazide (Compound) and Trichlormethiazide (Compound) resembles Benzthiazide (Compound)
DB00023
DB08913
305
1,186
[ "DDInter127", "DDInter1561" ]
Asparaginase Escherichia coli
Radium Ra 223 dichloride
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
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
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[ [ [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Radium Ra 223 dichloride" ] ], [ [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lomustine" ], [ "Lomustine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Radium Ra 223 dichloride" ] ], [ [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sarilumab" ], [ "Sarilumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Radium Ra 223 dichloride" ] ], [ [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Peginterferon alfa-2a" ], [ "Peginterferon alfa-2a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Radium Ra 223 dichloride" ] ], [ [ "Asparaginase Escherichia coli", "{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}", "Radium Ra 223 dichloride" ] ], [ [ "Asparaginase Escherichia coli", "{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" ] ], [ [ "Asparaginase Escherichia coli", "{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" ] ], [ [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lomustine" ], [ "Lomustine", "{u} (Compound) causes {v} (Side Effect)", "Nausea" ], [ "Nausea", "{u} (Side Effect) is caused by {v} (Compound)", "Radium Ra 223 dichloride" ] ], [ [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sarilumab" ], [ "Sarilumab", "{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" ] ], [ [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Panobinostat" ], [ "Panobinostat", "{u} may lead to a major life threatening interaction when taken with {v}", "Midostaurin" ], [ "Midostaurin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Radium Ra 223 dichloride" ] ] ]
Asparaginase Escherichia coli may cause a moderate interaction that could exacerbate diseases when taken with Lomustine and Lomustine may cause a moderate interaction that could exacerbate diseases when taken with Radium Ra 223 dichloride Asparaginase Escherichia coli may cause a moderate interaction that could exacerbate diseases when taken with Sarilumab and Sarilumab may cause a moderate interaction that could exacerbate diseases when taken with Radium Ra 223 dichloride Asparaginase Escherichia coli may cause a moderate interaction that could exacerbate diseases when taken with Peginterferon alfa-2a and Peginterferon alfa-2a may cause a moderate interaction that could exacerbate diseases when taken with Radium Ra 223 dichloride Asparaginase Escherichia coli 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 Radium Ra 223 dichloride Asparaginase Escherichia coli 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 Asparaginase Escherichia coli 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 Asparaginase Escherichia coli may cause a moderate interaction that could exacerbate diseases when taken with Lomustine and Lomustine (Compound) causes Nausea (Side Effect) and Nausea (Side Effect) is caused by Radium Ra 223 dichloride (Compound) Asparaginase Escherichia coli may cause a moderate interaction that could exacerbate diseases when taken with Sarilumab and Sarilumab 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 Asparaginase Escherichia coli may cause a moderate interaction that could exacerbate diseases when taken with Panobinostat and Panobinostat may lead to a major life threatening interaction when taken with Midostaurin and Midostaurin may cause a moderate interaction that could exacerbate diseases when taken with Radium Ra 223 dichloride
DB00252
DB00470
362
530
[ "DDInter1460", "DDInter601" ]
Phenytoin
Dronabinol
Phenytoin is classified as a hydantoin derivative and despite its narrow therapeutic index, it is one of the most commonly used anticonvulsants.[A33595,A188832,A189219] Since it's introduction about 80 years ago, phenytoin has not only been established as an effective anti-epileptic, but has also been investigated for several other indications such as bipolar disorder, retina protection, and wound healing.[A188826,A188832] Clinicians are advised to initiate therapeutic drug monitoring in patients who require phenytoin since even small deviations from the recommended therapeutic range can lead to suboptimal treatment, or adverse effects.[A189219,A35884] Both parenteral and oral formulations of phenytoin are available on the market.
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 the resin of the marijuana plant, both of which are pharmacologically active due to their interaction with cannabinoid receptors that are found throughout the body . While both CBD and THC are used for medicinal purposes, they have different receptor activity, function, and physiological effects. If not provided in their activated form (such as through synthetic forms like Dronabinol or ), THC and CBD are obtained through conversion from their precursors, tetrahydrocannabinolic acid-A (THCA-A) and cannabidiolic acid (CBDA), through decarboxylation reactions. This can be achieved through heating, smoking, vaporization, or baking of dried unfertilized female cannabis flowers. From a pharmacological perspective, Cannabis' diverse receptor profile explains its potential application for such a wide variety of medical conditions. Cannabis contains more than 400 different chemical compounds, of which 61 are considered cannabinoids, a class of compounds that act upon endogenous cannabinoid receptors of the body . The endocannabinoid system is widely distributed throughout the central and peripheral nervous system (via the Cannabinoid Receptors CB1 and CB2) and plays a role in many physiological processes such as inflammation, cardiovascular function, learning, pain, memory, stress and emotional regulation, and the sleep/wake cycle among many others . CB1 receptors are found in both the central and peripheral nervous system, and are most abundant in the hippocampus and amygdala, which are the areas of the brain responsible for short-term memory storage and emotional regulation. CB2 receptors are mainly located in the peripheral nervous system and can be found on lymphoid tissue where they are involved in regulation of immune function .
Moderate
1
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[ [ [ "Phenytoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dronabinol" ] ], [ [ "Phenytoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nabilone" ], [ "Nabilone", "{u} (Compound) resembles {v} (Compound)", "Dronabinol" ] ], [ [ "Phenytoin", "{u} (Compound) binds {v} (Gene)", "CYP2C9" ], [ "CYP2C9", "{u} (Gene) is bound by {v} (Compound)", "Dronabinol" ] ], [ [ "Phenytoin", "{u} (Compound) causes {v} (Side Effect)", "Sinusitis" ], [ "Sinusitis", "{u} (Side Effect) is caused by {v} (Compound)", "Dronabinol" ] ], [ [ "Phenytoin", "{u} (Compound) resembles {v} (Compound)", "Modafinil" ], [ "Modafinil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Dronabinol" ] ], [ [ "Phenytoin", "{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}", "Dronabinol" ] ], [ [ "Phenytoin", "{u} (Compound) resembles {v} (Compound)", "Carbamazepine" ], [ "Carbamazepine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dronabinol" ] ], [ [ "Phenytoin", "{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}", "Dronabinol" ] ], [ [ "Phenytoin", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diphenhydramine" ], [ "Diphenhydramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dronabinol" ] ], [ [ "Phenytoin", "{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}", "Dronabinol" ] ] ]
Phenytoin may cause a moderate interaction that could exacerbate diseases when taken with Nabilone and Nabilone (Compound) resembles Dronabinol (Compound) Phenytoin (Compound) binds CYP2C9 (Gene) and CYP2C9 (Gene) is bound by Dronabinol (Compound) Phenytoin (Compound) causes Sinusitis (Side Effect) and Sinusitis (Side Effect) is caused by Dronabinol (Compound) Phenytoin (Compound) resembles Modafinil (Compound) and Modafinil may cause a minor interaction that can limit clinical effects when taken with Dronabinol Phenytoin 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 Dronabinol Phenytoin (Compound) resembles Carbamazepine (Compound) and Carbamazepine may cause a moderate interaction that could exacerbate diseases when taken with Dronabinol Phenytoin 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 Dronabinol Phenytoin (Compound) resembles Diphenhydramine (Compound) and Phenytoin 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 Dronabinol Phenytoin 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 Dronabinol
DB00531
DB00978
450
739
[ "DDInter456", "DDInter1084" ]
Cyclophosphamide
Lomefloxacin
Precursor of an alkylating nitrogen mustard antineoplastic and immunosuppressive agent that must be activated in the liver to form the active aldophosphamide. It has been used in the treatment of lymphoma and leukemia. Its side effect, alopecia, has been used for defleecing sheep. Cyclophosphamide may also cause sterility, birth defects, mutations, and cancer.
Lomefloxacin is a fluoroquinolone antibiotic, used to treat bacterial infections including bronchitis and urinary tract infections (UTIs). Additionally, it has been employed for the prophylaxis of UTIs prior to surgery as well.
Minor
0
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[ [ [ "Cyclophosphamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Lomefloxacin" ] ], [ [ "Cyclophosphamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sparfloxacin" ], [ "Sparfloxacin", "{u} (Compound) resembles {v} (Compound)", "Lomefloxacin" ] ], [ [ "Cyclophosphamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Moxifloxacin" ], [ "Moxifloxacin", "{u} (Compound) resembles {v} (Compound)", "Lomefloxacin" ] ], [ [ "Cyclophosphamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Enoxacin" ], [ "Enoxacin", "{u} (Compound) resembles {v} (Compound)", "Lomefloxacin" ] ], [ [ "Cyclophosphamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Trovafloxacin" ], [ "Trovafloxacin", "{u} (Compound) resembles {v} (Compound)", "Lomefloxacin" ] ], [ [ "Cyclophosphamide", "{u} (Compound) causes {v} (Side Effect)", "Dizziness" ], [ "Dizziness", "{u} (Side Effect) is caused by {v} (Compound)", "Lomefloxacin" ] ], [ [ "Cyclophosphamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Daunorubicin" ], [ "Daunorubicin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Lomefloxacin" ] ], [ [ "Cyclophosphamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carmustine" ], [ "Carmustine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Lomefloxacin" ] ], [ [ "Cyclophosphamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cytarabine" ], [ "Cytarabine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Lomefloxacin" ] ], [ [ "Cyclophosphamide", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ifosfamide" ], [ "Ifosfamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Lomefloxacin" ] ] ]
Cyclophosphamide may cause a minor interaction that can limit clinical effects when taken with Sparfloxacin and Sparfloxacin (Compound) resembles Lomefloxacin (Compound) Cyclophosphamide may cause a minor interaction that can limit clinical effects when taken with Moxifloxacin and Moxifloxacin (Compound) resembles Lomefloxacin (Compound) Cyclophosphamide may cause a minor interaction that can limit clinical effects when taken with Enoxacin and Enoxacin (Compound) resembles Lomefloxacin (Compound) Cyclophosphamide may cause a minor interaction that can limit clinical effects when taken with Trovafloxacin and Trovafloxacin (Compound) resembles Lomefloxacin (Compound) Cyclophosphamide (Compound) causes Dizziness (Side Effect) and Dizziness (Side Effect) is caused by Lomefloxacin (Compound) Cyclophosphamide may cause a moderate interaction that could exacerbate diseases when taken with Daunorubicin and Daunorubicin may cause a minor interaction that can limit clinical effects when taken with Lomefloxacin Cyclophosphamide may cause a moderate interaction that could exacerbate diseases when taken with Carmustine and Carmustine may cause a minor interaction that can limit clinical effects when taken with Lomefloxacin Cyclophosphamide may cause a moderate interaction that could exacerbate diseases when taken with Cytarabine and Cytarabine may cause a minor interaction that can limit clinical effects when taken with Lomefloxacin Cyclophosphamide (Compound) resembles Ifosfamide (Compound) and Cyclophosphamide may cause a moderate interaction that could exacerbate diseases when taken with Ifosfamide and Ifosfamide may cause a minor interaction that can limit clinical effects when taken with Lomefloxacin
DB01018
DB09098
1,364
98
[ "DDInter847", "DDInter1700" ]
Guanfacine
Somatrem
Guanfacine, or BS 100-141,[A189838,A189841] is a selective alpha-A2 adrenergic receptor agonist initially indicated for the treatment of hypertension but is now indicated as an extended release tablet for the treatment of ADHD. Guanfacine was first described in the literature in 1974. Guanfacine was granted FDA approval on 27 October 1986.
Despite the ability of almost all contemporary recombinant growth hormones to cause definite and demonstrable increases in growth rate in patients who are administered the drug, the use of these agents continues to be mired in persistent bioethical debate . Such discussion revolves around whether patients' natural disposition of short stature should be considered a medical condition justifying medical treatment with such hormone therapy - especially when these hormone agents have been proven effective at increasing the height of children with or without growth hormone deficiency .
Moderate
1
[ [ [ 1364, 24, 98 ] ], [ [ 1364, 24, 159 ], [ 159, 63, 98 ] ], [ [ 1364, 63, 1573 ], [ 1573, 24, 98 ] ], [ [ 1364, 25, 609 ], [ 609, 24, 98 ] ], [ [ 1364, 24, 868 ], [ 868, 24, 98 ] ], [ [ 1364, 25, 283 ], [ 283, 63, 98 ] ], [ [ 1364, 64, 1419 ], [ 1419, 24, 98 ] ], [ [ 1364, 40, 1512 ], [ 1512, 24, 98 ] ], [ [ 1364, 63, 1101 ], [ 1101, 25, 98 ] ], [ [ 1364, 24, 159 ], [ 159, 63, 608 ], [ 608, 23, 98 ] ] ]
[ [ [ "Guanfacine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somatrem" ] ], [ [ "Guanfacine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Larotrectinib" ], [ "Larotrectinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somatrem" ] ], [ [ "Guanfacine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Prednisone" ], [ "Prednisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somatrem" ] ], [ [ "Guanfacine", "{u} may lead to a major life threatening interaction when taken with {v}", "Clarithromycin" ], [ "Clarithromycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somatrem" ] ], [ [ "Guanfacine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vemurafenib" ], [ "Vemurafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somatrem" ] ], [ [ "Guanfacine", "{u} may lead to a major life threatening interaction when taken with {v}", "Fedratinib" ], [ "Fedratinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somatrem" ] ], [ [ "Guanfacine", "{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}", "Somatrem" ] ], [ [ "Guanfacine", "{u} (Compound) resembles {v} (Compound)", "Diclofenac" ], [ "Diclofenac", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somatrem" ] ], [ [ "Guanfacine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may lead to a major life threatening interaction when taken with {v}", "Somatrem" ] ], [ [ "Guanfacine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Larotrectinib" ], [ "Larotrectinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lidocaine" ], [ "Lidocaine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Somatrem" ] ] ]
Guanfacine may cause a moderate interaction that could exacerbate diseases when taken with Larotrectinib and Larotrectinib may cause a moderate interaction that could exacerbate diseases when taken with Somatrem Guanfacine may cause a moderate interaction that could exacerbate diseases when taken with Prednisone and Prednisone may cause a moderate interaction that could exacerbate diseases when taken with Somatrem Guanfacine may lead to a major life threatening interaction when taken with Clarithromycin and Clarithromycin may cause a moderate interaction that could exacerbate diseases when taken with Somatrem Guanfacine may cause a moderate interaction that could exacerbate diseases when taken with Vemurafenib and Vemurafenib may cause a moderate interaction that could exacerbate diseases when taken with Somatrem Guanfacine may lead to a major life threatening interaction when taken with Fedratinib and Fedratinib may cause a moderate interaction that could exacerbate diseases when taken with Somatrem Guanfacine 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 Somatrem Guanfacine (Compound) resembles Diclofenac (Compound) and Diclofenac may cause a moderate interaction that could exacerbate diseases when taken with Somatrem Guanfacine may cause a moderate interaction that could exacerbate diseases when taken with Bexarotene and Bexarotene may lead to a major life threatening interaction when taken with Somatrem Guanfacine may cause a moderate interaction that could exacerbate diseases when taken with Larotrectinib and Larotrectinib may cause a moderate interaction that could exacerbate diseases when taken with Lidocaine and Lidocaine may cause a minor interaction that can limit clinical effects when taken with Somatrem
DB00491
DB04946
127
924
[ "DDInter1217", "DDInter907" ]
Miglitol
Iloperidone
Miglitol inhibits the breakdown complex carbohydrates into glucose. It is primarily used in diabetes mellitus type 2 for establishing greater glycemic control by preventing the digestion of carbohydrates (such as disaccharides, oligosaccharides, and polysaccharides) into monosaccharides which can be absorbed by the body. Miglitol should be taken at the start of a meal for maximal effect and the effect will depend on the amount of poly and oligosaccharides in the diet. Miglitol inhibits alpha-glucosidase, making less sugars available for digestion and reducing postprandial hyperglycemia. Unlike other drugs of the same class, miglitol is not metabolized and the unmetabolized drug is excreted by the kidneys.
Iloperidone is an atypical antipsychotic for the treatment of schizophrenia symptoms. Hoechst Marion Roussel Inc. researched the drug until May 1996. In June 1997 they gave the research rights to Titan Pharmaceuticals, who gave the worldwide development, manufacturing, and marketing rights to Novartis in August 1998. On June 9, 2004, Titan Pharmaceuticals gave the Phase III development rights to Vanda Pharmaceuticals. FDA approved on May 9, 2009.
Moderate
1
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[ [ [ "Miglitol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iloperidone" ] ], [ [ "Miglitol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Risperidone" ], [ "Risperidone", "{u} (Compound) resembles {v} (Compound)", "Iloperidone" ] ], [ [ "Miglitol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paliperidone" ], [ "Paliperidone", "{u} (Compound) resembles {v} (Compound)", "Iloperidone" ] ], [ [ "Miglitol", "{u} (Compound) causes {v} (Side Effect)", "Diarrhoea" ], [ "Diarrhoea", "{u} (Side Effect) is caused by {v} (Compound)", "Iloperidone" ] ], [ [ "Miglitol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glimepiride" ], [ "Glimepiride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iloperidone" ] ], [ [ "Miglitol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Epinephrine" ], [ "Epinephrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iloperidone" ] ], [ [ "Miglitol", "{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}", "Iloperidone" ] ], [ [ "Miglitol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alimemazine" ], [ "Alimemazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Iloperidone" ] ], [ [ "Miglitol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pasireotide" ], [ "Pasireotide", "{u} may lead to a major life threatening interaction when taken with {v}", "Iloperidone" ] ], [ [ "Miglitol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Goserelin" ], [ "Goserelin", "{u} may lead to a major life threatening interaction when taken with {v}", "Iloperidone" ] ] ]
Miglitol may cause a moderate interaction that could exacerbate diseases when taken with Risperidone and Risperidone (Compound) resembles Iloperidone (Compound) Miglitol may cause a moderate interaction that could exacerbate diseases when taken with Paliperidone and Paliperidone (Compound) resembles Iloperidone (Compound) Miglitol (Compound) causes Diarrhoea (Side Effect) and Diarrhoea (Side Effect) is caused by Iloperidone (Compound) Miglitol may cause a moderate interaction that could exacerbate diseases when taken with Glimepiride and Glimepiride may cause a moderate interaction that could exacerbate diseases when taken with Iloperidone Miglitol may cause a moderate interaction that could exacerbate diseases when taken with Epinephrine and Epinephrine may cause a moderate interaction that could exacerbate diseases when taken with Iloperidone Miglitol 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 Iloperidone Miglitol may cause a moderate interaction that could exacerbate diseases when taken with Alimemazine and Alimemazine may lead to a major life threatening interaction when taken with Iloperidone Miglitol may cause a moderate interaction that could exacerbate diseases when taken with Pasireotide and Pasireotide may lead to a major life threatening interaction when taken with Iloperidone Miglitol may cause a moderate interaction that could exacerbate diseases when taken with Goserelin and Goserelin may lead to a major life threatening interaction when taken with Iloperidone
DB10315
DB11817
1,137
1,259
[ "DDInter1127", "DDInter165" ]
Measles virus vaccine live attenuated
Baricitinib
Measles virus vaccine live attenuated is a live virus vaccine for simultaneous vaccination against measles, which is a common childhood disease. The vaccine is prepared from the attenuated line of measles virus, derived from Enders' attenuated Edmonston strain and propagated in chick embryo cell culture.
Baricitinib is a Janus kinase (JAK) inhibitor. JAKs are tyrosine protein kinases that play an important role in pro-inflammatory signaling pathways. Overactive JAKs have been implicated in autoimmune disorders, such as rheumatoid arthritis. By inhibiting the actions of JAK1 and JAK2, baricitinib attenuates JAK-mediated inflammation and immune responses. Baricitinib was first approved by the European Commission (EC) in February 2017 for the treatment of rheumatoid arthritis in adults and was later approved by the FDA in 2018. The EC later approved baricitinib for the treatment of atopic dermatitis, making it the first JAK inhibitor used for this indication in Europe. While baricitinib was granted emergency use as a treatment for COVID-19 in combination with [remdesivir] under the Emergency Use Authorization (EUA) in November 2020, the FDA fully approved the use of baricitinib for the treatment of COVID-19 in May 2022.
Major
2
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[ [ [ "Measles virus vaccine live attenuated", "{u} may lead to a major life threatening interaction when taken with {v}", "Baricitinib" ] ], [ [ "Measles virus vaccine live attenuated", "{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}", "Baricitinib" ] ], [ [ "Measles virus vaccine live attenuated", "{u} may lead to a major life threatening interaction when taken with {v}", "Rucaparib" ], [ "Rucaparib", "{u} may lead to a major life threatening interaction when taken with {v}", "Baricitinib" ] ], [ [ "Measles virus vaccine live attenuated", "{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}", "Baricitinib" ] ], [ [ "Measles virus vaccine live attenuated", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Budesonide" ], [ "Budesonide", "{u} may lead to a major life threatening interaction when taken with {v}", "Baricitinib" ] ], [ [ "Measles virus vaccine live attenuated", "{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}", "Flurbiprofen" ], [ "Flurbiprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Baricitinib" ] ], [ [ "Measles virus vaccine live attenuated", "{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}", "Flurbiprofen" ], [ "Flurbiprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Baricitinib" ] ], [ [ "Measles virus vaccine live attenuated", "{u} may lead to a major life threatening interaction when taken with {v}", "Eribulin" ], [ "Eribulin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vitamin E" ], [ "Vitamin E", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Baricitinib" ] ], [ [ "Measles virus vaccine live attenuated", "{u} may lead to a major life threatening interaction when taken with {v}", "Fingolimod" ], [ "Fingolimod", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clostridium tetani toxoid antigen (formaldehyde inactivated)" ], [ "Clostridium tetani toxoid antigen (formaldehyde inactivated)", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Baricitinib" ] ], [ [ "Measles virus vaccine live attenuated", "{u} may lead to a major life threatening interaction when taken with {v}", "Dexamethasone" ], [ "Dexamethasone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Zinc gluconate" ], [ "Zinc gluconate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Baricitinib" ] ] ]
Measles virus vaccine live attenuated 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 Baricitinib Measles virus vaccine live attenuated may lead to a major life threatening interaction when taken with Rucaparib and Rucaparib may lead to a major life threatening interaction when taken with Baricitinib Measles virus vaccine live attenuated 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 Baricitinib Measles virus vaccine live attenuated may cause a moderate interaction that could exacerbate diseases when taken with Budesonide and Budesonide may lead to a major life threatening interaction when taken with Baricitinib Measles virus vaccine live attenuated 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 Flurbiprofen and Flurbiprofen may cause a moderate interaction that could exacerbate diseases when taken with Baricitinib Measles virus vaccine live attenuated 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 Flurbiprofen and Flurbiprofen may cause a moderate interaction that could exacerbate diseases when taken with Baricitinib Measles virus vaccine live attenuated may lead to a major life threatening interaction when taken with Eribulin and Eribulin may cause a moderate interaction that could exacerbate diseases when taken with Vitamin E and Vitamin E may cause a minor interaction that can limit clinical effects when taken with Baricitinib Measles virus vaccine live attenuated may lead to a major life threatening interaction when taken with Fingolimod and Fingolimod may cause a moderate interaction that could exacerbate diseases when taken with Clostridium tetani toxoid antigen (formaldehyde inactivated) and Clostridium tetani toxoid antigen (formaldehyde inactivated) may cause a moderate interaction that could exacerbate diseases when taken with Baricitinib Measles virus vaccine live attenuated may lead to a major life threatening interaction when taken with Dexamethasone and Dexamethasone may cause a minor interaction that can limit clinical effects when taken with Zinc gluconate and Zinc gluconate may cause a minor interaction that can limit clinical effects when taken with Baricitinib
DB00196
DB14723
600
159
[ "DDInter743", "DDInter1026" ]
Fluconazole
Larotrectinib
Fluconazole, commonly known as _Diflucan_, is an antifungal drug used for the treatment of both systemic and superficial fungal infections in a variety of tissues. It was initially approved by the FDA in 1990. This drug is an _azole_ antifungal, in the same drug family as [ketoconazole] and [itraconazole]. Fluconazole has many advantages over the other antifungal drugs including the option of oral administration. The side effect profile of this drug is minimal. It has been demonstrated as an efficacious treatment for vaginal yeast infections in one single dose.
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
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[ [ [ "Fluconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Larotrectinib" ] ], [ [ "Fluconazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sibutramine" ], [ "Sibutramine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Larotrectinib" ] ], [ [ "Fluconazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Escitalopram" ], [ "Escitalopram", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Larotrectinib" ] ], [ [ "Fluconazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Lefamulin" ], [ "Lefamulin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Larotrectinib" ] ], [ [ "Fluconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tadalafil" ], [ "Tadalafil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Larotrectinib" ] ], [ [ "Fluconazole", "{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}", "Larotrectinib" ] ], [ [ "Fluconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calaspargase pegol" ], [ "Calaspargase pegol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Larotrectinib" ] ], [ [ "Fluconazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Avapritinib" ], [ "Avapritinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Larotrectinib" ] ], [ [ "Fluconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Interferon beta-1a" ], [ "Interferon beta-1a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Larotrectinib" ] ], [ [ "Fluconazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Pimozide" ], [ "Pimozide", "{u} may lead to a major life threatening interaction when taken with {v}", "Larotrectinib" ] ] ]
Fluconazole may cause a minor interaction that can limit clinical effects when taken with Sibutramine and Sibutramine may cause a minor interaction that can limit clinical effects when taken with Larotrectinib Fluconazole may lead to a major life threatening interaction when taken with Escitalopram and Escitalopram may cause a minor interaction that can limit clinical effects when taken with Larotrectinib Fluconazole may lead to a major life threatening interaction when taken with Lefamulin and Lefamulin may cause a moderate interaction that could exacerbate diseases when taken with Larotrectinib Fluconazole may cause a moderate interaction that could exacerbate diseases when taken with Tadalafil and Tadalafil may cause a moderate interaction that could exacerbate diseases when taken with Larotrectinib Fluconazole 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 Larotrectinib Fluconazole may cause a moderate interaction that could exacerbate diseases when taken with Calaspargase pegol and Calaspargase pegol may cause a moderate interaction that could exacerbate diseases when taken with Larotrectinib Fluconazole may lead to a major life threatening interaction when taken with Avapritinib and Avapritinib may cause a moderate interaction that could exacerbate diseases when taken with Larotrectinib Fluconazole may cause a moderate interaction that could exacerbate diseases when taken with Interferon beta-1a and Interferon beta-1a may cause a moderate interaction that could exacerbate diseases when taken with Larotrectinib Fluconazole may lead to a major life threatening interaction when taken with Pimozide and Pimozide may lead to a major life threatening interaction when taken with Larotrectinib
DB00641
DB09122
467
1,613
[ "DDInter1675", "DDInter1409" ]
Simvastatin
Peginterferon beta-1a
Simvastatin, also known as the brand name product Zocor, is a lipid-lowering drug derived synthetically from a fermentation product of _Aspergillus terreus_. It belongs to the statin class of medications, which are used to lower the risk of cardiovascular disease and manage abnormal lipid levels by inhibiting the endogenous production of cholesterol in the liver. More specifically, statin medications competitively inhibit the enzyme hydroxymethylglutaryl-coenzyme A (HMG-CoA) Reductase, which catalyzes the conversion of HMG-CoA to mevalonic acid and is the third step in a sequence of metabolic reactions involved in the production of several compounds involved in lipid metabolism and transport including cholesterol, low-density lipoprotein (LDL) (sometimes referred to as "bad cholesterol"), and very low-density lipoprotein (VLDL). Prescribing of statin medications is considered standard practice following any cardiovascular events and for people with a
Multiple Sclerosis (MS) is a chronic and inflammatory autoimmune disease of the central nervous system, disrupting communication between the brain and other parts of the body. Most patients diagnosed with this illness experience their initial disease symptoms between the age of 20 to 40, often the most productive years of life. Symptoms may include but are not limited to fatigue, gait changes, bowel or bladder dysfunction, abnormal muscle twitching, vision disturbance, and depressing or mood swings. MS is one of the most common causes of neurological disability in young adults and is found to occur more frequently in women than in men.[A176474,L5792] Peginterferon beta-1a is an interferon therapy used for the management of relapsing forms of MS. It was originally approved by the FDA in 2014 for subcutaneous use, and was approved for intramuscular use in January 2021. Currently, it is the only approved pegylated interferon for the management of MS with an proven ability to reduce relapses and delay the progression of disability resulting from MS.
Moderate
1
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[ [ [ "Simvastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Peginterferon beta-1a" ] ], [ [ "Simvastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fluvastatin" ], [ "Fluvastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Peginterferon beta-1a" ] ], [ [ "Simvastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bosentan" ], [ "Bosentan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Peginterferon beta-1a" ] ], [ [ "Simvastatin", "{u} may lead to a major life threatening interaction when taken with {v}", "Fluconazole" ], [ "Fluconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Peginterferon beta-1a" ] ], [ [ "Simvastatin", "{u} may lead to a major life threatening interaction when taken with {v}", "Tucatinib" ], [ "Tucatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Peginterferon beta-1a" ] ], [ [ "Simvastatin", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lovastatin" ], [ "Lovastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Peginterferon beta-1a" ] ], [ [ "Simvastatin", "{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}", "Peginterferon beta-1a" ] ], [ [ "Simvastatin", "{u} may lead to a major life threatening interaction when taken with {v}", "Nefazodone" ], [ "Nefazodone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Peginterferon beta-1a" ] ], [ [ "Simvastatin", "{u} may lead to a major life threatening interaction when taken with {v}", "Leflunomide" ], [ "Leflunomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Peginterferon beta-1a" ] ], [ [ "Simvastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zidovudine" ], [ "Zidovudine", "{u} may lead to a major life threatening interaction when taken with {v}", "Peginterferon beta-1a" ] ] ]
Simvastatin may cause a moderate interaction that could exacerbate diseases when taken with Fluvastatin and Fluvastatin may cause a moderate interaction that could exacerbate diseases when taken with Peginterferon beta-1a Simvastatin may cause a moderate interaction that could exacerbate diseases when taken with Bosentan and Bosentan may cause a moderate interaction that could exacerbate diseases when taken with Peginterferon beta-1a Simvastatin may lead to a major life threatening interaction when taken with Fluconazole and Fluconazole may cause a moderate interaction that could exacerbate diseases when taken with Peginterferon beta-1a Simvastatin may lead to a major life threatening interaction when taken with Tucatinib and Tucatinib may cause a moderate interaction that could exacerbate diseases when taken with Peginterferon beta-1a Simvastatin (Compound) resembles Lovastatin (Compound) and Simvastatin may cause a moderate interaction that could exacerbate diseases when taken with Lovastatin and Lovastatin may cause a moderate interaction that could exacerbate diseases when taken with Peginterferon beta-1a Simvastatin 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 Peginterferon beta-1a Simvastatin may lead to a major life threatening interaction when taken with Nefazodone and Nefazodone may cause a moderate interaction that could exacerbate diseases when taken with Peginterferon beta-1a Simvastatin may lead to a major life threatening interaction when taken with Leflunomide and Leflunomide may lead to a major life threatening interaction when taken with Peginterferon beta-1a Simvastatin may cause a moderate interaction that could exacerbate diseases when taken with Zidovudine and Zidovudine may lead to a major life threatening interaction when taken with Peginterferon beta-1a
DB00844
DB09268
314
1,662
[ "DDInter1257", "DDInter1464" ]
Nalbuphine
Picosulfuric acid
A narcotic used as a pain medication. It appears to be an agonist at kappa opioid receptors and an antagonist or partial agonist at mu opioid receptors. Nalbuphine is the only opioid analgesic that is not a controlled substance in the United States.
Picosulfuric acid is found in laxative products. Sodium picosulfate is a used to treat constipation or induce colon cleansing to prepare the large bowels before colonoscopy or surgery. The combination product containing sodium picosulfate and magnesium citrate was introduced to the Canadian market in 2005 and has been used in European countries for many years.
Moderate
1
[ [ [ 314, 24, 1662 ] ], [ [ 314, 63, 1494 ], [ 1494, 24, 1662 ] ], [ [ 314, 24, 820 ], [ 820, 24, 1662 ] ], [ [ 314, 64, 475 ], [ 475, 24, 1662 ] ], [ [ 314, 40, 421 ], [ 421, 24, 1662 ] ], [ [ 314, 25, 407 ], [ 407, 63, 1662 ] ], [ [ 314, 1, 560 ], [ 560, 24, 1662 ] ], [ [ 314, 25, 593 ], [ 593, 24, 1662 ] ], [ [ 314, 63, 1166 ], [ 1166, 25, 1662 ] ], [ [ 314, 63, 1494 ], [ 1494, 25, 1164 ], [ 1164, 24, 1662 ] ] ]
[ [ [ "Nalbuphine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Picosulfuric acid" ] ], [ [ "Nalbuphine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Palonosetron" ], [ "Palonosetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Picosulfuric acid" ] ], [ [ "Nalbuphine", "{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}", "Picosulfuric acid" ] ], [ [ "Nalbuphine", "{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}", "Picosulfuric acid" ] ], [ [ "Nalbuphine", "{u} (Compound) resembles {v} (Compound)", "Hydromorphone" ], [ "Hydromorphone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Picosulfuric acid" ] ], [ [ "Nalbuphine", "{u} may lead to a major life threatening interaction when taken with {v}", "Opium" ], [ "Opium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Picosulfuric acid" ] ], [ [ "Nalbuphine", "{u} (Compound) resembles {v} (Compound)", "Oxymorphone" ], [ "Oxymorphone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Picosulfuric acid" ] ], [ [ "Nalbuphine", "{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}", "Picosulfuric acid" ] ], [ [ "Nalbuphine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dolasetron" ], [ "Dolasetron", "{u} may lead to a major life threatening interaction when taken with {v}", "Picosulfuric acid" ] ], [ [ "Nalbuphine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Palonosetron" ], [ "Palonosetron", "{u} may lead to a major life threatening interaction when taken with {v}", "Trimipramine" ], [ "Trimipramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Picosulfuric acid" ] ] ]
Nalbuphine may cause a moderate interaction that could exacerbate diseases when taken with Palonosetron and Palonosetron may cause a moderate interaction that could exacerbate diseases when taken with Picosulfuric acid Nalbuphine 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 Picosulfuric acid Nalbuphine 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 Picosulfuric acid Nalbuphine (Compound) resembles Hydromorphone (Compound) and Hydromorphone may cause a moderate interaction that could exacerbate diseases when taken with Picosulfuric acid Nalbuphine may lead to a major life threatening interaction when taken with Opium and Opium may cause a moderate interaction that could exacerbate diseases when taken with Picosulfuric acid Nalbuphine (Compound) resembles Oxymorphone (Compound) and Oxymorphone may cause a moderate interaction that could exacerbate diseases when taken with Picosulfuric acid Nalbuphine 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 Picosulfuric acid Nalbuphine may cause a moderate interaction that could exacerbate diseases when taken with Dolasetron and Dolasetron may lead to a major life threatening interaction when taken with Picosulfuric acid Nalbuphine may cause a moderate interaction that could exacerbate diseases when taken with Palonosetron and Palonosetron may lead to a major life threatening interaction when taken with Trimipramine and Trimipramine may cause a moderate interaction that could exacerbate diseases when taken with Picosulfuric acid
DB04835
DB11901
1,655
913
[ "DDInter1125", "DDInter107" ]
Maraviroc
Apalutamide
Maraviroc (brand-named Selzentry, or Celsentri outside the U.S.) is a chemokine receptor antagonist drug developed by the drug company Pfizer that is designed to act against HIV by interfering with the interaction between HIV and CCR5. It was originally labelled as UK-427857 during development but was assigned the Maraviroc name as it entered trials. It was approved for use by the FDA in August, 2007.
Apalutamide is a potent androgen receptor (AR) antagonist that selectively binds to the ligand-binding domain of AR and blocks AR nuclear translocation or binding to androgen response elements . It has been used in trials studying the treatment of Prostate Cancer, Hepatic Impairment, Prostatic Neoplasms, Castration-Resistant Prostate Cancer, and Prostatic Neoplasms, Castration-Resistant, among others. Exerting an antitumor action, apalutamide blocking the effect of androgens that promote tumor growth. It targets the AR ligand-binding domain and prevents AR nuclear translocation, DNA binding, and transcription of AR gene targets in prostate tumors . In mice bearing human CRPC xenograft models, apalutamide treatment produced tumor regressions in a dose-dependent manner that was more effective than that of or . Unlike bicalutamide, apalutamide antagonized AR-mediated signaling in AR overexpressing human CRPC cell lines . Androgen-deprivation therapy, or hormone therapy, can be used as part of maintenance therapy for patients with non-metastatic prostate cancer. Although most patients achieve therapeutic responses at the initial hormone therapy, many patients progress to non-metastatic castration-resistant (resistance to hormone therapy) prostate cancer which is the second-most common cause of cancer-related deaths in American males . Castration-resistant prostate cancer is often incurable, which poses significant clinical challenges for patients. Approximately 10 to 20 % of prostate cancer cases are castration-resistant, and up to 16% of these patients show no evidence of cancer metastasis at the time of castration-resistant diagnosis . Higher prostate-specific antigen (PSA) and shorter PSA doubling time (PSA DT) are associated with a higher risk for metastases and death . In a phase-2 multicenter open-label study, 89% of patients with non-metastatic, castration-resistant prostate cancer had ≥50% PSA decline at week 12 of apalutamide treatment . In a randomized trial, the median metastasis-free survival for patients taking apalutamide was 40.5 months compared to 16.2 months for patients taking a placebo . Apalutamide displayed good tolerability and safety profile in clinical studies. Apalutamide was approved in February 2018 by the FDA as Erleada for the treatment of patients with non-metastatic prostate cancer that is resistant to treatment with hormone therapy (castration-resistant). It is available as oral tablets. Apalutamide is the first FDA-approved treatment for non-metastatic, castration-resistant prostate cancer .
Major
2
[ [ [ 1655, 25, 913 ] ], [ [ 1655, 63, 600 ], [ 600, 24, 913 ] ], [ [ 1655, 64, 609 ], [ 609, 24, 913 ] ], [ [ 1655, 24, 1320 ], [ 1320, 63, 913 ] ], [ [ 1655, 24, 1468 ], [ 1468, 24, 913 ] ], [ [ 1655, 25, 1510 ], [ 1510, 24, 913 ] ], [ [ 1655, 24, 578 ], [ 578, 25, 913 ] ], [ [ 1655, 24, 124 ], [ 124, 64, 913 ] ], [ [ 1655, 63, 1213 ], [ 1213, 25, 913 ] ], [ [ 1655, 25, 384 ], [ 384, 25, 913 ] ] ]
[ [ [ "Maraviroc", "{u} may lead to a major life threatening interaction when taken with {v}", "Apalutamide" ] ], [ [ "Maraviroc", "{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" ] ], [ [ "Maraviroc", "{u} may lead to a major life threatening interaction when taken with {v}", "Clarithromycin" ], [ "Clarithromycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ] ], [ [ "Maraviroc", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Elagolix" ], [ "Elagolix", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ] ], [ [ "Maraviroc", "{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}", "Apalutamide" ] ], [ [ "Maraviroc", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ], [ "Teriflunomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ] ], [ [ "Maraviroc", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ticagrelor" ], [ "Ticagrelor", "{u} may lead to a major life threatening interaction when taken with {v}", "Apalutamide" ] ], [ [ "Maraviroc", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glasdegib" ], [ "Glasdegib", "{u} may lead to a major life threatening interaction when taken with {v}", "Apalutamide" ] ], [ [ "Maraviroc", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dasatinib" ], [ "Dasatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Apalutamide" ] ], [ [ "Maraviroc", "{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}", "Apalutamide" ] ] ]
Maraviroc 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 Maraviroc may lead to a major life threatening interaction when taken with Clarithromycin and Clarithromycin may cause a moderate interaction that could exacerbate diseases when taken with Apalutamide Maraviroc may cause a moderate interaction that could exacerbate diseases when taken with Elagolix and Elagolix may cause a moderate interaction that could exacerbate diseases when taken with Apalutamide Maraviroc 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 Apalutamide Maraviroc may lead to a major life threatening interaction when taken with Teriflunomide and Teriflunomide may cause a moderate interaction that could exacerbate diseases when taken with Apalutamide Maraviroc may cause a moderate interaction that could exacerbate diseases when taken with Ticagrelor and Ticagrelor may lead to a major life threatening interaction when taken with Apalutamide Maraviroc may cause a moderate interaction that could exacerbate diseases when taken with Glasdegib and Glasdegib may lead to a major life threatening interaction when taken with Apalutamide Maraviroc may cause a moderate interaction that could exacerbate diseases when taken with Dasatinib and Dasatinib may lead to a major life threatening interaction when taken with Apalutamide Maraviroc 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 Apalutamide
DB00472
DB05812
758
1,374
[ "DDInter758", "DDInter8" ]
Fluoxetine
Abiraterone
Fluoxetine is a 2nd generation antidepressant categorized as a selective serotonin reuptake inhibitor (SSRI). It gained FDA approval in 1987 and although it was initially intended for the treatment of depression, today it is commonly prescribed to manage depression in addition to various other pathologies.
Abiraterone is a potent, irreversible, and selective inhibitor of 17 αhydroxylase/C17,20-lyase (CYP17), an enzyme expressed in testicular, adrenal, and prostatic tumour tissues, to regulate androgen biosynthesis.[A3811, A260880, L40968] Abiraterone was first approved by the FDA and EMA on April, July, and September 2011, respectively. It is used to treat metastatic castration-resistant prostate cancer and hormone-sensitive high-risk metastatic prostate cancer.[L40968, L40193, L47740, L47745] As abiraterone has poor oral bioavailability and is susceptible to hydrolysis by esterases, abiraterone acetate was developed as an orally bioavailable prodrug with enhanced stability and absorption.[A3811, A260835]
Moderate
1
[ [ [ 758, 24, 1374 ] ], [ [ 758, 6, 1829 ], [ 1829, 45, 1374 ] ], [ [ 758, 21, 29113 ], [ 29113, 60, 1374 ] ], [ [ 758, 23, 112 ], [ 112, 23, 1374 ] ], [ [ 758, 24, 760 ], [ 760, 62, 1374 ] ], [ [ 758, 1, 109 ], [ 109, 24, 1374 ] ], [ [ 758, 24, 1409 ], [ 1409, 63, 1374 ] ], [ [ 758, 64, 1494 ], [ 1494, 24, 1374 ] ], [ [ 758, 25, 1133 ], [ 1133, 24, 1374 ] ], [ [ 758, 24, 1555 ], [ 1555, 24, 1374 ] ] ]
[ [ [ "Fluoxetine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abiraterone" ] ], [ [ "Fluoxetine", "{u} (Compound) binds {v} (Gene)", "ALB" ], [ "ALB", "{u} (Gene) is bound by {v} (Compound)", "Abiraterone" ] ], [ [ "Fluoxetine", "{u} (Compound) causes {v} (Side Effect)", "Hypokalaemia" ], [ "Hypokalaemia", "{u} (Side Effect) is caused by {v} (Compound)", "Abiraterone" ] ], [ [ "Fluoxetine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Abiraterone" ] ], [ [ "Fluoxetine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cobicistat" ], [ "Cobicistat", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Abiraterone" ] ], [ [ "Fluoxetine", "{u} (Compound) resembles {v} (Compound)", "Duloxetine" ], [ "Duloxetine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abiraterone" ] ], [ [ "Fluoxetine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apixaban" ], [ "Apixaban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abiraterone" ] ], [ [ "Fluoxetine", "{u} may lead to a major life threatening interaction when taken with {v}", "Palonosetron" ], [ "Palonosetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abiraterone" ] ], [ [ "Fluoxetine", "{u} may lead to a major life threatening interaction when taken with {v}", "Granisetron" ], [ "Granisetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abiraterone" ] ], [ [ "Fluoxetine", "{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}", "Abiraterone" ] ] ]
Fluoxetine (Compound) binds ALB (Gene) and ALB (Gene) is bound by Abiraterone (Compound) Fluoxetine (Compound) causes Hypokalaemia (Side Effect) and Hypokalaemia (Side Effect) is caused by Abiraterone (Compound) Fluoxetine may cause a minor interaction that can limit clinical effects when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Abiraterone Fluoxetine may cause a moderate interaction that could exacerbate diseases when taken with Cobicistat and Cobicistat may cause a minor interaction that can limit clinical effects when taken with Abiraterone Fluoxetine (Compound) resembles Duloxetine (Compound) and Duloxetine may cause a moderate interaction that could exacerbate diseases when taken with Abiraterone Fluoxetine may cause a moderate interaction that could exacerbate diseases when taken with Apixaban and Apixaban may cause a moderate interaction that could exacerbate diseases when taken with Abiraterone Fluoxetine may lead to a major life threatening interaction when taken with Palonosetron and Palonosetron may cause a moderate interaction that could exacerbate diseases when taken with Abiraterone Fluoxetine may lead to a major life threatening interaction when taken with Granisetron and Granisetron may cause a moderate interaction that could exacerbate diseases when taken with Abiraterone Fluoxetine 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 Abiraterone
DB00180
DB01110
1,351
86
[ "DDInter750", "DDInter1209" ]
Flunisolide (nasal)
Miconazole
Flunisolide can cause developmental toxicity and female reproductive toxicity according to state or federal government labeling requirements.
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 miconazole among susceptible organisms is relatively low.
Moderate
1
[ [ [ 1351, 24, 86 ] ], [ [ 1351, 6, 8374 ], [ 8374, 45, 86 ] ], [ [ 1351, 21, 28787 ], [ 28787, 60, 86 ] ], [ [ 1351, 24, 1091 ], [ 1091, 23, 86 ] ], [ [ 1351, 1, 617 ], [ 617, 63, 86 ] ], [ [ 1351, 25, 932 ], [ 932, 24, 86 ] ], [ [ 1351, 23, 455 ], [ 455, 24, 86 ] ], [ [ 1351, 24, 798 ], [ 798, 24, 86 ] ], [ [ 1351, 24, 74 ], [ 74, 63, 86 ] ], [ [ 1351, 40, 423 ], [ 423, 63, 86 ] ] ]
[ [ [ "Flunisolide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Miconazole" ] ], [ [ "Flunisolide", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Miconazole" ] ], [ [ "Flunisolide", "{u} (Compound) causes {v} (Side Effect)", "Dermatitis" ], [ "Dermatitis", "{u} (Side Effect) is caused by {v} (Compound)", "Miconazole" ] ], [ [ "Flunisolide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amprenavir" ], [ "Amprenavir", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Miconazole" ] ], [ [ "Flunisolide", "{u} (Compound) resembles {v} (Compound)", "Budesonide" ], [ "Budesonide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Miconazole" ] ], [ [ "Flunisolide", "{u} may lead to a major life threatening interaction when taken with {v}", "Mifepristone" ], [ "Mifepristone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Miconazole" ] ], [ [ "Flunisolide", "{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}", "Miconazole" ] ], [ [ "Flunisolide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nelfinavir" ], [ "Nelfinavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Miconazole" ] ], [ [ "Flunisolide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Boceprevir" ], [ "Boceprevir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Miconazole" ] ], [ [ "Flunisolide", "{u} (Compound) resembles {v} (Compound)", "Ciclesonide" ], [ "Ciclesonide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Miconazole" ] ] ]
Flunisolide may cause a moderate interaction that could exacerbate diseases when taken with Miconazole Flunisolide (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Miconazole (Compound) Flunisolide (Compound) causes Dermatitis (Side Effect) and Dermatitis (Side Effect) is caused by Miconazole (Compound) Flunisolide may cause a moderate interaction that could exacerbate diseases when taken with Amprenavir and Amprenavir may cause a minor interaction that can limit clinical effects when taken with Miconazole Flunisolide (Compound) resembles Budesonide (Compound) and Budesonide may cause a moderate interaction that could exacerbate diseases when taken with Miconazole Flunisolide may lead to a major life threatening interaction when taken with Mifepristone and Mifepristone may cause a moderate interaction that could exacerbate diseases when taken with Miconazole Flunisolide 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 Miconazole Flunisolide may cause a moderate interaction that could exacerbate diseases when taken with Nelfinavir and Nelfinavir may cause a moderate interaction that could exacerbate diseases when taken with Miconazole Flunisolide may cause a moderate interaction that could exacerbate diseases when taken with Boceprevir and Boceprevir may cause a moderate interaction that could exacerbate diseases when taken with Miconazole Flunisolide (Compound) resembles Ciclesonide (Compound) and Ciclesonide may cause a moderate interaction that could exacerbate diseases when taken with Miconazole
DB00850
DB00855
1,630
213
[ "DDInter1432", "DDInter72" ]
Perphenazine
Aminolevulinic acid
An antipsychotic phenothiazine derivative with actions and uses similar to those of chlorpromazine.
A compound produced from succinyl-CoA and glycine as an intermediate in heme synthesis. It is used as a photochemotherapy for actinic keratosis. [PubChem]
Major
2
[ [ [ 1630, 25, 213 ] ], [ [ 1630, 7, 7669 ], [ 7669, 46, 213 ] ], [ [ 1630, 18, 6168 ], [ 6168, 57, 213 ] ], [ [ 1630, 21, 28766 ], [ 28766, 60, 213 ] ], [ [ 1630, 63, 1419 ], [ 1419, 25, 213 ] ], [ [ 1630, 1, 1178 ], [ 1178, 25, 213 ] ], [ [ 1630, 24, 1411 ], [ 1411, 64, 213 ] ], [ [ 1630, 25, 1069 ], [ 1069, 64, 213 ] ], [ [ 1630, 35, 401 ], [ 401, 64, 213 ] ], [ [ 1630, 24, 842 ], [ 842, 75, 213 ] ] ]
[ [ [ "Perphenazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Aminolevulinic acid" ] ], [ [ "Perphenazine", "{u} (Compound) upregulates {v} (Gene)", "DDIT4" ], [ "DDIT4", "{u} (Gene) is upregulated by {v} (Compound)", "Aminolevulinic acid" ] ], [ [ "Perphenazine", "{u} (Compound) downregulates {v} (Gene)", "IGFBP3" ], [ "IGFBP3", "{u} (Gene) is downregulated by {v} (Compound)", "Aminolevulinic acid" ] ], [ [ "Perphenazine", "{u} (Compound) causes {v} (Side Effect)", "Hypotension" ], [ "Hypotension", "{u} (Side Effect) is caused by {v} (Compound)", "Aminolevulinic acid" ] ], [ [ "Perphenazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Imatinib" ], [ "Imatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Aminolevulinic acid" ] ], [ [ "Perphenazine", "{u} (Compound) resembles {v} (Compound)", "Trifluoperazine" ], [ "Trifluoperazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Aminolevulinic acid" ] ], [ [ "Perphenazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tolbutamide" ], [ "Tolbutamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Aminolevulinic acid" ] ], [ [ "Perphenazine", "{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}", "Aminolevulinic acid" ] ], [ [ "Perphenazine", "{u} (Compound) resembles {v} (Compound) and {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}", "Aminolevulinic acid" ] ], [ [ "Perphenazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methyl aminolevulinate" ], [ "Methyl aminolevulinate", "{u} (Compound) resembles {v} (Compound) and {u} may lead to a major life threatening interaction when taken with {v}", "Aminolevulinic acid" ] ] ]
Perphenazine (Compound) upregulates DDIT4 (Gene) and DDIT4 (Gene) is upregulated by Aminolevulinic acid (Compound) Perphenazine (Compound) downregulates IGFBP3 (Gene) and IGFBP3 (Gene) is downregulated by Aminolevulinic acid (Compound) Perphenazine (Compound) causes Hypotension (Side Effect) and Hypotension (Side Effect) is caused by Aminolevulinic acid (Compound) Perphenazine may cause a moderate interaction that could exacerbate diseases when taken with Imatinib and Imatinib may lead to a major life threatening interaction when taken with Aminolevulinic acid Perphenazine (Compound) resembles Trifluoperazine (Compound) and Trifluoperazine may lead to a major life threatening interaction when taken with Aminolevulinic acid Perphenazine may cause a moderate interaction that could exacerbate diseases when taken with Tolbutamide and Tolbutamide may lead to a major life threatening interaction when taken with Aminolevulinic acid Perphenazine 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 Aminolevulinic acid Perphenazine (Compound) resembles Promethazine (Compound) and Perphenazine 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 Aminolevulinic acid Perphenazine may cause a moderate interaction that could exacerbate diseases when taken with Methyl aminolevulinate and Methyl aminolevulinate (Compound) resembles Aminolevulinic acid (Compound) and Methyl aminolevulinate may lead to a major life threatening interaction when taken with Aminolevulinic acid
DB00619
DB06674
1,419
908
[ "DDInter909", "DDInter837" ]
Imatinib
Golimumab
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]
Golimumab is a human IgG1қ monoclonal antibody derived from immunizing genetically engineered mice with human TNFα. Golimumab binds and inhibits soluble and transmembrane human TNFα. Increased TNFα is associated with chronic inflammation. Thus golimumab is indicated for use in adults (i) as an adjunct to methotrexate treatment in patients with moderate to severe active rheumatoid arthritis (RA), (ii) alone or as an adjunct to methotrexate treatment in patients with active psoriatic arthritis (PsA), (iii) as a single agent in patients with active ankylosing spondylitis (AS), and (iv) as a single agent in patients with moderate to severe ulcerative colitis (UC) who require chronic steroids or have experienced intolerance or only a partial response to previous medications. In the U.S. and Canada, golimumab is marketed under the brand name Simponi®. The FDA label includes a black box warning of serious infections and malignancy. Additionally in children and adolescents taking golimumab, there have been lymphoma and other malignancies observed.
Major
2
[ [ [ 1419, 25, 908 ] ], [ [ 1419, 24, 336 ], [ 336, 24, 908 ] ], [ [ 1419, 25, 697 ], [ 697, 24, 908 ] ], [ [ 1419, 64, 828 ], [ 828, 24, 908 ] ], [ [ 1419, 24, 1586 ], [ 1586, 63, 908 ] ], [ [ 1419, 63, 84 ], [ 84, 24, 908 ] ], [ [ 1419, 25, 180 ], [ 180, 63, 908 ] ], [ [ 1419, 63, 450 ], [ 450, 25, 908 ] ], [ [ 1419, 25, 1650 ], [ 1650, 64, 908 ] ], [ [ 1419, 24, 1220 ], [ 1220, 25, 908 ] ] ]
[ [ [ "Imatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Golimumab" ] ], [ [ "Imatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nifedipine" ], [ "Nifedipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Golimumab" ] ], [ [ "Imatinib", "{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}", "Golimumab" ] ], [ [ "Imatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Oxycodone" ], [ "Oxycodone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Golimumab" ] ], [ [ "Imatinib", "{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}", "Golimumab" ] ], [ [ "Imatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nisoldipine" ], [ "Nisoldipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Golimumab" ] ], [ [ "Imatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Oliceridine" ], [ "Oliceridine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Golimumab" ] ], [ [ "Imatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyclophosphamide" ], [ "Cyclophosphamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Golimumab" ] ], [ [ "Imatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Avapritinib" ], [ "Avapritinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Golimumab" ] ], [ [ "Imatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexamethasone" ], [ "Dexamethasone", "{u} may lead to a major life threatening interaction when taken with {v}", "Golimumab" ] ] ]
Imatinib may cause a moderate interaction that could exacerbate diseases when taken with Nifedipine and Nifedipine may cause a moderate interaction that could exacerbate diseases when taken with Golimumab Imatinib 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 Golimumab Imatinib may lead to a major life threatening interaction when taken with Oxycodone and Oxycodone may cause a moderate interaction that could exacerbate diseases when taken with Golimumab Imatinib 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 Golimumab Imatinib may cause a moderate interaction that could exacerbate diseases when taken with Nisoldipine and Nisoldipine may cause a moderate interaction that could exacerbate diseases when taken with Golimumab Imatinib may lead to a major life threatening interaction when taken with Oliceridine and Oliceridine may cause a moderate interaction that could exacerbate diseases when taken with Golimumab Imatinib may cause a moderate interaction that could exacerbate diseases when taken with Cyclophosphamide and Cyclophosphamide may lead to a major life threatening interaction when taken with Golimumab Imatinib may lead to a major life threatening interaction when taken with Avapritinib and Avapritinib may lead to a major life threatening interaction when taken with Golimumab Imatinib may cause a moderate interaction that could exacerbate diseases when taken with Dexamethasone and Dexamethasone may lead to a major life threatening interaction when taken with Golimumab
DB01200
DB12500
469
283
[ "DDInter243", "DDInter714" ]
Bromocriptine
Fedratinib
Bromocriptine mesylate is a semisynthetic ergot alkaloid derivative with potent dopaminergic activity. It inhibits prolactin secretion and may be used to treat dysfunctions associated with hyperprolactinemia. Bromocriptine is also indicated for the management of signs and symptoms of Parkinsonian Syndrome, as well as the treatment of acromegaly. Bromocriptine has been associated with pulmonary fibrosis, and can also cause sustained suppression of somatotropin (growth hormone) secretion in some patients with acromegaly. In 1995, the FDA withdrew the approval of bromocriptine mesylate for the prevention of physiological lactation after finding that bromocriptine was not shown to be safe for use.[L43942,L43947] It continues to be used for the indications mentioned above.
Fedratinib, also known as SAR302503 and TG101348, is a tyrosine kinase inhibitor used to treat intermediate-2 and high risk primary and secondary myelofibrosis.[A183176,L8090] It is an anilinopyrimidine derivative. Fedratinib was granted FDA approval on August 16, 2019.
Moderate
1
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[ [ [ "Bromocriptine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ] ], [ [ "Bromocriptine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ribociclib" ], [ "Ribociclib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Fedratinib" ] ], [ [ "Bromocriptine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Imatinib" ], [ "Imatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ] ], [ [ "Bromocriptine", "{u} (Compound) resembles {v} (Compound)", "Ergometrine" ], [ "Ergometrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ] ], [ [ "Bromocriptine", "{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}", "Fedratinib" ] ], [ [ "Bromocriptine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Tamoxifen" ], [ "Tamoxifen", "{u} may lead to a major life threatening interaction when taken with {v}", "Fedratinib" ] ], [ [ "Bromocriptine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ], [ "Lorlatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Fedratinib" ] ], [ [ "Bromocriptine", "{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}", "Mirabegron" ], [ "Mirabegron", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Fedratinib" ] ], [ [ "Bromocriptine", "{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}", "Mirabegron" ], [ "Mirabegron", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Fedratinib" ] ], [ [ "Bromocriptine", "{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}", "Mirabegron" ], [ "Mirabegron", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Fedratinib" ] ] ]
Bromocriptine may cause a moderate interaction that could exacerbate diseases when taken with Ribociclib and Ribociclib may cause a minor interaction that can limit clinical effects when taken with Fedratinib Bromocriptine may cause a moderate interaction that could exacerbate diseases when taken with Imatinib and Imatinib may cause a moderate interaction that could exacerbate diseases when taken with Fedratinib Bromocriptine (Compound) resembles Ergometrine (Compound) and Ergometrine may cause a moderate interaction that could exacerbate diseases when taken with Fedratinib Bromocriptine 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 Fedratinib Bromocriptine may cause a minor interaction that can limit clinical effects when taken with Tamoxifen and Tamoxifen may lead to a major life threatening interaction when taken with Fedratinib Bromocriptine may cause a moderate interaction that could exacerbate diseases when taken with Lorlatinib and Lorlatinib may lead to a major life threatening interaction when taken with Fedratinib Bromocriptine 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 Mirabegron and Mirabegron may cause a minor interaction that can limit clinical effects when taken with Fedratinib Bromocriptine 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 Mirabegron and Mirabegron may cause a minor interaction that can limit clinical effects when taken with Fedratinib Bromocriptine 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 Mirabegron and Mirabegron may cause a minor interaction that can limit clinical effects when taken with Fedratinib
DB06754
DB10897
707
539
[ "DDInter471", "DDInter291" ]
Danaparoid
Capsicum
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
Capsicum (Chili pepper) allergenic extract is used in allergenic testing.
Minor
0
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[ [ [ "Danaparoid", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Capsicum" ] ], [ [ "Danaparoid", "{u} may lead to a major life threatening interaction when taken with {v}", "Epoprostenol" ], [ "Epoprostenol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Capsicum" ] ], [ [ "Danaparoid", "{u} may lead to a major life threatening interaction when taken with {v}", "Ticagrelor" ], [ "Ticagrelor", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Capsicum" ] ], [ [ "Danaparoid", "{u} may lead to a major life threatening interaction when taken with {v}", "Betrixaban" ], [ "Betrixaban", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Capsicum" ] ], [ [ "Danaparoid", "{u} may lead to a major life threatening interaction when taken with {v}", "Epoprostenol" ], [ "Epoprostenol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Anagrelide" ], [ "Anagrelide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Capsicum" ] ], [ [ "Danaparoid", "{u} may lead to a major life threatening interaction when taken with {v}", "Anagrelide" ], [ "Anagrelide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Epoprostenol" ], [ "Epoprostenol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Capsicum" ] ], [ [ "Danaparoid", "{u} may lead to a major life threatening interaction when taken with {v}", "Fondaparinux" ], [ "Fondaparinux", "{u} may lead to a major life threatening interaction when taken with {v}", "Epoprostenol" ], [ "Epoprostenol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Capsicum" ] ], [ [ "Danaparoid", "{u} may lead to a major life threatening interaction when taken with {v}", "Treprostinil" ], [ "Treprostinil", "{u} (Compound) resembles {v} (Compound)", "Epoprostenol" ], [ "Epoprostenol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Capsicum" ] ], [ [ "Danaparoid", "{u} may lead to a major life threatening interaction when taken with {v}", "Ticagrelor" ], [ "Ticagrelor", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Epoprostenol" ], [ "Epoprostenol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Capsicum" ] ], [ [ "Danaparoid", "{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}", "Epoprostenol" ], [ "Epoprostenol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Capsicum" ] ] ]
Danaparoid may lead to a major life threatening interaction when taken with Epoprostenol and Epoprostenol may cause a minor interaction that can limit clinical effects when taken with Capsicum Danaparoid may lead to a major life threatening interaction when taken with Ticagrelor and Ticagrelor may cause a minor interaction that can limit clinical effects when taken with Capsicum Danaparoid may lead to a major life threatening interaction when taken with Betrixaban and Betrixaban may cause a minor interaction that can limit clinical effects when taken with Capsicum Danaparoid may lead to a major life threatening interaction when taken with Epoprostenol and Epoprostenol may cause a moderate interaction that could exacerbate diseases when taken with Anagrelide and Anagrelide may cause a minor interaction that can limit clinical effects when taken with Capsicum Danaparoid may lead to a major life threatening interaction when taken with Anagrelide and Anagrelide may cause a moderate interaction that could exacerbate diseases when taken with Epoprostenol and Epoprostenol may cause a minor interaction that can limit clinical effects when taken with Capsicum Danaparoid may lead to a major life threatening interaction when taken with Fondaparinux and Fondaparinux may lead to a major life threatening interaction when taken with Epoprostenol and Epoprostenol may cause a minor interaction that can limit clinical effects when taken with Capsicum Danaparoid may lead to a major life threatening interaction when taken with Treprostinil and Treprostinil (Compound) resembles Epoprostenol (Compound) and Epoprostenol may cause a minor interaction that can limit clinical effects when taken with Capsicum Danaparoid may lead to a major life threatening interaction when taken with Ticagrelor and Ticagrelor may cause a moderate interaction that could exacerbate diseases when taken with Epoprostenol and Epoprostenol may cause a minor interaction that can limit clinical effects when taken with Capsicum Danaparoid 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 Epoprostenol and Epoprostenol may cause a minor interaction that can limit clinical effects when taken with Capsicum