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DB01067
DB06595
959
1,491
[ "DDInter826", "DDInter1214" ]
Glipizide
Midostaurin
Glipizide is an oral hypoglycemic agent in the second-generation sulfonylurea drug class that is used to control blood sugar levels in patients with type 2 diabetes mellitus. It was first introduced in 1984 and is available in various countries including Canada and the U.S. According to the 2018 Clinical Practice Guidelines by Diabetes Canada, sulfonylurea drugs are considered a second-line glucose-lowering therapy following metformin. Because sulfonylureas require functional pancreatic beta cells for their therapeutic effectiveness, sulfonylureas are more commonly used for early-stage type 2 diabetes when there is no progressed pancreatic failure. Compared to the first-generation sulfonylureas, such as [tolbutamide] and [chlorpropamide], second-generation sulfonylureas contain a more non-polar side chain in their chemical structure, which enhances their hypoglycemic potency. Compared to other members of the sulfonyl
Midostaurin (as Rydapt) is a multitarget kinase inhibitor for the treatment for adult patients with newly diagnosed acute myeloid leukemia (AML) who have a specific genetic mutation called FLT3. It was initially characterized as a potential broad-spectrum antineoplastic agent, with activity toward diverse solid and hematopoietic tumors . It was approved on April 28, 2017 and has shown to increase the overall survival rate in patients with AML as an adjunct therapy along with chemotherapeutic agents.
Moderate
1
[ [ [ 959, 24, 1491 ] ], [ [ 959, 63, 1247 ], [ 1247, 23, 1491 ] ], [ [ 959, 24, 761 ], [ 761, 24, 1491 ] ], [ [ 959, 24, 1017 ], [ 1017, 63, 1491 ] ], [ [ 959, 63, 1148 ], [ 1148, 24, 1491 ] ], [ [ 959, 64, 956 ], [ 956, 24, 1491 ] ], [ [ 959, 25, 86 ], [ 86, 24, 1491 ] ], [ [ 959, 1, 245 ], [ 245, 24, 1491 ] ], [ [ 959, 62, 1051 ], [ 1051, 24, 1491 ] ], [ [ 959, 40, 1411 ], [ 1411, 24, 1491 ] ] ]
[ [ [ "Glipizide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ] ], [ [ "Glipizide", "{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}", "Midostaurin" ] ], [ [ "Glipizide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Saxagliptin" ], [ "Saxagliptin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ] ], [ [ "Glipizide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ], [ "Lorlatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ] ], [ [ "Glipizide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isoprenaline" ], [ "Isoprenaline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ] ], [ [ "Glipizide", "{u} may lead to a major life threatening interaction when taken with {v}", "Norfloxacin" ], [ "Norfloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ] ], [ [ "Glipizide", "{u} may lead to a major life threatening interaction when taken with {v}", "Miconazole" ], [ "Miconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ] ], [ [ "Glipizide", "{u} (Compound) resembles {v} (Compound)", "Glimepiride" ], [ "Glimepiride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ] ], [ [ "Glipizide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Aminoglutethimide" ], [ "Aminoglutethimide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ] ], [ [ "Glipizide", "{u} (Compound) resembles {v} (Compound)", "Tolbutamide" ], [ "Tolbutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ] ] ]
Glipizide 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 Midostaurin Glipizide may cause a moderate interaction that could exacerbate diseases when taken with Saxagliptin and Saxagliptin may cause a moderate interaction that could exacerbate diseases when taken with Midostaurin Glipizide may cause a moderate interaction that could exacerbate diseases when taken with Lorlatinib and Lorlatinib may cause a moderate interaction that could exacerbate diseases when taken with Midostaurin Glipizide may cause a moderate interaction that could exacerbate diseases when taken with Isoprenaline and Isoprenaline may cause a moderate interaction that could exacerbate diseases when taken with Midostaurin Glipizide may lead to a major life threatening interaction when taken with Norfloxacin and Norfloxacin may cause a moderate interaction that could exacerbate diseases when taken with Midostaurin Glipizide may lead to a major life threatening interaction when taken with Miconazole and Miconazole may cause a moderate interaction that could exacerbate diseases when taken with Midostaurin Glipizide (Compound) resembles Glimepiride (Compound) and Glimepiride may cause a moderate interaction that could exacerbate diseases when taken with Midostaurin Glipizide may cause a minor interaction that can limit clinical effects when taken with Aminoglutethimide and Aminoglutethimide may cause a moderate interaction that could exacerbate diseases when taken with Midostaurin Glipizide (Compound) resembles Tolbutamide (Compound) and Tolbutamide may cause a moderate interaction that could exacerbate diseases when taken with Midostaurin
DB09054
DB11793
384
738
[ "DDInter905", "DDInter1297" ]
Idelalisib
Niraparib
Idelalisib is a phosphoinositide 3-kinase inhibitor indicated in the treatment of chronic lymphocytic leukemia (CLL), relapsed follicular B-cell non-Hodgkin lymphoma (FL), and relapsed small lymphocytic lymphoma (SLL). For the treatment of relapsed CLL, it is currently indicated as a second-line agent in combination with rituximab in patients for whom rituximab alone would be considered appropriate therapy due to other co-morbidities, while in the treatment of FL and SLL it is intended to be used in patients who have received at least two prior systemic therapies. More specifically, idelalisib targets P110δ, the delta isoform of the enzyme phosphatidylinositol-4,5-bisphosphate 3-kinase, also known as PI-3K. The PI-3Ks are a family of enzymes involved in cellular functions such as cell growth
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
[ [ [ 384, 24, 738 ] ], [ [ 384, 24, 466 ], [ 466, 63, 738 ] ], [ [ 384, 64, 1213 ], [ 1213, 24, 738 ] ], [ [ 384, 63, 663 ], [ 663, 24, 738 ] ], [ [ 384, 24, 496 ], [ 496, 24, 738 ] ], [ [ 384, 25, 1598 ], [ 1598, 63, 738 ] ], [ [ 384, 25, 351 ], [ 351, 24, 738 ] ], [ [ 384, 64, 1066 ], [ 1066, 25, 738 ] ], [ [ 384, 25, 962 ], [ 962, 25, 738 ] ], [ [ 384, 25, 1259 ], [ 1259, 64, 738 ] ] ]
[ [ [ "Idelalisib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Niraparib" ] ], [ [ "Idelalisib", "{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" ] ], [ [ "Idelalisib", "{u} may lead to a major life threatening interaction when taken with {v}", "Dasatinib" ], [ "Dasatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Niraparib" ] ], [ [ "Idelalisib", "{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" ] ], [ [ "Idelalisib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hepatitis A Vaccine" ], [ "Hepatitis A Vaccine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Niraparib" ] ], [ [ "Idelalisib", "{u} may lead to a major life threatening interaction when taken with {v}", "Tazemetostat" ], [ "Tazemetostat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Niraparib" ] ], [ [ "Idelalisib", "{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}", "Niraparib" ] ], [ [ "Idelalisib", "{u} may lead to a major life threatening interaction when taken with {v}", "Natalizumab" ], [ "Natalizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Niraparib" ] ], [ [ "Idelalisib", "{u} may lead to a major life threatening interaction when taken with {v}", "Bacillus calmette-guerin substrain tice live antigen" ], [ "Bacillus calmette-guerin substrain tice live antigen", "{u} may lead to a major life threatening interaction when taken with {v}", "Niraparib" ] ], [ [ "Idelalisib", "{u} may lead to a major life threatening interaction when taken with {v}", "Baricitinib" ], [ "Baricitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Niraparib" ] ] ]
Idelalisib 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 Idelalisib may lead to a major life threatening interaction when taken with Dasatinib and Dasatinib may cause a moderate interaction that could exacerbate diseases when taken with Niraparib Idelalisib 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 Idelalisib may cause a moderate interaction that could exacerbate diseases when taken with Hepatitis A Vaccine and Hepatitis A Vaccine may cause a moderate interaction that could exacerbate diseases when taken with Niraparib Idelalisib may lead to a major life threatening interaction when taken with Tazemetostat and Tazemetostat may cause a moderate interaction that could exacerbate diseases when taken with Niraparib Idelalisib 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 Niraparib Idelalisib may lead to a major life threatening interaction when taken with Natalizumab and Natalizumab may lead to a major life threatening interaction when taken with Niraparib Idelalisib may lead to a major life threatening interaction when taken with Bacillus calmette-guerin substrain tice live antigen and Bacillus calmette-guerin substrain tice live antigen may lead to a major life threatening interaction when taken with Niraparib Idelalisib may lead to a major life threatening interaction when taken with Baricitinib and Baricitinib may lead to a major life threatening interaction when taken with Niraparib
DB00295
DB09237
475
1,586
[ "DDInter1244", "DDInter1045" ]
Morphine
Levamlodipine
Morphine, the main alkaloid of opium, was first obtained from poppy seeds in 1805. It is a potent analgesic, though its use is limited due to tolerance, withdrawal, and the risk of abuse. Morphine is still routinely used today, though there are a number of semi-synthetic opioids of varying strength such as [codeine], [fentanyl], [methadone], [hydrocodone], [hydromorphone], [meperidine], and [oxycodone]. Morphine was granted FDA approval in 1941.
Levamlodipine, also known as S-amlodipine, is a pharmacologically active enantiomer of [amlodipine], an antihypertensive medication. Levamlodipine belongs to the dihydropyridine group of calcium channel blockers. This medication was first marketed in Russia and India before being granted FDA approval. The names S-amlodipine and levamlodipine may be used interchangeably as both substances are the same, however. As a racemic mixture, amlodipine contains (R) and (S)-amlodipine isomers, but only (S)-amlodipine as the active moiety possesses therapeutic activity. Levamlodipine was granted FDA approval on 19 December 2019.
Moderate
1
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[ [ [ "Morphine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levamlodipine" ] ], [ [ "Morphine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ticagrelor" ], [ "Ticagrelor", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Levamlodipine" ] ], [ [ "Morphine", "{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}", "Levamlodipine" ] ], [ [ "Morphine", "{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}", "Levamlodipine" ] ], [ [ "Morphine", "{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}", "Levamlodipine" ] ], [ [ "Morphine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glasdegib" ], [ "Glasdegib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levamlodipine" ] ], [ [ "Morphine", "{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}", "Levamlodipine" ] ], [ [ "Morphine", "{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}", "Levamlodipine" ] ], [ [ "Morphine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ticagrelor" ], [ "Ticagrelor", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nilotinib" ], [ "Nilotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levamlodipine" ] ], [ [ "Morphine", "{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}", "Tyropanoic acid" ], [ "Tyropanoic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levamlodipine" ] ] ]
Morphine may cause a moderate interaction that could exacerbate diseases when taken with Ticagrelor and Ticagrelor may cause a minor interaction that can limit clinical effects when taken with Levamlodipine Morphine 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 Levamlodipine Morphine 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 Levamlodipine Morphine 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 Levamlodipine Morphine may cause a moderate interaction that could exacerbate diseases when taken with Glasdegib and Glasdegib may cause a moderate interaction that could exacerbate diseases when taken with Levamlodipine Morphine 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 Levamlodipine Morphine 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 Levamlodipine Morphine may cause a moderate interaction that could exacerbate diseases when taken with Ticagrelor and Ticagrelor may cause a moderate interaction that could exacerbate diseases when taken with Nilotinib and Nilotinib may cause a moderate interaction that could exacerbate diseases when taken with Levamlodipine Morphine 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 Tyropanoic acid and Tyropanoic acid may cause a moderate interaction that could exacerbate diseases when taken with Levamlodipine
DB04865
DB08868
4
1,011
[ "DDInter1335", "DDInter737" ]
Omacetaxine mepesuccinate
Fingolimod
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
Multiple sclerosis, or MS, is a devastating inflammatory disease that often progresses and causes severe neurological, physical, and cognitive effects. Fingolimod is a sphingosine 1-phosphate receptor modulator for the treatment of relapsing-remitting multiple sclerosis. It was developed by Novartis and initially approved by the FDA in 2010. Fingolimod was also studied for the treatment of COVID-19, the disease caused by infection with the SARS-CoV-2 virus.[L12654,L12657]
Major
2
[ [ [ 4, 25, 1011 ] ], [ [ 4, 25, 578 ], [ 578, 23, 1011 ] ], [ [ 4, 24, 748 ], [ 748, 63, 1011 ] ], [ [ 4, 24, 1136 ], [ 1136, 24, 1011 ] ], [ [ 4, 25, 976 ], [ 976, 64, 1011 ] ], [ [ 4, 64, 1066 ], [ 1066, 25, 1011 ] ], [ [ 4, 63, 453 ], [ 453, 25, 1011 ] ], [ [ 4, 24, 564 ], [ 564, 64, 1011 ] ], [ [ 4, 24, 1626 ], [ 1626, 25, 1011 ] ], [ [ 4, 25, 397 ], [ 397, 25, 1011 ] ] ]
[ [ [ "Omacetaxine mepesuccinate", "{u} may lead to a major life threatening interaction when taken with {v}", "Fingolimod" ] ], [ [ "Omacetaxine mepesuccinate", "{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}", "Fingolimod" ] ], [ [ "Omacetaxine mepesuccinate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Anthrax vaccine" ], [ "Anthrax vaccine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fingolimod" ] ], [ [ "Omacetaxine mepesuccinate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Denosumab" ], [ "Denosumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fingolimod" ] ], [ [ "Omacetaxine mepesuccinate", "{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}", "Fingolimod" ] ], [ [ "Omacetaxine mepesuccinate", "{u} may lead to a major life threatening interaction when taken with {v}", "Natalizumab" ], [ "Natalizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Fingolimod" ] ], [ [ "Omacetaxine mepesuccinate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Linezolid" ], [ "Linezolid", "{u} may lead to a major life threatening interaction when taken with {v}", "Fingolimod" ] ], [ [ "Omacetaxine mepesuccinate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abemaciclib" ], [ "Abemaciclib", "{u} may lead to a major life threatening interaction when taken with {v}", "Fingolimod" ] ], [ [ "Omacetaxine mepesuccinate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Elotuzumab" ], [ "Elotuzumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Fingolimod" ] ], [ [ "Omacetaxine mepesuccinate", "{u} may lead to a major life threatening interaction when taken with {v}", "Plicamycin" ], [ "Plicamycin", "{u} may lead to a major life threatening interaction when taken with {v}", "Fingolimod" ] ] ]
Omacetaxine mepesuccinate 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 Fingolimod Omacetaxine mepesuccinate may cause a moderate interaction that could exacerbate diseases when taken with Anthrax vaccine and Anthrax vaccine may cause a moderate interaction that could exacerbate diseases when taken with Fingolimod Omacetaxine mepesuccinate may cause a moderate interaction that could exacerbate diseases when taken with Denosumab and Denosumab may cause a moderate interaction that could exacerbate diseases when taken with Fingolimod Omacetaxine mepesuccinate 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 Fingolimod Omacetaxine mepesuccinate may lead to a major life threatening interaction when taken with Natalizumab and Natalizumab may lead to a major life threatening interaction when taken with Fingolimod Omacetaxine mepesuccinate may cause a moderate interaction that could exacerbate diseases when taken with Linezolid and Linezolid may lead to a major life threatening interaction when taken with Fingolimod Omacetaxine mepesuccinate may cause a moderate interaction that could exacerbate diseases when taken with Abemaciclib and Abemaciclib may lead to a major life threatening interaction when taken with Fingolimod Omacetaxine mepesuccinate may cause a moderate interaction that could exacerbate diseases when taken with Elotuzumab and Elotuzumab may lead to a major life threatening interaction when taken with Fingolimod Omacetaxine mepesuccinate may lead to a major life threatening interaction when taken with Plicamycin and Plicamycin may lead to a major life threatening interaction when taken with Fingolimod
DB11793
DB11988
738
270
[ "DDInter1297", "DDInter1321" ]
Niraparib
Ocrelizumab
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.
Ocrelizumab is a CD20-directed cytolytic antibody indicated for the treatment of patients with primary progressive or relapsing forms of multiple sclerosis (MS). It is a second-generation recombinant humanized monoclonal IgG1 antibody that selectively targets B-cells that express the CD20 antigen. Compared to non-humanized CD20 antibodies such as [rituximab], ocrelizumab is expected to be less immunogenic with repeated infusions, improving the benefit-to-risk profile for patients with MS.[A18875,A251745] MS is a chronic, inflammatory, autoimmune disease of the central nervous system that leads to neurological disabilities and a significantly reduced quality of life. Most patients with MS experience episodes of relapses with worsening function, followed by recovery periods or remissions. Primary progressive multiple sclerosis (PPMS) accounts for 10-15% of the overall population of patients with MS, and leads to the gradual worsening of neurologic disability from symptom onset, often without early relapses or remissions . Developed by Genentech/Roche, ocrelizumab was approved by the FDA in March 2017 under the market name Ocrevus for intravenous injection. It was later approved by Health Canada in August 2017, making the drug the first available treatment for PPMS in both the US and Canada. In clinical trials of patients with relapsing forms of MS, treatment with ocrelizumab resulted in reduced relapse rates and reduced worsening of disability compared to [interferon beta-1a]. In phase 3 clinical trials of patients with PPMS, treatment with ocrelizumab led to lower clinical and MRI progression rates compared to placebo.
Moderate
1
[ [ [ 738, 24, 270 ] ], [ [ 738, 24, 1060 ], [ 1060, 63, 270 ] ], [ [ 738, 63, 134 ], [ 134, 24, 270 ] ], [ [ 738, 24, 800 ], [ 800, 24, 270 ] ], [ [ 738, 64, 507 ], [ 507, 24, 270 ] ], [ [ 738, 64, 962 ], [ 962, 25, 270 ] ], [ [ 738, 25, 676 ], [ 676, 64, 270 ] ], [ [ 738, 25, 1259 ], [ 1259, 25, 270 ] ], [ [ 738, 24, 1060 ], [ 1060, 63, 134 ], [ 134, 24, 270 ] ], [ [ 738, 63, 134 ], [ 134, 63, 1461 ], [ 1461, 23, 270 ] ] ]
[ [ [ "Niraparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ocrelizumab" ] ], [ [ "Niraparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enfortumab vedotin" ], [ "Enfortumab vedotin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ocrelizumab" ] ], [ [ "Niraparib", "{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}", "Ocrelizumab" ] ], [ [ "Niraparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Duvelisib" ], [ "Duvelisib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ocrelizumab" ] ], [ [ "Niraparib", "{u} may lead to a major life threatening interaction when taken with {v}", "Samarium (153Sm) lexidronam" ], [ "Samarium (153Sm) lexidronam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ocrelizumab" ] ], [ [ "Niraparib", "{u} may lead to a major life threatening interaction when taken with {v}", "Bacillus calmette-guerin substrain tice live antigen" ], [ "Bacillus calmette-guerin substrain tice live antigen", "{u} may lead to a major life threatening interaction when taken with {v}", "Ocrelizumab" ] ], [ [ "Niraparib", "{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}", "Ocrelizumab" ] ], [ [ "Niraparib", "{u} may lead to a major life threatening interaction when taken with {v}", "Baricitinib" ], [ "Baricitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Ocrelizumab" ] ], [ [ "Niraparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enfortumab vedotin" ], [ "Enfortumab vedotin", "{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}", "Ocrelizumab" ] ], [ [ "Niraparib", "{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}", "Vitamin E" ], [ "Vitamin E", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ocrelizumab" ] ] ]
Niraparib may cause a moderate interaction that could exacerbate diseases when taken with Enfortumab vedotin and Enfortumab vedotin may cause a moderate interaction that could exacerbate diseases when taken with Ocrelizumab Niraparib 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 Ocrelizumab Niraparib may cause a moderate interaction that could exacerbate diseases when taken with Duvelisib and Duvelisib may cause a moderate interaction that could exacerbate diseases when taken with Ocrelizumab Niraparib may lead to a major life threatening interaction when taken with Samarium (153Sm) lexidronam and Samarium (153Sm) lexidronam may cause a moderate interaction that could exacerbate diseases when taken with Ocrelizumab Niraparib may lead to a major life threatening interaction when taken with Bacillus calmette-guerin substrain tice live antigen and Bacillus calmette-guerin substrain tice live antigen may lead to a major life threatening interaction when taken with Ocrelizumab Niraparib 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 Ocrelizumab Niraparib may lead to a major life threatening interaction when taken with Baricitinib and Baricitinib may lead to a major life threatening interaction when taken with Ocrelizumab Niraparib may cause a moderate interaction that could exacerbate diseases when taken with Enfortumab vedotin and Enfortumab vedotin 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 Ocrelizumab Niraparib 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 Vitamin E and Vitamin E may cause a minor interaction that can limit clinical effects when taken with Ocrelizumab
DB08881
DB09291
868
741
[ "DDInter1925", "DDInter1615" ]
Vemurafenib
Rolapitant
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.
Rolapitant is a potent, highly selective, long-acting Neurokinin-1 (NK-1) receptor antagonist approved for the prevention of delayed chemotherapy-induced nausea and vomiting (CINV) in adults. Delayed-phase CINV typically occurs >24 hours after chemotherapy treatment and is principally mediated by Neurokinin-1 and its ligand Substance P, which is released in the gut following chemotherapy administration. Neurokinin-1 is also known as Tachykinin Receptor 1 (TACR1), Neurokinin 1 Receptor (NK1R), and Substance P Receptor (SPR). By blocking Substance P from interacting with NK-1 receptors in the gut and the central nervous system, rolapitant prevents late-phase CINV. Unlike other available NK-1 receptor antagonists, rolapitant is not an inhibitor of Cytochrome P450 enzyme CYP3A4 and has a long elimination half-life, allowing a single dose to prevent both acute and late-phase CINV during the first 120 hours post-chemotherapy.
Moderate
1
[ [ [ 868, 24, 741 ] ], [ [ 868, 62, 211 ], [ 211, 23, 741 ] ], [ [ 868, 23, 1135 ], [ 1135, 23, 741 ] ], [ [ 868, 63, 506 ], [ 506, 24, 741 ] ], [ [ 868, 24, 159 ], [ 159, 63, 741 ] ], [ [ 868, 64, 924 ], [ 924, 24, 741 ] ], [ [ 868, 25, 938 ], [ 938, 63, 741 ] ], [ [ 868, 24, 1281 ], [ 1281, 24, 741 ] ], [ [ 868, 25, 129 ], [ 129, 25, 741 ] ], [ [ 868, 64, 697 ], [ 697, 25, 741 ] ] ]
[ [ [ "Vemurafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rolapitant" ] ], [ [ "Vemurafenib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Tolterodine" ], [ "Tolterodine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Rolapitant" ] ], [ [ "Vemurafenib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Naloxegol" ], [ "Naloxegol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Rolapitant" ] ], [ [ "Vemurafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dextromethorphan" ], [ "Dextromethorphan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rolapitant" ] ], [ [ "Vemurafenib", "{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}", "Rolapitant" ] ], [ [ "Vemurafenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Iloperidone" ], [ "Iloperidone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rolapitant" ] ], [ [ "Vemurafenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Pitolisant" ], [ "Pitolisant", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rolapitant" ] ], [ [ "Vemurafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Linagliptin" ], [ "Linagliptin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rolapitant" ] ], [ [ "Vemurafenib", "{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}", "Rolapitant" ] ], [ [ "Vemurafenib", "{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}", "Rolapitant" ] ] ]
Vemurafenib may cause a minor interaction that can limit clinical effects when taken with Tolterodine and Tolterodine may cause a minor interaction that can limit clinical effects when taken with Rolapitant Vemurafenib may cause a minor interaction that can limit clinical effects when taken with Naloxegol and Naloxegol may cause a minor interaction that can limit clinical effects when taken with Rolapitant Vemurafenib may cause a moderate interaction that could exacerbate diseases when taken with Dextromethorphan and Dextromethorphan may cause a moderate interaction that could exacerbate diseases when taken with Rolapitant Vemurafenib 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 Rolapitant Vemurafenib may lead to a major life threatening interaction when taken with Iloperidone and Iloperidone may cause a moderate interaction that could exacerbate diseases when taken with Rolapitant Vemurafenib may lead to a major life threatening interaction when taken with Pitolisant and Pitolisant may cause a moderate interaction that could exacerbate diseases when taken with Rolapitant Vemurafenib may cause a moderate interaction that could exacerbate diseases when taken with Linagliptin and Linagliptin may cause a moderate interaction that could exacerbate diseases when taken with Rolapitant Vemurafenib 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 Rolapitant Vemurafenib 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 Rolapitant
DB00193
DB04837
534
649
[ "DDInter1841", "DDInter407" ]
Tramadol
Clofedanol
Tramadol is a centrally acting synthetic opioid analgesic and SNRI (serotonin/norepinephrine reuptake-inhibitor) that is structurally related to [codeine] and [morphine]. Due to its good tolerability profile and multimodal mechanism of action, tramadol is generally considered a lower-risk opioid option for the treatment of moderate to severe pain. It is considered a Step 2 option on the World Health Organization's pain ladder and has about 1/10th of the potency of [morphine]. Tramadol differs from other traditional opioid medications in that it doesn't just act as a μ-opioid agonist, but also affects monoamines by modulating the effects of neurotransmitters involved in the modulation of pain such as serotonin and norepinpehrine which activate descending pain inhibitory pathways. Tramadol's effects on serotonin and norepinephrine mimic the effects of other SNRI antidepressants such as [dul
Clofedanol is a centrally-acting cough suppressant available in Canada under the trade name Ulone. It is not available in the United States.
Moderate
1
[ [ [ 534, 24, 649 ] ], [ [ 534, 24, 1376 ], [ 1376, 24, 649 ] ], [ [ 534, 24, 832 ], [ 832, 40, 649 ] ], [ [ 534, 25, 401 ], [ 401, 24, 649 ] ], [ [ 534, 25, 820 ], [ 820, 40, 649 ] ], [ [ 534, 25, 11 ], [ 11, 1, 649 ] ], [ [ 534, 24, 1609 ], [ 1609, 63, 649 ] ], [ [ 534, 25, 407 ], [ 407, 63, 649 ] ], [ [ 534, 1, 1100 ], [ 1100, 24, 649 ] ], [ [ 534, 40, 506 ], [ 506, 24, 649 ] ] ]
[ [ [ "Tramadol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ] ], [ [ "Tramadol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diphenhydramine" ], [ "Diphenhydramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ] ], [ [ "Tramadol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tripelennamine" ], [ "Tripelennamine", "{u} (Compound) resembles {v} (Compound)", "Clofedanol" ] ], [ [ "Tramadol", "{u} may lead to a major life threatening interaction when taken with {v}", "Promethazine" ], [ "Promethazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ] ], [ [ "Tramadol", "{u} may lead to a major life threatening interaction when taken with {v}", "Alimemazine" ], [ "Alimemazine", "{u} (Compound) resembles {v} (Compound)", "Clofedanol" ] ], [ [ "Tramadol", "{u} may lead to a major life threatening interaction when taken with {v}", "Toremifene" ], [ "Toremifene", "{u} (Compound) resembles {v} (Compound)", "Clofedanol" ] ], [ [ "Tramadol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentoxyverine" ], [ "Pentoxyverine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ] ], [ [ "Tramadol", "{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}", "Clofedanol" ] ], [ [ "Tramadol", "{u} (Compound) resembles {v} (Compound)", "Venlafaxine" ], [ "Venlafaxine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ] ], [ [ "Tramadol", "{u} (Compound) resembles {v} (Compound)", "Dextromethorphan" ], [ "Dextromethorphan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ] ] ]
Tramadol may cause a moderate interaction that could exacerbate diseases when taken with Diphenhydramine and Diphenhydramine may cause a moderate interaction that could exacerbate diseases when taken with Clofedanol Tramadol may cause a moderate interaction that could exacerbate diseases when taken with Tripelennamine and Tripelennamine (Compound) resembles Clofedanol (Compound) Tramadol may lead to a major life threatening interaction when taken with Promethazine and Promethazine may cause a moderate interaction that could exacerbate diseases when taken with Clofedanol Tramadol may lead to a major life threatening interaction when taken with Alimemazine and Alimemazine (Compound) resembles Clofedanol (Compound) Tramadol may lead to a major life threatening interaction when taken with Toremifene and Toremifene (Compound) resembles Clofedanol (Compound) Tramadol may cause a moderate interaction that could exacerbate diseases when taken with Pentoxyverine and Pentoxyverine may cause a moderate interaction that could exacerbate diseases when taken with Clofedanol Tramadol 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 Clofedanol Tramadol (Compound) resembles Venlafaxine (Compound) and Venlafaxine may cause a moderate interaction that could exacerbate diseases when taken with Clofedanol Tramadol (Compound) resembles Dextromethorphan (Compound) and Dextromethorphan may cause a moderate interaction that could exacerbate diseases when taken with Clofedanol
DB00494
DB11130
1,533
407
[ "DDInter646", "DDInter1344" ]
Entacapone
Opium
Entacapone is a selective, reversible catechol-O-methyl transferase (COMT) inhibitor for the treatment of Parkinson's disease. It is a member of the class of nitrocatechols. When administered concomittantly with levodopa and a decarboxylase inhibitor (e.g., carbidopa), increased and more sustained plasma levodopa concentrations are reached as compared to the administration of levodopa and a decarboxylase inhibitor.
Opium is the first substance of the diverse group of the opiates. It has been known for a long time, and the first evidence of a poppy culture dates from 5 thousand years by the Sumerians. During the years, opium was used as a sedative and hypnotic, but it was determined to be addictive. Opium is extracted from _Papaver somniferum_, which is more known as poppies. This plant is an integrant of the Papaveraceae family, and it is characterized by solitary leaves and capsulated fruits. Therefore, opium is a sticky brown resin obtained by collecting and drying the latex that exudes from the poppy pods. Once extracted, opium contains two main groups of alkaloids; the psychoactive constituents which are in the category of phenanthrenes and alkaloids that have no central nervous system effect in the category of isoquinolines. Morphine is the most prevalent and principal alkaloid in opium, and it is responsible for most of the harmful effects of opium. Opium has gradually been superseded by a variety of synthetic opioids and general anesthetics. Some of the isolated derivatives of opium are morphine, noscapine, strychnine, veratrine, colchicine, codeine, and quinine. Opium is a prohibited drug of abuse in most countries, but the illegal production of this drug and its derivatives keeps being registered. There is some legal production of opium in different countries for the obtention of alkaloids by extraction.
Moderate
1
[ [ [ 1533, 24, 407 ] ], [ [ 1533, 24, 662 ], [ 662, 24, 407 ] ], [ [ 1533, 63, 1233 ], [ 1233, 24, 407 ] ], [ [ 1533, 40, 1062 ], [ 1062, 24, 407 ] ], [ [ 1533, 24, 1609 ], [ 1609, 63, 407 ] ], [ [ 1533, 25, 1053 ], [ 1053, 25, 407 ] ], [ [ 1533, 24, 662 ], [ 662, 63, 558 ], [ 558, 24, 407 ] ], [ [ 1533, 24, 104 ], [ 104, 24, 409 ], [ 409, 24, 407 ] ], [ [ 1533, 63, 1233 ], [ 1233, 63, 558 ], [ 558, 24, 407 ] ], [ [ 1533, 40, 1062 ], [ 1062, 24, 662 ], [ 662, 24, 407 ] ] ]
[ [ [ "Entacapone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ] ], [ [ "Entacapone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carbinoxamine" ], [ "Carbinoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ] ], [ [ "Entacapone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triprolidine" ], [ "Triprolidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ] ], [ [ "Entacapone", "{u} (Compound) resembles {v} (Compound)", "Tolcapone" ], [ "Tolcapone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ] ], [ [ "Entacapone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentoxyverine" ], [ "Pentoxyverine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ] ], [ [ "Entacapone", "{u} may lead to a major life threatening interaction when taken with {v}", "Procarbazine" ], [ "Procarbazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Opium" ] ], [ [ "Entacapone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carbinoxamine" ], [ "Carbinoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zolpidem" ], [ "Zolpidem", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ] ], [ [ "Entacapone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methdilazine" ], [ "Methdilazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Felodipine" ], [ "Felodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ] ], [ [ "Entacapone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triprolidine" ], [ "Triprolidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zolpidem" ], [ "Zolpidem", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ] ], [ [ "Entacapone", "{u} (Compound) resembles {v} (Compound)", "Tolcapone" ], [ "Tolcapone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carbinoxamine" ], [ "Carbinoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ] ] ]
Entacapone may cause a moderate interaction that could exacerbate diseases when taken with Carbinoxamine and Carbinoxamine may cause a moderate interaction that could exacerbate diseases when taken with Opium Entacapone may cause a moderate interaction that could exacerbate diseases when taken with Triprolidine and Triprolidine may cause a moderate interaction that could exacerbate diseases when taken with Opium Entacapone (Compound) resembles Tolcapone (Compound) and Tolcapone may cause a moderate interaction that could exacerbate diseases when taken with Opium Entacapone may cause a moderate interaction that could exacerbate diseases when taken with Pentoxyverine and Pentoxyverine may cause a moderate interaction that could exacerbate diseases when taken with Opium Entacapone may lead to a major life threatening interaction when taken with Procarbazine and Procarbazine may lead to a major life threatening interaction when taken with Opium Entacapone may cause a moderate interaction that could exacerbate diseases when taken with Carbinoxamine and Carbinoxamine may cause a moderate interaction that could exacerbate diseases when taken with Zolpidem and Zolpidem may cause a moderate interaction that could exacerbate diseases when taken with Opium Entacapone may cause a moderate interaction that could exacerbate diseases when taken with Methdilazine and Methdilazine may cause a moderate interaction that could exacerbate diseases when taken with Felodipine and Felodipine may cause a moderate interaction that could exacerbate diseases when taken with Opium Entacapone may cause a moderate interaction that could exacerbate diseases when taken with Triprolidine and Triprolidine may cause a moderate interaction that could exacerbate diseases when taken with Zolpidem and Zolpidem may cause a moderate interaction that could exacerbate diseases when taken with Opium Entacapone (Compound) resembles Tolcapone (Compound) and Tolcapone may cause a moderate interaction that could exacerbate diseases when taken with Carbinoxamine and Carbinoxamine may cause a moderate interaction that could exacerbate diseases when taken with Opium
DB00994
DB01328
361
1,323
[ "DDInter1277", "DDInter321" ]
Neomycin
Cefonicid
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 second-generation cephalosporin administered intravenously or intramuscularly. Its bactericidal action results from inhibition of cell wall synthesis. It is used for urinary tract infections, lower respiratory tract infections, and soft tissue and bone infections.
Moderate
1
[ [ [ 361, 24, 1323 ] ], [ [ 361, 24, 665 ], [ 665, 40, 1323 ] ], [ [ 361, 63, 164 ], [ 164, 40, 1323 ] ], [ [ 361, 24, 1227 ], [ 1227, 1, 1323 ] ], [ [ 361, 63, 277 ], [ 277, 1, 1323 ] ], [ [ 361, 24, 1096 ], [ 1096, 24, 1323 ] ], [ [ 361, 24, 1662 ], [ 1662, 63, 1323 ] ], [ [ 361, 35, 416 ], [ 416, 24, 1323 ] ], [ [ 361, 63, 126 ], [ 126, 24, 1323 ] ], [ [ 361, 24, 665 ], [ 665, 40, 11277 ], [ 11277, 1, 1323 ] ] ]
[ [ [ "Neomycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cefonicid" ] ], [ [ "Neomycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cefuroxime" ], [ "Cefuroxime", "{u} (Compound) resembles {v} (Compound)", "Cefonicid" ] ], [ [ "Neomycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cefalotin" ], [ "Cefalotin", "{u} (Compound) resembles {v} (Compound)", "Cefonicid" ] ], [ [ "Neomycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cefazolin" ], [ "Cefazolin", "{u} (Compound) resembles {v} (Compound)", "Cefonicid" ] ], [ [ "Neomycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cefmetazole" ], [ "Cefmetazole", "{u} (Compound) resembles {v} (Compound)", "Cefonicid" ] ], [ [ "Neomycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mycophenolic acid" ], [ "Mycophenolic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cefonicid" ] ], [ [ "Neomycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Picosulfuric acid" ], [ "Picosulfuric acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cefonicid" ] ], [ [ "Neomycin", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Kanamycin" ], [ "Kanamycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cefonicid" ] ], [ [ "Neomycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Warfarin" ], [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cefonicid" ] ], [ [ "Neomycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cefuroxime" ], [ "Cefuroxime", "{u} (Compound) resembles {v} (Compound)", "Cefacetrile" ], [ "Cefacetrile", "{u} (Compound) resembles {v} (Compound)", "Cefonicid" ] ] ]
Neomycin may cause a moderate interaction that could exacerbate diseases when taken with Cefuroxime and Cefuroxime (Compound) resembles Cefonicid (Compound) Neomycin may cause a moderate interaction that could exacerbate diseases when taken with Cefalotin and Cefalotin (Compound) resembles Cefonicid (Compound) Neomycin may cause a moderate interaction that could exacerbate diseases when taken with Cefazolin and Cefazolin (Compound) resembles Cefonicid (Compound) Neomycin may cause a moderate interaction that could exacerbate diseases when taken with Cefmetazole and Cefmetazole (Compound) resembles Cefonicid (Compound) Neomycin may cause a moderate interaction that could exacerbate diseases when taken with Mycophenolic acid and Mycophenolic acid may cause a moderate interaction that could exacerbate diseases when taken with Cefonicid Neomycin may cause a moderate interaction that could exacerbate diseases when taken with Picosulfuric acid and Picosulfuric acid may cause a moderate interaction that could exacerbate diseases when taken with Cefonicid Neomycin (Compound) resembles Kanamycin (Compound) and Neomycin may cause a moderate interaction that could exacerbate diseases when taken with Kanamycin and Kanamycin may cause a moderate interaction that could exacerbate diseases when taken with Cefonicid Neomycin may cause a moderate interaction that could exacerbate diseases when taken with Warfarin and Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Cefonicid Neomycin may cause a moderate interaction that could exacerbate diseases when taken with Cefuroxime and Cefuroxime (Compound) resembles Cefacetrile (Compound) and Cefacetrile (Compound) resembles Cefonicid (Compound)
DB00867
DB01285
1,052
708
[ "DDInter1606", "DDInter445" ]
Ritodrine
Corticotropin
Adrenergic beta-agonist used to control premature labor.
Corticotropin (ACTH or adrenocorticotropic hormone) is a polypeptide hormone produced and secreted by the pituitary gland. It is an important player in the hypothalamic-pituitary-adrenal axis.
Minor
0
[ [ [ 1052, 23, 708 ] ], [ [ 1052, 24, 455 ], [ 455, 23, 708 ] ], [ [ 1052, 24, 659 ], [ 659, 62, 708 ] ], [ [ 1052, 63, 1674 ], [ 1674, 23, 708 ] ], [ [ 1052, 35, 480 ], [ 480, 23, 708 ] ], [ [ 1052, 63, 245 ], [ 245, 24, 708 ] ], [ [ 1052, 24, 170 ], [ 170, 24, 708 ] ], [ [ 1052, 24, 5 ], [ 5, 63, 708 ] ], [ [ 1052, 1, 1523 ], [ 1523, 24, 708 ] ], [ [ 1052, 25, 877 ], [ 877, 63, 708 ] ] ]
[ [ [ "Ritodrine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Corticotropin" ] ], [ [ "Ritodrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Salmeterol" ], [ "Salmeterol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Corticotropin" ] ], [ [ "Ritodrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vilanterol" ], [ "Vilanterol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Corticotropin" ] ], [ [ "Ritodrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Orciprenaline" ], [ "Orciprenaline", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Corticotropin" ] ], [ [ "Ritodrine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Formoterol" ], [ "Formoterol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Corticotropin" ] ], [ [ "Ritodrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glimepiride" ], [ "Glimepiride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Corticotropin" ] ], [ [ "Ritodrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sitagliptin" ], [ "Sitagliptin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Corticotropin" ] ], [ [ "Ritodrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Liraglutide" ], [ "Liraglutide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Corticotropin" ] ], [ [ "Ritodrine", "{u} (Compound) resembles {v} (Compound)", "Labetalol" ], [ "Labetalol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Corticotropin" ] ], [ [ "Ritodrine", "{u} may lead to a major life threatening interaction when taken with {v}", "Macimorelin" ], [ "Macimorelin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Corticotropin" ] ] ]
Ritodrine may cause a moderate interaction that could exacerbate diseases when taken with Salmeterol and Salmeterol may cause a minor interaction that can limit clinical effects when taken with Corticotropin Ritodrine may cause a moderate interaction that could exacerbate diseases when taken with Vilanterol and Vilanterol may cause a minor interaction that can limit clinical effects when taken with Corticotropin Ritodrine may cause a moderate interaction that could exacerbate diseases when taken with Orciprenaline and Orciprenaline may cause a minor interaction that can limit clinical effects when taken with Corticotropin Ritodrine (Compound) resembles Formoterol (Compound) and Ritodrine may cause a moderate interaction that could exacerbate diseases when taken with Formoterol and Formoterol may cause a minor interaction that can limit clinical effects when taken with Corticotropin Ritodrine may cause a moderate interaction that could exacerbate diseases when taken with Glimepiride and Glimepiride may cause a moderate interaction that could exacerbate diseases when taken with Corticotropin Ritodrine may cause a moderate interaction that could exacerbate diseases when taken with Sitagliptin and Sitagliptin may cause a moderate interaction that could exacerbate diseases when taken with Corticotropin Ritodrine may cause a moderate interaction that could exacerbate diseases when taken with Liraglutide and Liraglutide may cause a moderate interaction that could exacerbate diseases when taken with Corticotropin Ritodrine (Compound) resembles Labetalol (Compound) and Labetalol may cause a moderate interaction that could exacerbate diseases when taken with Corticotropin Ritodrine may lead to a major life threatening interaction when taken with Macimorelin and Macimorelin may cause a moderate interaction that could exacerbate diseases when taken with Corticotropin
DB00798
DB14115
1,132
1,312
[ "DDInter815", "DDInter868" ]
Gentamicin
Human botulinum neurotoxin A/B immune globulin
Gentamicin is a bactericidal aminoglycoside that was discovered and isolated from _Micromonospora purpurea_ in 1963. It is one of the most frequently prescribed aminoglycosides due to its spectrum of activity, low cost, and availability.[A234339,A234354] Gentamicin is effective against both gram-positive and gram-negative organisms but is particularly useful for the treatment of severe gram-negative infections including those caused by _Pseudomonas aeruginosa_.[A233325,A234359,A234364] There is the added benefit of synergy when gentamicin is co-administered with other antibacterials such as beta-lactams. This synergistic activity is not only important for the treatment of complex infections, but can also contribute to dose optimization and reduced adverse effects.[A234359,A234364] Although gentamicin is well-established and may be used in a variety of clinical applications,
Infant botulism is a rare infectious disease occurring in infants in which _Clostridium botulinum_ colonize the large intestine and being to produce botulinum neurotoxin directly in the gut. As these neurotoxins interfere with cholinergic nervous transmission, patients initially present with evident of loss of muscle tone (e.g. constipation, ptosis, feeding difficulties) which may progress to more serious symptoms such as respiratory arrest and flaccid paralysis.[L39819,L39824] BabyBIG (human-derived botulism immunoglobulin) was approved for use by the FDA in 2003 and has since been used to treat more than 2100 cases of infant botulism. It is produced and distributed by the Calfornia Department of Public Health's Infant Botulism Treatment and Prevention Program and comprises IgG antibodies derived from pooled adult plasma from persons immunized with recombinant botulinum vaccine who have high titers of neutralizing antibodies against botulinum toxin.
Major
2
[ [ [ 1132, 25, 1312 ] ], [ [ 1132, 24, 123 ], [ 123, 24, 1312 ] ], [ [ 1132, 35, 416 ], [ 416, 25, 1312 ] ], [ [ 1132, 24, 712 ], [ 712, 25, 1312 ] ], [ [ 1132, 63, 1287 ], [ 1287, 25, 1312 ] ], [ [ 1132, 25, 629 ], [ 629, 25, 1312 ] ], [ [ 1132, 64, 1481 ], [ 1481, 25, 1312 ] ], [ [ 1132, 24, 123 ], [ 123, 63, 416 ], [ 416, 25, 1312 ] ], [ [ 1132, 35, 416 ], [ 416, 24, 123 ], [ 123, 24, 1312 ] ], [ [ 1132, 24, 712 ], [ 712, 24, 123 ], [ 123, 24, 1312 ] ] ]
[ [ [ "Gentamicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Human botulinum neurotoxin A/B immune globulin" ] ], [ [ "Gentamicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Exenatide" ], [ "Exenatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human botulinum neurotoxin A/B immune globulin" ] ], [ [ "Gentamicin", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Kanamycin" ], [ "Kanamycin", "{u} may lead to a major life threatening interaction when taken with {v}", "Human botulinum neurotoxin A/B immune globulin" ] ], [ [ "Gentamicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olsalazine" ], [ "Olsalazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Human botulinum neurotoxin A/B immune globulin" ] ], [ [ "Gentamicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amphotericin B" ], [ "Amphotericin B", "{u} may lead to a major life threatening interaction when taken with {v}", "Human botulinum neurotoxin A/B immune globulin" ] ], [ [ "Gentamicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Sirolimus" ], [ "Sirolimus", "{u} may lead to a major life threatening interaction when taken with {v}", "Human botulinum neurotoxin A/B immune globulin" ] ], [ [ "Gentamicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Polymyxin B" ], [ "Polymyxin B", "{u} may lead to a major life threatening interaction when taken with {v}", "Human botulinum neurotoxin A/B immune globulin" ] ], [ [ "Gentamicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Exenatide" ], [ "Exenatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Kanamycin" ], [ "Kanamycin", "{u} may lead to a major life threatening interaction when taken with {v}", "Human botulinum neurotoxin A/B immune globulin" ] ], [ [ "Gentamicin", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Kanamycin" ], [ "Kanamycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Exenatide" ], [ "Exenatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human botulinum neurotoxin A/B immune globulin" ] ], [ [ "Gentamicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olsalazine" ], [ "Olsalazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Exenatide" ], [ "Exenatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human botulinum neurotoxin A/B immune globulin" ] ] ]
Gentamicin may cause a moderate interaction that could exacerbate diseases when taken with Exenatide and Exenatide may cause a moderate interaction that could exacerbate diseases when taken with Human botulinum neurotoxin A/B immune globulin Gentamicin (Compound) resembles Kanamycin (Compound) and Gentamicin may cause a moderate interaction that could exacerbate diseases when taken with Kanamycin and Kanamycin may lead to a major life threatening interaction when taken with Human botulinum neurotoxin A/B immune globulin Gentamicin may cause a moderate interaction that could exacerbate diseases when taken with Olsalazine and Olsalazine may lead to a major life threatening interaction when taken with Human botulinum neurotoxin A/B immune globulin Gentamicin may cause a moderate interaction that could exacerbate diseases when taken with Amphotericin B and Amphotericin B may lead to a major life threatening interaction when taken with Human botulinum neurotoxin A/B immune globulin Gentamicin may lead to a major life threatening interaction when taken with Sirolimus and Sirolimus may lead to a major life threatening interaction when taken with Human botulinum neurotoxin A/B immune globulin Gentamicin may lead to a major life threatening interaction when taken with Polymyxin B and Polymyxin B may lead to a major life threatening interaction when taken with Human botulinum neurotoxin A/B immune globulin Gentamicin may cause a moderate interaction that could exacerbate diseases when taken with Exenatide and Exenatide may cause a moderate interaction that could exacerbate diseases when taken with Kanamycin and Kanamycin may lead to a major life threatening interaction when taken with Human botulinum neurotoxin A/B immune globulin Gentamicin (Compound) resembles Kanamycin (Compound) and Gentamicin may cause a moderate interaction that could exacerbate diseases when taken with Kanamycin and Kanamycin may cause a moderate interaction that could exacerbate diseases when taken with Exenatide and Exenatide may cause a moderate interaction that could exacerbate diseases when taken with Human botulinum neurotoxin A/B immune globulin Gentamicin may cause a moderate interaction that could exacerbate diseases when taken with Olsalazine and Olsalazine may cause a moderate interaction that could exacerbate diseases when taken with Exenatide and Exenatide may cause a moderate interaction that could exacerbate diseases when taken with Human botulinum neurotoxin A/B immune globulin
DB00564
DB01611
1,236
1,487
[ "DDInter293", "DDInter893" ]
Carbamazepine
Hydroxychloroquine
Carbamazepine, also known as Tegretol, is an anticonvulsant drug and analgesic drug used to control seizures and to treat pain resulting from trigeminal neuralgia. It was initially approved by the FDA in 1965. Aside from the above uses, this drug is also given to control the symptoms of bipolar 1. Interestingly, carbamazepine was the first anticonvulsant used to treat individuals with bipolar disorder.
Hydroxychloroquine is a racemic mixture consisting of an R and S enantiomer. Hydroxychloroquine is an aminoquinoline like [chloroquine]. It is a commonly prescribed medication in the treatment of uncomplicated malaria, rheumatoid arthritis, chronic discoid lupus erythematosus, and systemic lupus erythematosus. Hydroxychloroquine is also used for the prophylaxis of malaria in regions where chloroquine resistance is unlikely. It was developed during World War II as a derivative of [quinacrine] with less severe side effects. Chloroquine and hydroxychloroquine are both being investigated for the treatment of SARS-CoV-2. **The FDA emergency use authorization for hydroxychloroquine and [chloroquine] in the treatment of COVID-19 was revoked on 15 June 2020.** Hydroxychloroquine was granted FDA approval on 18 April 1955. A recent study reported a fatality in the group being treated with hydroxychloroquine for COVID-19.
Moderate
1
[ [ [ 1236, 24, 1487 ] ], [ [ 1236, 21, 28658 ], [ 28658, 60, 1487 ] ], [ [ 1236, 63, 663 ], [ 663, 23, 1487 ] ], [ [ 1236, 24, 723 ], [ 723, 24, 1487 ] ], [ [ 1236, 64, 168 ], [ 168, 24, 1487 ] ], [ [ 1236, 24, 1468 ], [ 1468, 63, 1487 ] ], [ [ 1236, 63, 752 ], [ 752, 24, 1487 ] ], [ [ 1236, 1, 1335 ], [ 1335, 24, 1487 ] ], [ [ 1236, 25, 283 ], [ 283, 63, 1487 ] ], [ [ 1236, 25, 1419 ], [ 1419, 24, 1487 ] ] ]
[ [ [ "Carbamazepine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydroxychloroquine" ] ], [ [ "Carbamazepine", "{u} (Compound) causes {v} (Side Effect)", "Vomiting" ], [ "Vomiting", "{u} (Side Effect) is caused by {v} (Compound)", "Hydroxychloroquine" ] ], [ [ "Carbamazepine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methotrexate" ], [ "Methotrexate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Hydroxychloroquine" ] ], [ [ "Carbamazepine", "{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}", "Hydroxychloroquine" ] ], [ [ "Carbamazepine", "{u} may lead to a major life threatening interaction when taken with {v}", "Bortezomib" ], [ "Bortezomib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydroxychloroquine" ] ], [ [ "Carbamazepine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ponatinib" ], [ "Ponatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydroxychloroquine" ] ], [ [ "Carbamazepine", "{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}", "Hydroxychloroquine" ] ], [ [ "Carbamazepine", "{u} (Compound) resembles {v} (Compound)", "Oxcarbazepine" ], [ "Oxcarbazepine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydroxychloroquine" ] ], [ [ "Carbamazepine", "{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}", "Hydroxychloroquine" ] ], [ [ "Carbamazepine", "{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}", "Hydroxychloroquine" ] ] ]
Carbamazepine (Compound) causes Vomiting (Side Effect) and Vomiting (Side Effect) is caused by Hydroxychloroquine (Compound) Carbamazepine may cause a moderate interaction that could exacerbate diseases when taken with Methotrexate and Methotrexate may cause a minor interaction that can limit clinical effects when taken with Hydroxychloroquine Carbamazepine 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 Hydroxychloroquine Carbamazepine may lead to a major life threatening interaction when taken with Bortezomib and Bortezomib may cause a moderate interaction that could exacerbate diseases when taken with Hydroxychloroquine Carbamazepine may cause a moderate interaction that could exacerbate diseases when taken with Ponatinib and Ponatinib may cause a moderate interaction that could exacerbate diseases when taken with Hydroxychloroquine Carbamazepine 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 Hydroxychloroquine Carbamazepine (Compound) resembles Oxcarbazepine (Compound) and Oxcarbazepine may cause a moderate interaction that could exacerbate diseases when taken with Hydroxychloroquine Carbamazepine 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 Hydroxychloroquine Carbamazepine 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 Hydroxychloroquine
DB00023
DB04854
305
1,291
[ "DDInter127", "DDInter713" ]
Asparaginase Escherichia coli
Febuxostat
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
Febuxostat is a non-purine xanthine oxidase (XO) inhibitor. In early 2008, febuxostat was granted marketing authorization by the European Commission for the treatment of chronic hyperuricemia and gout. In the following year, the FDA for approved febuxostat for use in the chronic management of hyperuricemia in adult patients with gout who have an inadequate response or intolerance to [allopurinol]. Gout is a form of arthritis that is caused by the accumulation of uric acid crystal in or around a joint, leading to inflammation and further deposition of uric acid crystal deposition in bones, joints, tissues, and other organs in the long term. Gout is closely associated with hyperuricemia. Febuxostat works by inhibiting the activity of an enzyme that is responsible for the synthesis of uric acid, thereby reducing serum uric acid levels. In February 2019, a black box warning for febuxostat was added, based on the findings of a post-market clinical study (the CARES trial) where there was an increased risk of cardiovascular (CV) fatal outcomes in patients with gout and known cardiovascular disease treated with febuxostat, when compared to those treated with allopurinol. The manufacturer and the FDA advise health professionals to limit the use of febuxostat to second-line therapy in patients who have inadequate response or intolerance to allopurinol, and to avoid the use of febuxostat in patients with cardiovascular diseases.[A2742, L13056]
Moderate
1
[ [ [ 305, 24, 1291 ] ], [ [ 305, 24, 372 ], [ 372, 24, 1291 ] ], [ [ 305, 24, 384 ], [ 384, 63, 1291 ] ], [ [ 305, 25, 1377 ], [ 1377, 25, 1291 ] ], [ [ 305, 25, 1510 ], [ 1510, 64, 1291 ] ], [ [ 305, 24, 328 ], [ 328, 25, 1291 ] ], [ [ 305, 24, 372 ], [ 372, 24, 384 ], [ 384, 63, 1291 ] ], [ [ 305, 24, 384 ], [ 384, 63, 372 ], [ 372, 24, 1291 ] ], [ [ 305, 24, 482 ], [ 482, 24, 372 ], [ 372, 24, 1291 ] ], [ [ 305, 25, 1377 ], [ 1377, 64, 372 ], [ 372, 24, 1291 ] ] ]
[ [ [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Febuxostat" ] ], [ [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofarabine" ], [ "Clofarabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Febuxostat" ] ], [ [ "Asparaginase Escherichia coli", "{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}", "Febuxostat" ] ], [ [ "Asparaginase Escherichia coli", "{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}", "Febuxostat" ] ], [ [ "Asparaginase Escherichia coli", "{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}", "Febuxostat" ] ], [ [ "Asparaginase Escherichia coli", "{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}", "Febuxostat" ] ], [ [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofarabine" ], [ "Clofarabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Idelalisib" ], [ "Idelalisib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Febuxostat" ] ], [ [ "Asparaginase Escherichia coli", "{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}", "Clofarabine" ], [ "Clofarabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Febuxostat" ] ], [ [ "Asparaginase Escherichia coli", "{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}", "Clofarabine" ], [ "Clofarabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Febuxostat" ] ], [ [ "Asparaginase Escherichia coli", "{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}", "Clofarabine" ], [ "Clofarabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Febuxostat" ] ] ]
Asparaginase Escherichia coli may cause a moderate interaction that could exacerbate diseases when taken with Clofarabine and Clofarabine may cause a moderate interaction that could exacerbate diseases when taken with Febuxostat Asparaginase Escherichia coli 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 Febuxostat Asparaginase Escherichia coli 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 Febuxostat Asparaginase Escherichia coli 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 Febuxostat Asparaginase Escherichia coli 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 Febuxostat Asparaginase Escherichia coli may cause a moderate interaction that could exacerbate diseases when taken with Clofarabine and Clofarabine may cause a moderate interaction that could exacerbate diseases when taken with Idelalisib and Idelalisib may cause a moderate interaction that could exacerbate diseases when taken with Febuxostat Asparaginase Escherichia coli 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 Clofarabine and Clofarabine may cause a moderate interaction that could exacerbate diseases when taken with Febuxostat Asparaginase Escherichia coli 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 Clofarabine and Clofarabine may cause a moderate interaction that could exacerbate diseases when taken with Febuxostat Asparaginase Escherichia coli 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 Clofarabine and Clofarabine may cause a moderate interaction that could exacerbate diseases when taken with Febuxostat
DB01101
DB11943
60
255
[ "DDInter285", "DDInter495" ]
Capecitabine
Delafloxacin
Capecitabine is an orally-administered chemotherapeutic agent used in the treatment of metastatic breast and colorectal cancers. Capecitabine is a prodrug, that is enzymatically converted to fluorouracil (antimetabolite) in the tumor, where it inhibits DNA synthesis and slows growth of tumor tissue.
Delafloxacin is a fluoroquinolone antibiotic which has been used in trials studying the treatment and basic science of Gonorrhea, Hepatic Impairment, Bacterial Skin Diseases, Skin Structure Infections, and Community Acquired Pneumonia, among others. It was approved in June 2017 under the trade name Baxdela for use in the treatment of acute bacterial skin and skin structure infections.
Minor
0
[ [ [ 60, 23, 255 ] ], [ [ 60, 63, 377 ], [ 377, 23, 255 ] ], [ [ 60, 24, 37 ], [ 37, 23, 255 ] ], [ [ 60, 62, 147 ], [ 147, 23, 255 ] ], [ [ 60, 23, 1283 ], [ 1283, 24, 255 ] ], [ [ 60, 63, 377 ], [ 377, 24, 1001 ], [ 1001, 23, 255 ] ], [ [ 60, 63, 995 ], [ 995, 63, 1001 ], [ 1001, 23, 255 ] ], [ [ 60, 63, 896 ], [ 896, 74, 63 ], [ 63, 23, 255 ] ], [ [ 60, 24, 37 ], [ 37, 63, 1001 ], [ 1001, 23, 255 ] ], [ [ 60, 62, 147 ], [ 147, 62, 63 ], [ 63, 23, 255 ] ] ]
[ [ [ "Capecitabine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Delafloxacin" ] ], [ [ "Capecitabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mitomycin" ], [ "Mitomycin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Delafloxacin" ] ], [ [ "Capecitabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lomustine" ], [ "Lomustine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Delafloxacin" ] ], [ [ "Capecitabine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Vinblastine" ], [ "Vinblastine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Delafloxacin" ] ], [ [ "Capecitabine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Magnesium oxide" ], [ "Magnesium oxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Delafloxacin" ] ], [ [ "Capecitabine", "{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}", "Mechlorethamine" ], [ "Mechlorethamine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Delafloxacin" ] ], [ [ "Capecitabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydroxyurea" ], [ "Hydroxyurea", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mechlorethamine" ], [ "Mechlorethamine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Delafloxacin" ] ], [ [ "Capecitabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Etoposide" ], [ "Etoposide", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Teniposide" ], [ "Teniposide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Delafloxacin" ] ], [ [ "Capecitabine", "{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}", "Mechlorethamine" ], [ "Mechlorethamine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Delafloxacin" ] ], [ [ "Capecitabine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Vinblastine" ], [ "Vinblastine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Teniposide" ], [ "Teniposide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Delafloxacin" ] ] ]
Capecitabine may cause a moderate interaction that could exacerbate diseases when taken with Mitomycin and Mitomycin may cause a minor interaction that can limit clinical effects when taken with Delafloxacin Capecitabine may cause a moderate interaction that could exacerbate diseases when taken with Lomustine and Lomustine may cause a minor interaction that can limit clinical effects when taken with Delafloxacin Capecitabine may cause a minor interaction that can limit clinical effects when taken with Vinblastine and Vinblastine may cause a minor interaction that can limit clinical effects when taken with Delafloxacin Capecitabine may cause a minor interaction that can limit clinical effects when taken with Magnesium oxide and Magnesium oxide may cause a moderate interaction that could exacerbate diseases when taken with Delafloxacin Capecitabine 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 Mechlorethamine and Mechlorethamine may cause a minor interaction that can limit clinical effects when taken with Delafloxacin Capecitabine may cause a moderate interaction that could exacerbate diseases when taken with Hydroxyurea and Hydroxyurea may cause a moderate interaction that could exacerbate diseases when taken with Mechlorethamine and Mechlorethamine may cause a minor interaction that can limit clinical effects when taken with Delafloxacin Capecitabine may cause a moderate interaction that could exacerbate diseases when taken with Etoposide and Etoposide (Compound) resembles Teniposide (Compound) and Etoposide may cause a moderate interaction that could exacerbate diseases when taken with Teniposide and Teniposide may cause a minor interaction that can limit clinical effects when taken with Delafloxacin Capecitabine 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 Mechlorethamine and Mechlorethamine may cause a minor interaction that can limit clinical effects when taken with Delafloxacin Capecitabine may cause a minor interaction that can limit clinical effects when taken with Vinblastine and Vinblastine may cause a minor interaction that can limit clinical effects when taken with Teniposide and Teniposide may cause a minor interaction that can limit clinical effects when taken with Delafloxacin
DB00446
DB14811
597
385
[ "DDInter351", "DDInter979" ]
Chloramphenicol
Isatuximab
An antibiotic first isolated from cultures of _Streptomyces venezuelae_ in 1947 but now produced synthetically. It has a relatively simple structure and was the first broad-spectrum antibiotic to be discovered. It acts by interfering with bacterial protein synthesis and is mainly bacteriostatic. (From Martindale, The Extra Pharmacopoeia, 29th ed, p106) The FDA has withdrawn all oral drug products containing chloramphenicol, due to the high risk of fatal aplastic anemia associated with this specific route of administration.[L43942,L44022]
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.
Moderate
1
[ [ [ 597, 24, 385 ] ], [ [ 597, 24, 1362 ], [ 1362, 24, 385 ] ], [ [ 597, 63, 377 ], [ 377, 24, 385 ] ], [ [ 597, 23, 450 ], [ 450, 24, 385 ] ], [ [ 597, 24, 908 ], [ 908, 25, 385 ] ], [ [ 597, 63, 581 ], [ 581, 25, 385 ] ], [ [ 597, 24, 676 ], [ 676, 64, 385 ] ], [ [ 597, 25, 1292 ], [ 1292, 25, 385 ] ], [ [ 597, 64, 1064 ], [ 1064, 25, 385 ] ], [ [ 597, 24, 1362 ], [ 1362, 63, 377 ], [ 377, 24, 385 ] ] ]
[ [ [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isatuximab" ] ], [ [ "Chloramphenicol", "{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" ] ], [ [ "Chloramphenicol", "{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" ] ], [ [ "Chloramphenicol", "{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}", "Isatuximab" ] ], [ [ "Chloramphenicol", "{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}", "Isatuximab" ] ], [ [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Infliximab" ], [ "Infliximab", "{u} may lead to a major life threatening interaction when taken with {v}", "Isatuximab" ] ], [ [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Upadacitinib" ], [ "Upadacitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Isatuximab" ] ], [ [ "Chloramphenicol", "{u} may lead to a major life threatening interaction when taken with {v}", "Deferiprone" ], [ "Deferiprone", "{u} may lead to a major life threatening interaction when taken with {v}", "Isatuximab" ] ], [ [ "Chloramphenicol", "{u} may lead to a major life threatening interaction when taken with {v}", "Cladribine" ], [ "Cladribine", "{u} may lead to a major life threatening interaction when taken with {v}", "Isatuximab" ] ], [ [ "Chloramphenicol", "{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}", "Mitomycin" ], [ "Mitomycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isatuximab" ] ] ]
Chloramphenicol 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 Chloramphenicol 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 Chloramphenicol 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 Isatuximab Chloramphenicol 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 Isatuximab Chloramphenicol may cause a moderate interaction that could exacerbate diseases when taken with Infliximab and Infliximab may lead to a major life threatening interaction when taken with Isatuximab Chloramphenicol may cause a moderate interaction that could exacerbate diseases when taken with Upadacitinib and Upadacitinib may lead to a major life threatening interaction when taken with Isatuximab Chloramphenicol may lead to a major life threatening interaction when taken with Deferiprone and Deferiprone may lead to a major life threatening interaction when taken with Isatuximab Chloramphenicol may lead to a major life threatening interaction when taken with Cladribine and Cladribine may lead to a major life threatening interaction when taken with Isatuximab Chloramphenicol 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 Mitomycin and Mitomycin may cause a moderate interaction that could exacerbate diseases when taken with Isatuximab
DB11730
DB11979
351
1,320
[ "DDInter1588", "DDInter625" ]
Ribociclib
Elagolix
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.
Elagolix has been used in trials studying the basic science and treatment of Endometriosis, Folliculogenesis, Uterine Fibroids, Heavy Uterine Bleeding, and Heavy Menstrual Bleeding. As of 24 July 2018, however, the U.S. Food and Drug Administration (FDA) approved AbbVie's elagolix under the brand name Orilissa as the first and only oral gonadotropin-releasing hormone (GnRH) antagonist specifically developed for women with moderate to severe endometriosis pain . It has been determined that endometriosis is one of the most common gynecologic disorders in the United States [A35868, A35869, F801]. In particular, estimates suggest that one in ten women of reproductive age is affected by endometriosis and experience debilitating pain symptoms [A35868, A35869, F801]. Moreover, women who are affected by this condition can suffer for up to six to ten years and visit multiple physicians before receiving a proper diagnosis [A35868, A35869, F801]. Subsequently, as Orilissa (elagolix) was approved by the FDA under priority review , this expedited new approval gives healthcare professionals another valuable option for treating the potentially unmet needs of women who are affected by endometriosis, depending on their specific type and severity of endometriosis pain.
Moderate
1
[ [ [ 351, 24, 1320 ] ], [ [ 351, 62, 271 ], [ 271, 23, 1320 ] ], [ [ 351, 25, 1612 ], [ 1612, 23, 1320 ] ], [ [ 351, 25, 1297 ], [ 1297, 24, 1320 ] ], [ [ 351, 64, 79 ], [ 79, 24, 1320 ] ], [ [ 351, 63, 1249 ], [ 1249, 24, 1320 ] ], [ [ 351, 25, 877 ], [ 877, 63, 1320 ] ], [ [ 351, 24, 255 ], [ 255, 24, 1320 ] ], [ [ 351, 62, 479 ], [ 479, 24, 1320 ] ], [ [ 351, 24, 159 ], [ 159, 63, 1320 ] ] ]
[ [ [ "Ribociclib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Elagolix" ] ], [ [ "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}", "Elagolix" ] ], [ [ "Ribociclib", "{u} may lead to a major life threatening interaction when taken with {v}", "Fostemsavir" ], [ "Fostemsavir", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Elagolix" ] ], [ [ "Ribociclib", "{u} may lead to a major life threatening interaction when taken with {v}", "Osilodrostat" ], [ "Osilodrostat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Elagolix" ] ], [ [ "Ribociclib", "{u} may lead to a major life threatening interaction when taken with {v}", "Sorafenib" ], [ "Sorafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Elagolix" ] ], [ [ "Ribociclib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nafcillin" ], [ "Nafcillin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Elagolix" ] ], [ [ "Ribociclib", "{u} may lead to a major life threatening interaction when taken with {v}", "Macimorelin" ], [ "Macimorelin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Elagolix" ] ], [ [ "Ribociclib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Delafloxacin" ], [ "Delafloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Elagolix" ] ], [ [ "Ribociclib", "{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}", "Elagolix" ] ], [ [ "Ribociclib", "{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}", "Elagolix" ] ] ]
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 Elagolix Ribociclib may lead to a major life threatening interaction when taken with Fostemsavir and Fostemsavir may cause a minor interaction that can limit clinical effects when taken with Elagolix Ribociclib may lead to a major life threatening interaction when taken with Osilodrostat and Osilodrostat may cause a moderate interaction that could exacerbate diseases when taken with Elagolix Ribociclib may lead to a major life threatening interaction when taken with Sorafenib and Sorafenib may cause a moderate interaction that could exacerbate diseases when taken with Elagolix Ribociclib may cause a moderate interaction that could exacerbate diseases when taken with Nafcillin and Nafcillin may cause a moderate interaction that could exacerbate diseases when taken with Elagolix Ribociclib may lead to a major life threatening interaction when taken with Macimorelin and Macimorelin may cause a moderate interaction that could exacerbate diseases when taken with Elagolix Ribociclib may cause a moderate interaction that could exacerbate diseases when taken with Delafloxacin and Delafloxacin may cause a moderate interaction that could exacerbate diseases when taken with Elagolix Ribociclib 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 Elagolix Ribociclib 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 Elagolix
DB01024
DB14491
1,096
428
[ "DDInter1252", "DDInter725" ]
Mycophenolic acid
Ferrous fumarate
Mycophenolic acid is a potent immunosuppressant agent that inhibits _de novo_ purine biosynthesis. It was derived from _Penicillium stoloniferum_, and has also shown antibacterial, antifungal and antiviral properties.. Mycophenolic acid is used in immunosuppressive regimens as part of a triple therapy that includes a calcineurin inhibitor (ciclosporin or tacrolimus) and prednisolone. This regimen can be used in place of the older anti-proliferative [azathioprine] due to its stronger immunosuppressive potency. However, mycophenolic acid treatment is more expensive and requires therapeutic drug monitoring to optimize efficacy and minimize toxicity.[A249180,A249185] Mycophenolic acid is available as enteric-coated tablets of delayed-release, in an effort to improve upper gastrointestinal adverse events by delaying mycophenolic
Used in treatment of iron deficiency anemia.
Minor
0
[ [ [ 1096, 23, 428 ] ], [ [ 1096, 23, 1193 ], [ 1193, 23, 428 ] ], [ [ 1096, 40, 955 ], [ 955, 23, 428 ] ], [ [ 1096, 24, 246 ], [ 246, 24, 428 ] ], [ [ 1096, 63, 1467 ], [ 1467, 24, 428 ] ], [ [ 1096, 62, 1461 ], [ 1461, 24, 428 ] ], [ [ 1096, 25, 1292 ], [ 1292, 24, 428 ] ], [ [ 1096, 23, 1193 ], [ 1193, 62, 955 ], [ 955, 23, 428 ] ], [ [ 1096, 40, 955 ], [ 955, 23, 1193 ], [ 1193, 23, 428 ] ], [ [ 1096, 24, 246 ], [ 246, 24, 1193 ], [ 1193, 23, 428 ] ] ]
[ [ [ "Mycophenolic acid", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ferrous fumarate" ] ], [ [ "Mycophenolic acid", "{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}", "Ferrous fumarate" ] ], [ [ "Mycophenolic acid", "{u} (Compound) resembles {v} (Compound)", "Mycophenolate mofetil" ], [ "Mycophenolate mofetil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ferrous fumarate" ] ], [ [ "Mycophenolic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gatifloxacin" ], [ "Gatifloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ferrous fumarate" ] ], [ [ "Mycophenolic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enoxacin" ], [ "Enoxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ferrous fumarate" ] ], [ [ "Mycophenolic acid", "{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}", "Ferrous fumarate" ] ], [ [ "Mycophenolic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Deferiprone" ], [ "Deferiprone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ferrous fumarate" ] ], [ [ "Mycophenolic acid", "{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}", "Mycophenolate mofetil" ], [ "Mycophenolate mofetil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ferrous fumarate" ] ], [ [ "Mycophenolic acid", "{u} (Compound) resembles {v} (Compound)", "Mycophenolate mofetil" ], [ "Mycophenolate mofetil", "{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}", "Ferrous fumarate" ] ], [ [ "Mycophenolic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gatifloxacin" ], [ "Gatifloxacin", "{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}", "Ferrous fumarate" ] ] ]
Mycophenolic acid 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 Ferrous fumarate Mycophenolic acid (Compound) resembles Mycophenolate mofetil (Compound) and Mycophenolate mofetil may cause a minor interaction that can limit clinical effects when taken with Ferrous fumarate Mycophenolic acid may cause a moderate interaction that could exacerbate diseases when taken with Gatifloxacin and Gatifloxacin may cause a moderate interaction that could exacerbate diseases when taken with Ferrous fumarate Mycophenolic acid may cause a moderate interaction that could exacerbate diseases when taken with Enoxacin and Enoxacin may cause a moderate interaction that could exacerbate diseases when taken with Ferrous fumarate Mycophenolic acid 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 Ferrous fumarate Mycophenolic acid may lead to a major life threatening interaction when taken with Deferiprone and Deferiprone may cause a moderate interaction that could exacerbate diseases when taken with Ferrous fumarate Mycophenolic acid 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 Mycophenolate mofetil and Mycophenolate mofetil may cause a minor interaction that can limit clinical effects when taken with Ferrous fumarate Mycophenolic acid (Compound) resembles Mycophenolate mofetil (Compound) and Mycophenolate mofetil 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 Ferrous fumarate Mycophenolic acid may cause a moderate interaction that could exacerbate diseases when taken with Gatifloxacin and Gatifloxacin 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 Ferrous fumarate
DB06603
DB11627
39
1,367
[ "DDInter1387", "DDInter860" ]
Panobinostat
Hepatitis B Vaccine (Recombinant)
Panobinostat is an oral deacetylace (DAC) inhibitor approved on February 23, 2015 by the FDA for the treatment of multiple myeloma. The approval was accelerated based on progression-free survival, therefore confirmatory trials by the sponsor to demonstrate clinical efficacy in multiple myeloma treatment are in progress of being conducted. Panobinostat is marketed by Novartis under the brand name Farydak. Panobinostat acts as a non-selective histone deacetylase inhibitor (pan-HDAC inhibitor) and it is the most potent DAC inhibiting agent available on the market.
Hepatitis B Vaccine is an ingredient in the EMA-withdrawn product Quintanrix. It is marketed in Canada as Engerix B. It is also a part of Twinrix (Hep A/Hep B vaccine) available also in Canada. The hepatitis B virus induces a severe form of viral hepatitis. Other causative agents are hepatitis A virus, and the non-A, non-B hepatitis viruses. Hepatitis D virus, a defective virus requiring the “keeper function” of the hepatitis B virus, occurs either as a co-infection or super-infection in a HBsAg carrier. Transmission of the virus occurs through percutaneous contact with contaminated blood, serum or plasma. Infection may also occur by the exposure of mucous surfaces, or intact or damaged skin to other body fluids such as saliva, mucosal secretions and semen. There is no specific treatment for hepatitis. The incubation period may be as long as 6 months, followed by a very complex clinical course of an acute or chronic nature, often leading to hospitalization. Viral hepatitis caused by hepatitis B virus is a major worldwide health problem, though the incidence and epidemiology vary widely among geographical areas and population subgroups. In Canada, the United States and Northern Europe, 4% to 6% of the population are infected during their lifetime (mostly young adults); between 5% and 10% of infections lead to persistent viremia (carrier state). Certain population subgroups in these areas, however, are at high risk (see Indications and Clinical Use). In Asia, infection often occurs early in life, leading to a hepatitis B marker prevalence of more than 70% in the general population and a carrier rate of up to 20%. It is estimated that the reservoir of persistent hepatitis B surface antigen carriers amounts to 350 million people worldwide. Carriers are at a high risk of developing chronic liver disease which may lead to cirrhosis or primary hepatocellular carcinoma. A significant reduction in the incidence of hepatocellular carcinoma has been observed in children aged 6 to14 years following a nationwide hepatitis B vaccination in Taiwan. This resulted from a significant decline in the prevalence of hepatitis B antigen, the persistence of which is an essential factor in the development of hepatocellular carcinoma. Vaccination against hepatitis B is expected in the long term to reduce the overall incidence of both hepatitis B and the chronic complications such as chronic active hepatitis and cirrhosis.
Moderate
1
[ [ [ 39, 24, 1367 ] ], [ [ 39, 63, 1560 ], [ 1560, 24, 1367 ] ], [ [ 39, 64, 1064 ], [ 1064, 24, 1367 ] ], [ [ 39, 25, 375 ], [ 375, 24, 1367 ] ], [ [ 39, 24, 850 ], [ 850, 24, 1367 ] ], [ [ 39, 25, 1619 ], [ 1619, 63, 1367 ] ], [ [ 39, 24, 270 ], [ 270, 63, 1367 ] ], [ [ 39, 63, 1560 ], [ 1560, 63, 1648 ], [ 1648, 24, 1367 ] ], [ [ 39, 64, 1064 ], [ 1064, 36, 1083 ], [ 1083, 24, 1367 ] ], [ [ 39, 25, 375 ], [ 375, 64, 1083 ], [ 1083, 24, 1367 ] ] ]
[ [ [ "Panobinostat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hepatitis B Vaccine (Recombinant)" ] ], [ [ "Panobinostat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pegaspargase" ], [ "Pegaspargase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hepatitis B Vaccine (Recombinant)" ] ], [ [ "Panobinostat", "{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}", "Hepatitis B Vaccine (Recombinant)" ] ], [ [ "Panobinostat", "{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}", "Hepatitis B Vaccine (Recombinant)" ] ], [ [ "Panobinostat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brentuximab vedotin" ], [ "Brentuximab vedotin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hepatitis B Vaccine (Recombinant)" ] ], [ [ "Panobinostat", "{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}", "Hepatitis B Vaccine (Recombinant)" ] ], [ [ "Panobinostat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ocrelizumab" ], [ "Ocrelizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hepatitis B Vaccine (Recombinant)" ] ], [ [ "Panobinostat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pegaspargase" ], [ "Pegaspargase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aldesleukin" ], [ "Aldesleukin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hepatitis B Vaccine (Recombinant)" ] ], [ [ "Panobinostat", "{u} may lead to a major life threatening interaction when taken with {v}", "Cladribine" ], [ "Cladribine", "{u} (Compound) resembles {v} (Compound) and {u} may lead to a major life threatening interaction when taken with {v}", "Trifluridine" ], [ "Trifluridine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hepatitis B Vaccine (Recombinant)" ] ], [ [ "Panobinostat", "{u} may lead to a major life threatening interaction when taken with {v}", "Certolizumab pegol" ], [ "Certolizumab pegol", "{u} may lead to a major life threatening interaction when taken with {v}", "Trifluridine" ], [ "Trifluridine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hepatitis B Vaccine (Recombinant)" ] ] ]
Panobinostat may cause a moderate interaction that could exacerbate diseases when taken with Pegaspargase and Pegaspargase may cause a moderate interaction that could exacerbate diseases when taken with Hepatitis B Vaccine (Recombinant) Panobinostat 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 Hepatitis B Vaccine (Recombinant) Panobinostat 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 Hepatitis B Vaccine (Recombinant) Panobinostat may cause a moderate interaction that could exacerbate diseases when taken with Brentuximab vedotin and Brentuximab vedotin may cause a moderate interaction that could exacerbate diseases when taken with Hepatitis B Vaccine (Recombinant) Panobinostat 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 Hepatitis B Vaccine (Recombinant) Panobinostat may cause a moderate interaction that could exacerbate diseases when taken with Ocrelizumab and Ocrelizumab may cause a moderate interaction that could exacerbate diseases when taken with Hepatitis B Vaccine (Recombinant) Panobinostat may cause a moderate interaction that could exacerbate diseases when taken with Pegaspargase and Pegaspargase may cause a moderate interaction that could exacerbate diseases when taken with Aldesleukin and Aldesleukin may cause a moderate interaction that could exacerbate diseases when taken with Hepatitis B Vaccine (Recombinant) Panobinostat may lead to a major life threatening interaction when taken with Cladribine and Cladribine (Compound) resembles Trifluridine (Compound) and Cladribine may lead to a major life threatening interaction when taken with Trifluridine and Trifluridine may cause a moderate interaction that could exacerbate diseases when taken with Hepatitis B Vaccine (Recombinant) Panobinostat may lead to a major life threatening interaction when taken with Certolizumab pegol and Certolizumab pegol may lead to a major life threatening interaction when taken with Trifluridine and Trifluridine may cause a moderate interaction that could exacerbate diseases when taken with Hepatitis B Vaccine (Recombinant)
DB12095
DB12941
179
466
[ "DDInter1760", "DDInter481" ]
Telotristat ethyl
Darolutamide
Telotristat ethyl is a prodrug of telotristat that was approved by the FDA in March 2017 as Xermelo. It was previously referred to as telotristat etiprate, the hippurate salt form; however, the FDA recommends the use of the name of the neutral form rather than that of the salt.[A252937, A252942] Currently, telotristat ethyl is used to treat carcinoid syndrome diarrhea from neuroendocrine tumors that are inadequately controlled by short-acting somatostatin analog (SSA) treatment. Neuroendocrine cells are cells that secrete regulatory peptides and biogenic amines in response to chemical, neural, or other types of stimuli. Neuroendocrine tumors (NET) arising from these cells can therefore secrete chemical mediators into the bloodstream to cause side effects in distant sites, a phenomenon called carcinoid syndrome. The most common peptides and amines secreted by
Darolutamide is a nonsteroidal androgen receptor antagonist for the treatment of castrate-resistant, non-metastatic prostate cancer (nmCRPC). This condition occurs in the majority of patients with advanced prostate cancer who have been treated with androgen receptor antagonists. Though prior treatment for prostate cancer has been successful for these patients, the cancer eventually progresses to become resistant to existing therapies. This warrants further treatment. The goal of treatment with darolutamide is to delay the progression of prostate cancer to metastatic disease, increasing quality of life and life expectancy for those with advanced prostate cancer.[A189054,A189063] Darolutamide was developed by Bayer HealthCare Pharmaceuticals Inc. and approved by the FDA on July 30th, 2019.
Moderate
1
[ [ [ 179, 24, 466 ] ], [ [ 179, 63, 1374 ], [ 1374, 23, 466 ] ], [ [ 179, 24, 283 ], [ 283, 23, 466 ] ], [ [ 179, 64, 966 ], [ 966, 23, 466 ] ], [ [ 179, 24, 159 ], [ 159, 62, 466 ] ], [ [ 179, 63, 392 ], [ 392, 24, 466 ] ], [ [ 179, 25, 1476 ], [ 1476, 24, 466 ] ], [ [ 179, 63, 1220 ], [ 1220, 25, 466 ] ], [ [ 179, 25, 1017 ], [ 1017, 25, 466 ] ], [ [ 179, 63, 1374 ], [ 1374, 63, 1622 ], [ 1622, 23, 466 ] ] ]
[ [ [ "Telotristat ethyl", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Darolutamide" ] ], [ [ "Telotristat ethyl", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abiraterone" ], [ "Abiraterone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Darolutamide" ] ], [ [ "Telotristat ethyl", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ], [ "Fedratinib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Darolutamide" ] ], [ [ "Telotristat ethyl", "{u} may lead to a major life threatening interaction when taken with {v}", "Octreotide" ], [ "Octreotide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Darolutamide" ] ], [ [ "Telotristat ethyl", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Larotrectinib" ], [ "Larotrectinib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Darolutamide" ] ], [ [ "Telotristat ethyl", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lapatinib" ], [ "Lapatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Darolutamide" ] ], [ [ "Telotristat ethyl", "{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}", "Darolutamide" ] ], [ [ "Telotristat ethyl", "{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}", "Darolutamide" ] ], [ [ "Telotristat ethyl", "{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}", "Darolutamide" ] ], [ [ "Telotristat ethyl", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abiraterone" ], [ "Abiraterone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Voriconazole" ], [ "Voriconazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Darolutamide" ] ] ]
Telotristat ethyl may cause a moderate interaction that could exacerbate diseases when taken with Abiraterone and Abiraterone may cause a minor interaction that can limit clinical effects when taken with Darolutamide Telotristat ethyl may cause a moderate interaction that could exacerbate diseases when taken with Fedratinib and Fedratinib may cause a minor interaction that can limit clinical effects when taken with Darolutamide Telotristat ethyl may lead to a major life threatening interaction when taken with Octreotide and Octreotide may cause a minor interaction that can limit clinical effects when taken with Darolutamide Telotristat ethyl may cause a moderate interaction that could exacerbate diseases when taken with Larotrectinib and Larotrectinib may cause a minor interaction that can limit clinical effects when taken with Darolutamide Telotristat ethyl may cause a moderate interaction that could exacerbate diseases when taken with Lapatinib and Lapatinib may cause a moderate interaction that could exacerbate diseases when taken with Darolutamide Telotristat ethyl 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 Darolutamide Telotristat ethyl 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 Darolutamide Telotristat ethyl 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 Darolutamide Telotristat ethyl may cause a moderate interaction that could exacerbate diseases when taken with Abiraterone and Abiraterone may cause a moderate interaction that could exacerbate diseases when taken with Voriconazole and Voriconazole may cause a minor interaction that can limit clinical effects when taken with Darolutamide
DB00398
DB00631
79
372
[ "DDInter1702", "DDInter405" ]
Sorafenib
Clofarabine
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.
Clofarabine is a purine nucleoside antimetabolite that is being studied in the treatment of cancer. It is marketed as Clolar in the U.S. and Canada, or Evoltra in Europe, Australia, and New Zealand. Clofarabine is used in paediatrics to treat a type of leukaemia called relapsed or refractory acute lymphoblastic leukaemia (ALL), only after at least two other types of treatment have failed. It is not known if the drug extends life expectancy. Its potential use in acute myeloid leukaemia (AML) and juvenile myelomonocytic leukaemia (JMML) has been investigated.
Moderate
1
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[ [ [ "Sorafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofarabine" ] ], [ [ "Sorafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Adenosine" ], [ "Adenosine", "{u} (Compound) resembles {v} (Compound)", "Clofarabine" ] ], [ [ "Sorafenib", "{u} (Compound) binds {v} (Gene)", "ABCG2" ], [ "ABCG2", "{u} (Gene) is bound by {v} (Compound)", "Clofarabine" ] ], [ [ "Sorafenib", "{u} (Compound) downregulates {v} (Gene)", "RRM2" ], [ "RRM2", "{u} (Gene) is bound by {v} (Compound)", "Clofarabine" ] ], [ [ "Sorafenib", "{u} (Compound) downregulates {v} (Gene)", "KIAA0907" ], [ "KIAA0907", "{u} (Gene) is upregulated by {v} (Compound)", "Clofarabine" ] ], [ [ "Sorafenib", "{u} (Compound) upregulates {v} (Gene)", "PMAIP1" ], [ "PMAIP1", "{u} (Gene) is upregulated by {v} (Compound)", "Clofarabine" ] ], [ [ "Sorafenib", "{u} (Compound) binds {v} (Gene)", "CDK7" ], [ "CDK7", "{u} (Gene) is upregulated by {v} (Compound)", "Clofarabine" ] ], [ [ "Sorafenib", "{u} (Compound) downregulates {v} (Gene)", "CDCA8" ], [ "CDCA8", "{u} (Gene) is downregulated by {v} (Compound)", "Clofarabine" ] ], [ [ "Sorafenib", "{u} (Compound) causes {v} (Side Effect)", "Dry skin" ], [ "Dry skin", "{u} (Side Effect) is caused by {v} (Compound)", "Clofarabine" ] ], [ [ "Sorafenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Sparfloxacin" ], [ "Sparfloxacin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Clofarabine" ] ] ]
Sorafenib may cause a moderate interaction that could exacerbate diseases when taken with Adenosine and Adenosine (Compound) resembles Clofarabine (Compound) Sorafenib (Compound) binds ABCG2 (Gene) and ABCG2 (Gene) is bound by Clofarabine (Compound) Sorafenib (Compound) downregulates RRM2 (Gene) and RRM2 (Gene) is bound by Clofarabine (Compound) Sorafenib (Compound) downregulates KIAA0907 (Gene) and KIAA0907 (Gene) is upregulated by Clofarabine (Compound) Sorafenib (Compound) upregulates PMAIP1 (Gene) and PMAIP1 (Gene) is upregulated by Clofarabine (Compound) Sorafenib (Compound) binds CDK7 (Gene) and CDK7 (Gene) is upregulated by Clofarabine (Compound) Sorafenib (Compound) downregulates CDCA8 (Gene) and CDCA8 (Gene) is downregulated by Clofarabine (Compound) Sorafenib (Compound) causes Dry skin (Side Effect) and Dry skin (Side Effect) is caused by Clofarabine (Compound) Sorafenib may lead to a major life threatening interaction when taken with Sparfloxacin and Sparfloxacin may cause a minor interaction that can limit clinical effects when taken with Clofarabine
DB00019
DB01254
1,257
1,213
[ "DDInter1405", "DDInter484" ]
Pegfilgrastim
Dasatinib
Pegfilgrastim is a PEGylated form of the recombinant human granulocyte colony-stimulating factor (G-CSF) analogue, [filgrastim]. The drug is approved for use to decrease the incidence of infection, as manifested by febrile neutropenia, in susceptible patients with with non-myeloid cancer receiving myelosuppressive anti-cancer treatment. Although the risk of developing febrile neutropenia is less than 20% in many readily used chemotherapy regimens, infections pose risks of hospitalization and mortalities. Due to the relatively short circulating half-life of filgrastim, a 20 kDa PEG moiety was covalently conjugated to the N-terminus of filgrastim (at the methionine residue) to develop longer-acting pegfilgrastim.[A29,A187607] Due to a longer half-life and slower elimination rate than filgrastim
Dasatinib is an orally available multikinase inhibitor indicated for the treatment of Philadelphia chromosome (Ph)-positive leukemias.[A2224,L45171] Ph is a chromosomal abnormality found in patients with chronic myelogenous leukemia (CML) and acute lymphocytic leukemia (ALL), where the ABL tyrosine kinase and the breakpoint cluster region (BCR) gene transcribe the chimeric protein BCR-ABL. BCR-ABL is associated with the uncontrolled activity of the ABL tyrosine kinase and is involved in the pathogenesis of CML and 15-30% of ALL cases.[A11377,A33432] Dasatinib also inhibits a spectrum of kinases involved in cancer, including several SRC-family kinases. Unlike [imatinib], another tyrosine kinase used for the treatment of CML and Ph-positive ALL, dasatinib inhibits the active and inactive conformations of the ABL kinase domain.[A2226,A11377] Also, mutations in the kinase domain of BCR-ABL may lead to relapse during imatinib treatment. Since dasatinib does not interact with some of the residues involved in those mutations, the use of this drug represents a therapeutic alternative for patients with cancers that have developed imatinib-resistance. The use of dasatinib was first approved by the FDA in 2006.[L45171,L45186]
Moderate
1
[ [ [ 1257, 24, 1213 ] ], [ [ 1257, 24, 738 ], [ 738, 63, 1213 ] ], [ [ 1257, 24, 1555 ], [ 1555, 24, 1213 ] ], [ [ 1257, 24, 273 ], [ 273, 25, 1213 ] ], [ [ 1257, 24, 478 ], [ 478, 64, 1213 ] ], [ [ 1257, 25, 1064 ], [ 1064, 25, 1213 ] ], [ [ 1257, 24, 738 ], [ 738, 63, 1136 ], [ 1136, 63, 1213 ] ], [ [ 1257, 24, 1555 ], [ 1555, 6, 17404 ], [ 17404, 45, 1213 ] ], [ [ 1257, 24, 1619 ], [ 1619, 63, 1247 ], [ 1247, 23, 1213 ] ], [ [ 1257, 24, 51 ], [ 51, 5, 11555 ], [ 11555, 44, 1213 ] ] ]
[ [ [ "Pegfilgrastim", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dasatinib" ] ], [ [ "Pegfilgrastim", "{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}", "Dasatinib" ] ], [ [ "Pegfilgrastim", "{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}", "Dasatinib" ] ], [ [ "Pegfilgrastim", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tositumomab" ], [ "Tositumomab", "{u} may lead to a major life threatening interaction when taken with {v}", "Dasatinib" ] ], [ [ "Pegfilgrastim", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nilotinib" ], [ "Nilotinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Dasatinib" ] ], [ [ "Pegfilgrastim", "{u} may lead to a major life threatening interaction when taken with {v}", "Cladribine" ], [ "Cladribine", "{u} may lead to a major life threatening interaction when taken with {v}", "Dasatinib" ] ], [ [ "Pegfilgrastim", "{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}", "Denosumab" ], [ "Denosumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dasatinib" ] ], [ [ "Pegfilgrastim", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxaliplatin" ], [ "Oxaliplatin", "{u} (Compound) binds {v} (Gene)", "ABCG2" ], [ "ABCG2", "{u} (Gene) is bound by {v} (Compound)", "Dasatinib" ] ], [ [ "Pegfilgrastim", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rucaparib" ], [ "Rucaparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sulfamethoxazole" ], [ "Sulfamethoxazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Dasatinib" ] ], [ [ "Pegfilgrastim", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Daunorubicin" ], [ "Daunorubicin", "{u} (Compound) treats {v} (Disease)", "hematologic cancer" ], [ "hematologic cancer", "{u} (Disease) is treated by {v} (Compound)", "Dasatinib" ] ] ]
Pegfilgrastim 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 Dasatinib Pegfilgrastim 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 Dasatinib Pegfilgrastim may cause a moderate interaction that could exacerbate diseases when taken with Tositumomab and Tositumomab may lead to a major life threatening interaction when taken with Dasatinib Pegfilgrastim may cause a moderate interaction that could exacerbate diseases when taken with Nilotinib and Nilotinib may lead to a major life threatening interaction when taken with Dasatinib Pegfilgrastim may lead to a major life threatening interaction when taken with Cladribine and Cladribine may lead to a major life threatening interaction when taken with Dasatinib Pegfilgrastim 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 Denosumab and Denosumab may cause a moderate interaction that could exacerbate diseases when taken with Dasatinib Pegfilgrastim may cause a moderate interaction that could exacerbate diseases when taken with Oxaliplatin and Oxaliplatin (Compound) binds ABCG2 (Gene) and ABCG2 (Gene) is bound by Dasatinib (Compound) Pegfilgrastim may cause a moderate interaction that could exacerbate diseases when taken with Rucaparib and Rucaparib may cause a moderate interaction that could exacerbate diseases when taken with Sulfamethoxazole and Sulfamethoxazole may cause a minor interaction that can limit clinical effects when taken with Dasatinib Pegfilgrastim may cause a moderate interaction that could exacerbate diseases when taken with Daunorubicin and Daunorubicin (Compound) treats hematologic cancer (Disease) and hematologic cancer (Disease) is treated by Dasatinib (Compound)
DB01157
DB09293
304
116
[ "DDInter1875", "DDInter954" ]
Trimetrexate
Iodide I-131
A nonclassical folic acid inhibitor through its inhibition of the enzyme dihydrofolate reductase. It is being tested for efficacy as an antineoplastic agent and as an antiparasitic agent against pneumocystis pneumonia in AIDS patients. Myelosuppression is its dose-limiting toxic effect.
Iodide I-131 (as Sodium iodide I-131) is a radioisotopic drug used for the treatment and palliation of thyroid malignancy. Iodine-131 is notable for causing mutation and death in cells that it penetrates, which is due to its mode of beta decay. As a result of beta decay, approximately 10% of its energy and radiation dose is via gamma radiation, while the other 90% (beta radiation) causes tissue damage without contributing to any ability to see or image the isotope. Low levels of beta radiation are also known for causing cancer as this dose is highly mutagenic. For this reason, less toxic iodine isotopes such as I-123 are more frequently used in nuclear imaging, while I-131 is reserved for its tissue destroying effects. Because the thyroid gland naturally takes up iodine from the body, therapeutic methods using radioisotopes can take advantage of this mechanism for localization of drug to the site of malignancy. Therapeutic solutions of Sodium Iodide-131 are indicated for the treatment of hyperthyroidism and thyroid carcinomas that take up iodine. Palliative effects may be observed in patients with advanced thyroid malignancy if the metastatic lesions take up iodine. It is also indicated for use in performance of the radioactive iodide (RAI) uptake test to evaluate thyroid function.
Moderate
1
[ [ [ 304, 24, 116 ] ], [ [ 304, 63, 929 ], [ 929, 24, 116 ] ], [ [ 304, 1, 1548 ], [ 1548, 63, 929 ], [ 929, 24, 116 ] ], [ [ 304, 63, 929 ], [ 929, 24, 1247 ], [ 1247, 24, 116 ] ], [ [ 304, 1, 717 ], [ 717, 24, 1382 ], [ 1382, 24, 116 ] ], [ [ 304, 1, 1548 ], [ 1548, 25, 239 ], [ 239, 24, 116 ] ], [ [ 304, 6, 2946 ], [ 2946, 45, 1243 ], [ 1243, 24, 116 ] ], [ [ 304, 21, 28829 ], [ 28829, 60, 1174 ], [ 1174, 24, 116 ] ], [ [ 304, 21, 29203 ], [ 29203, 60, 33 ], [ 33, 25, 116 ] ], [ [ 304, 1, 717 ], [ 717, 24, 337 ], [ 337, 63, 116 ] ] ]
[ [ [ "Trimetrexate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-131" ] ], [ [ "Trimetrexate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pyrimethamine" ], [ "Pyrimethamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-131" ] ], [ [ "Trimetrexate", "{u} (Compound) resembles {v} (Compound)", "Trimethoprim" ], [ "Trimethoprim", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pyrimethamine" ], [ "Pyrimethamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-131" ] ], [ [ "Trimetrexate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pyrimethamine" ], [ "Pyrimethamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sulfamethoxazole" ], [ "Sulfamethoxazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-131" ] ], [ [ "Trimetrexate", "{u} (Compound) resembles {v} (Compound)", "Trimethobenzamide" ], [ "Trimethobenzamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midazolam" ], [ "Midazolam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-131" ] ], [ [ "Trimetrexate", "{u} (Compound) resembles {v} (Compound)", "Trimethoprim" ], [ "Trimethoprim", "{u} may lead to a major life threatening interaction when taken with {v}", "Potassium Iodide" ], [ "Potassium Iodide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-131" ] ], [ [ "Trimetrexate", "{u} (Compound) binds {v} (Gene)", "DHFR" ], [ "DHFR", "{u} (Gene) is bound by {v} (Compound)", "Proguanil" ], [ "Proguanil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-131" ] ], [ [ "Trimetrexate", "{u} (Compound) causes {v} (Side Effect)", "Hyponatraemia" ], [ "Hyponatraemia", "{u} (Side Effect) is caused by {v} (Compound)", "Temazepam" ], [ "Temazepam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-131" ] ], [ [ "Trimetrexate", "{u} (Compound) causes {v} (Side Effect)", "Aspartate aminotransferase increased" ], [ "Aspartate aminotransferase increased", "{u} (Side Effect) is caused by {v} (Compound)", "Amiodarone" ], [ "Amiodarone", "{u} may lead to a major life threatening interaction when taken with {v}", "Iodide I-131" ] ], [ [ "Trimetrexate", "{u} (Compound) resembles {v} (Compound)", "Trimethobenzamide" ], [ "Trimethobenzamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenyltoloxamine" ], [ "Phenyltoloxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-131" ] ] ]
Trimetrexate may cause a moderate interaction that could exacerbate diseases when taken with Pyrimethamine and Pyrimethamine may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-131 Trimetrexate (Compound) resembles Trimethoprim (Compound) and Trimethoprim may cause a moderate interaction that could exacerbate diseases when taken with Pyrimethamine and Pyrimethamine may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-131 Trimetrexate may cause a moderate interaction that could exacerbate diseases when taken with Pyrimethamine and Pyrimethamine may cause a moderate interaction that could exacerbate diseases when taken with Sulfamethoxazole and Sulfamethoxazole may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-131 Trimetrexate (Compound) resembles Trimethobenzamide (Compound) and Trimethobenzamide may cause a moderate interaction that could exacerbate diseases when taken with Midazolam and Midazolam may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-131 Trimetrexate (Compound) resembles Trimethoprim (Compound) and Trimethoprim may lead to a major life threatening interaction when taken with Potassium Iodide and Potassium Iodide may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-131 Trimetrexate (Compound) binds DHFR (Gene) and DHFR (Gene) is bound by Proguanil (Compound) and Proguanil may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-131 Trimetrexate (Compound) causes Hyponatraemia (Side Effect) and Hyponatraemia (Side Effect) is caused by Temazepam (Compound) and Temazepam may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-131 Trimetrexate (Compound) causes Aspartate aminotransferase increased (Side Effect) and Aspartate aminotransferase increased (Side Effect) is caused by Amiodarone (Compound) and Amiodarone may lead to a major life threatening interaction when taken with Iodide I-131 Trimetrexate (Compound) resembles Trimethobenzamide (Compound) and Trimethobenzamide may cause a moderate interaction that could exacerbate diseases when taken with Phenyltoloxamine and Phenyltoloxamine may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-131
DB00533
DB00959
1,416
1,486
[ "DDInter1613", "DDInter1191" ]
Rofecoxib
Methylprednisolone
Rofecoxib is used for the treatment of osteoarthritis, rheumatoid arthritis, acute pain in adults, and primary dysmenorrhea, as well as acute treatment of migraine attacks with or without auras. Rofecoxib is a solid. This compound belongs to the stilbenes. These are organic compounds containing a 1,2-diphenylethylene moiety. Stilbenes (C6-C2-C6 ) are derived from the common phenylpropene (C6-C3) skeleton building block. The introduction of one or more hydroxyl groups to a phenyl ring lead to stilbenoids. Rofecoxib has a half-life of 17 hours and its mean oral bioavailability at therapeutically recommended doses of 125, 25, and 50 mg is approximately 93%. The proteins that rofecoxib target include elastin and prostaglandin G/H synthase 2
Methylprednisolone is a [prednisolone] derivative glucocorticoid with higher potency than [prednisone]. It was first described in the literature in the late 1950s.[A188811,A188814] Methylprednisolone was granted FDA approval on 24 October 1957. In the outbreak of COVID-19, low dose methylprednisolone-based therapy was successful in treating COVID-19-associated pneumonia in one patient with long-term immunosuppression. The efficacy of methylprednisolone in novel coronavirus pneumonia is being investigated further in clinical trials.
Moderate
1
[ [ [ 1416, 24, 1486 ] ], [ [ 1416, 24, 175 ], [ 175, 40, 1486 ] ], [ [ 1416, 24, 167 ], [ 167, 1, 1486 ] ], [ [ 1416, 63, 251 ], [ 251, 1, 1486 ] ], [ [ 1416, 63, 1018 ], [ 1018, 23, 1486 ] ], [ [ 1416, 24, 1479 ], [ 1479, 24, 1486 ] ], [ [ 1416, 63, 1560 ], [ 1560, 24, 1486 ] ], [ [ 1416, 25, 629 ], [ 629, 24, 1486 ] ], [ [ 1416, 24, 848 ], [ 848, 63, 1486 ] ], [ [ 1416, 25, 497 ], [ 497, 64, 1486 ] ] ]
[ [ [ "Rofecoxib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methylprednisolone" ] ], [ [ "Rofecoxib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triamcinolone" ], [ "Triamcinolone", "{u} (Compound) resembles {v} (Compound)", "Methylprednisolone" ] ], [ [ "Rofecoxib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydrocortisone" ], [ "Hydrocortisone", "{u} (Compound) resembles {v} (Compound)", "Methylprednisolone" ] ], [ [ "Rofecoxib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Betamethasone" ], [ "Betamethasone", "{u} (Compound) resembles {v} (Compound)", "Methylprednisolone" ] ], [ [ "Rofecoxib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ticlopidine" ], [ "Ticlopidine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Methylprednisolone" ] ], [ [ "Rofecoxib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acetylsalicylic acid" ], [ "Acetylsalicylic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methylprednisolone" ] ], [ [ "Rofecoxib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pegaspargase" ], [ "Pegaspargase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methylprednisolone" ] ], [ [ "Rofecoxib", "{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}", "Methylprednisolone" ] ], [ [ "Rofecoxib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ibuprofen" ], [ "Ibuprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methylprednisolone" ] ], [ [ "Rofecoxib", "{u} may lead to a major life threatening interaction when taken with {v}", "Iohexol" ], [ "Iohexol", "{u} may lead to a major life threatening interaction when taken with {v}", "Methylprednisolone" ] ] ]
Rofecoxib may cause a moderate interaction that could exacerbate diseases when taken with Triamcinolone and Triamcinolone (Compound) resembles Methylprednisolone (Compound) Rofecoxib may cause a moderate interaction that could exacerbate diseases when taken with Hydrocortisone and Hydrocortisone (Compound) resembles Methylprednisolone (Compound) Rofecoxib may cause a moderate interaction that could exacerbate diseases when taken with Betamethasone and Betamethasone (Compound) resembles Methylprednisolone (Compound) Rofecoxib may cause a moderate interaction that could exacerbate diseases when taken with Ticlopidine and Ticlopidine may cause a minor interaction that can limit clinical effects when taken with Methylprednisolone Rofecoxib may cause a moderate interaction that could exacerbate diseases when taken with Acetylsalicylic acid and Acetylsalicylic acid may cause a moderate interaction that could exacerbate diseases when taken with Methylprednisolone Rofecoxib may cause a moderate interaction that could exacerbate diseases when taken with Pegaspargase and Pegaspargase may cause a moderate interaction that could exacerbate diseases when taken with Methylprednisolone Rofecoxib 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 Methylprednisolone Rofecoxib may cause a moderate interaction that could exacerbate diseases when taken with Ibuprofen and Ibuprofen may cause a moderate interaction that could exacerbate diseases when taken with Methylprednisolone Rofecoxib may lead to a major life threatening interaction when taken with Iohexol and Iohexol may lead to a major life threatening interaction when taken with Methylprednisolone
DB09098
DB12887
98
1,598
[ "DDInter1700", "DDInter1750" ]
Somatrem
Tazemetostat
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.
Tazemetostat is a methyltransferase inhibitor used to treat metastatic or locally advanced epithelioid sarcoma not eligible for complete resection. Tazemetostat was first named in literature as EPZ-6438. Tazemetaostat was granted FDA approval on 23 January 2020.
Moderate
1
[ [ [ 98, 24, 1598 ] ], [ [ 98, 62, 608 ], [ 608, 23, 1598 ] ], [ [ 98, 63, 594 ], [ 594, 24, 1598 ] ], [ [ 98, 24, 985 ], [ 985, 24, 1598 ] ], [ [ 98, 24, 466 ], [ 466, 63, 1598 ] ], [ [ 98, 64, 1101 ], [ 1101, 24, 1598 ] ], [ [ 98, 63, 609 ], [ 609, 25, 1598 ] ], [ [ 98, 24, 1320 ], [ 1320, 25, 1598 ] ], [ [ 98, 62, 608 ], [ 608, 23, 985 ], [ 985, 24, 1598 ] ], [ [ 98, 63, 594 ], [ 594, 25, 985 ], [ 985, 24, 1598 ] ] ]
[ [ [ "Somatrem", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tazemetostat" ] ], [ [ "Somatrem", "{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}", "Tazemetostat" ] ], [ [ "Somatrem", "{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}", "Tazemetostat" ] ], [ [ "Somatrem", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Osimertinib" ], [ "Osimertinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tazemetostat" ] ], [ [ "Somatrem", "{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}", "Tazemetostat" ] ], [ [ "Somatrem", "{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}", "Tazemetostat" ] ], [ [ "Somatrem", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clarithromycin" ], [ "Clarithromycin", "{u} may lead to a major life threatening interaction when taken with {v}", "Tazemetostat" ] ], [ [ "Somatrem", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Elagolix" ], [ "Elagolix", "{u} may lead to a major life threatening interaction when taken with {v}", "Tazemetostat" ] ], [ [ "Somatrem", "{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}", "Osimertinib" ], [ "Osimertinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tazemetostat" ] ], [ [ "Somatrem", "{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" ], [ "Osimertinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tazemetostat" ] ] ]
Somatrem 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 Tazemetostat Somatrem 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 Tazemetostat Somatrem may cause a moderate interaction that could exacerbate diseases when taken with Osimertinib and Osimertinib may cause a moderate interaction that could exacerbate diseases when taken with Tazemetostat Somatrem 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 Tazemetostat Somatrem 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 Tazemetostat Somatrem may cause a moderate interaction that could exacerbate diseases when taken with Clarithromycin and Clarithromycin may lead to a major life threatening interaction when taken with Tazemetostat Somatrem may cause a moderate interaction that could exacerbate diseases when taken with Elagolix and Elagolix may lead to a major life threatening interaction when taken with Tazemetostat Somatrem 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 Osimertinib and Osimertinib may cause a moderate interaction that could exacerbate diseases when taken with Tazemetostat Somatrem 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 and Osimertinib may cause a moderate interaction that could exacerbate diseases when taken with Tazemetostat
DB05351
DB11828
101
1,406
[ "DDInter519", "DDInter1281" ]
Dexlansoprazole
Neratinib
Dexlansoprazole is a new-generation proton pump inhibitor (PPI) used for the management of symptoms associated with gastroesophageal reflux disease (GERD) and erosive esophagitis. Dexlansoprazole is the R-enantiomer of, which is composed of a racemic mixture of the R- and S-enantiomers. Compared to the older generation of PPIs (which includes,, and ), dexlansoprazole has a unique pharmacokinetic profile due to its delayed-release and dual-delivery release system: This aims to address some limitations of the older-generation PPIs, such as short plasma half-life and the need for meal-associated dosing.[A19566, A19568, A178084, A174244] Dexlansoprazole inhibits the final step in gastric acid production by blocking the (H+, K+)-ATPase enzyme.
Neratinib was approved in July 2017 for use as an extended adjuvant therapy in Human Epidermal Growth Factor Receptor 2 (HER2) positive breast cancer. Approval was granted to Puma Biotechnology Inc. for the tradename Nerlynx. Neratinib is currently under investigation for use in many other forms of cancer.
Major
2
[ [ [ 101, 25, 1406 ] ], [ [ 101, 63, 392 ], [ 392, 24, 1406 ] ], [ [ 101, 64, 1195 ], [ 1195, 24, 1406 ] ], [ [ 101, 24, 594 ], [ 594, 24, 1406 ] ], [ [ 101, 24, 1375 ], [ 1375, 63, 1406 ] ], [ [ 101, 63, 609 ], [ 609, 25, 1406 ] ], [ [ 101, 64, 915 ], [ 915, 25, 1406 ] ], [ [ 101, 24, 1604 ], [ 1604, 25, 1406 ] ], [ [ 101, 24, 800 ], [ 800, 64, 1406 ] ], [ [ 101, 63, 392 ], [ 392, 23, 1135 ], [ 1135, 23, 1406 ] ] ]
[ [ [ "Dexlansoprazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Neratinib" ] ], [ [ "Dexlansoprazole", "{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}", "Neratinib" ] ], [ [ "Dexlansoprazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Erlotinib" ], [ "Erlotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Neratinib" ] ], [ [ "Dexlansoprazole", "{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}", "Neratinib" ] ], [ [ "Dexlansoprazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lefamulin" ], [ "Lefamulin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Neratinib" ] ], [ [ "Dexlansoprazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clarithromycin" ], [ "Clarithromycin", "{u} may lead to a major life threatening interaction when taken with {v}", "Neratinib" ] ], [ [ "Dexlansoprazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Atazanavir" ], [ "Atazanavir", "{u} may lead to a major life threatening interaction when taken with {v}", "Neratinib" ] ], [ [ "Dexlansoprazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lumacaftor" ], [ "Lumacaftor", "{u} may lead to a major life threatening interaction when taken with {v}", "Neratinib" ] ], [ [ "Dexlansoprazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Duvelisib" ], [ "Duvelisib", "{u} may lead to a major life threatening interaction when taken with {v}", "Neratinib" ] ], [ [ "Dexlansoprazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lapatinib" ], [ "Lapatinib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Naloxegol" ], [ "Naloxegol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Neratinib" ] ] ]
Dexlansoprazole 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 Neratinib Dexlansoprazole may lead to a major life threatening interaction when taken with Erlotinib and Erlotinib may cause a moderate interaction that could exacerbate diseases when taken with Neratinib Dexlansoprazole 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 Neratinib Dexlansoprazole may cause a moderate interaction that could exacerbate diseases when taken with Lefamulin and Lefamulin may cause a moderate interaction that could exacerbate diseases when taken with Neratinib Dexlansoprazole may cause a moderate interaction that could exacerbate diseases when taken with Clarithromycin and Clarithromycin may lead to a major life threatening interaction when taken with Neratinib Dexlansoprazole may lead to a major life threatening interaction when taken with Atazanavir and Atazanavir may lead to a major life threatening interaction when taken with Neratinib Dexlansoprazole may cause a moderate interaction that could exacerbate diseases when taken with Lumacaftor and Lumacaftor may lead to a major life threatening interaction when taken with Neratinib Dexlansoprazole may cause a moderate interaction that could exacerbate diseases when taken with Duvelisib and Duvelisib may lead to a major life threatening interaction when taken with Neratinib Dexlansoprazole may cause a moderate interaction that could exacerbate diseases when taken with Lapatinib and Lapatinib may cause a minor interaction that can limit clinical effects when taken with Naloxegol and Naloxegol may cause a minor interaction that can limit clinical effects when taken with Neratinib
DB00328
DB01240
831
885
[ "DDInter921", "DDInter657" ]
Indomethacin
Epoprostenol
Indometacin, or indomethacin, is a non-steroidal anti-inflammatory drug (NSAID) with anti-inflammatory, analgesic, and antipyretic properties. NSAIDs consist of agents that are structurally unrelated; the NSAID chemical classification of indometacin is an indole-acetic acid derivative with the chemical name 1- (p-chlorobenzoyl)25-methoxy-2-methylindole-3-acetic acid. The pharmacological effect of indometacin is not fully understood, however, it is thought to be mediated through potent and nonselective inhibition of the enzyme cyclooxygenase (COX), which is the main enzyme responsible for catalyzes the rate-limiting step in prostaglandin and thromboxane biosynthesis via the arachidonic acid (AA) pathway. Indometacin was first discovered in 1963 and it was first approved for use in the U.S. by
A prostaglandin that is a powerful vasodilator and inhibits platelet aggregation. It is biosynthesized enzymatically from prostaglandin endoperoxides in human vascular tissue. The sodium salt has been also used to treat primary pulmonary hypertension.
Moderate
1
[ [ [ 831, 24, 885 ] ], [ [ 831, 24, 1061 ], [ 1061, 1, 885 ] ], [ [ 831, 6, 6017 ], [ 6017, 45, 885 ] ], [ [ 831, 21, 28936 ], [ 28936, 60, 885 ] ], [ [ 831, 24, 1512 ], [ 1512, 24, 885 ] ], [ [ 831, 63, 1432 ], [ 1432, 24, 885 ] ], [ [ 831, 25, 126 ], [ 126, 24, 885 ] ], [ [ 831, 24, 1046 ], [ 1046, 63, 885 ] ], [ [ 831, 25, 840 ], [ 840, 63, 885 ] ], [ [ 831, 40, 24 ], [ 24, 24, 885 ] ] ]
[ [ [ "Indomethacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Epoprostenol" ] ], [ [ "Indomethacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Treprostinil" ], [ "Treprostinil", "{u} (Compound) resembles {v} (Compound)", "Epoprostenol" ] ], [ [ "Indomethacin", "{u} (Compound) binds {v} (Gene)", "CYP2C9" ], [ "CYP2C9", "{u} (Gene) is bound by {v} (Compound)", "Epoprostenol" ] ], [ [ "Indomethacin", "{u} (Compound) causes {v} (Side Effect)", "Hyperhidrosis" ], [ "Hyperhidrosis", "{u} (Side Effect) is caused by {v} (Compound)", "Epoprostenol" ] ], [ [ "Indomethacin", "{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}", "Epoprostenol" ] ], [ [ "Indomethacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abciximab" ], [ "Abciximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Epoprostenol" ] ], [ [ "Indomethacin", "{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}", "Epoprostenol" ] ], [ [ "Indomethacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Caplacizumab" ], [ "Caplacizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Epoprostenol" ] ], [ [ "Indomethacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Vorapaxar" ], [ "Vorapaxar", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Epoprostenol" ] ], [ [ "Indomethacin", "{u} (Compound) resembles {v} (Compound)", "Tolmetin" ], [ "Tolmetin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Epoprostenol" ] ] ]
Indomethacin may cause a moderate interaction that could exacerbate diseases when taken with Treprostinil and Treprostinil (Compound) resembles Epoprostenol (Compound) Indomethacin (Compound) binds CYP2C9 (Gene) and CYP2C9 (Gene) is bound by Epoprostenol (Compound) Indomethacin (Compound) causes Hyperhidrosis (Side Effect) and Hyperhidrosis (Side Effect) is caused by Epoprostenol (Compound) Indomethacin 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 Epoprostenol Indomethacin may cause a moderate interaction that could exacerbate diseases when taken with Abciximab and Abciximab may cause a moderate interaction that could exacerbate diseases when taken with Epoprostenol Indomethacin 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 Epoprostenol Indomethacin may cause a moderate interaction that could exacerbate diseases when taken with Caplacizumab and Caplacizumab may cause a moderate interaction that could exacerbate diseases when taken with Epoprostenol Indomethacin may lead to a major life threatening interaction when taken with Vorapaxar and Vorapaxar may cause a moderate interaction that could exacerbate diseases when taken with Epoprostenol Indomethacin (Compound) resembles Tolmetin (Compound) and Tolmetin may cause a moderate interaction that could exacerbate diseases when taken with Epoprostenol
DB00040
DB00521
27
493
[ "DDInter827", "DDInter304" ]
Glucagon
Carteolol (ophthalmic)
Glucagon is a 29 amino acid hormone used as a diagnostic aid in radiologic exams to temporarily inhibit the movement of the gastrointestinal tract and to treat severe hypoglycemia.[L7634,L7637,L7640,L7643,L8519] Glucagon raises blood sugar through activation of hepatic glucagon receptors, stimulating glycogenolysis and the release of glucose.[L7640,L7643] Glucagon was granted FDA approval on 14 November 1960.
Carteolol is a quinolone and a secondary alcohol. It has a role as a beta-adrenergic antagonist, an antihypertensive agent, an antiglaucoma drug, an anti-arrhythmia drug and a sympatholytic agent. It is a conjugate base of a carteolol(1+).
Minor
0
[ [ [ 27, 23, 493 ] ], [ [ 27, 23, 699 ], [ 699, 40, 493 ] ], [ [ 27, 23, 729 ], [ 729, 1, 493 ] ], [ [ 27, 23, 699 ], [ 699, 40, 11460 ], [ 11460, 40, 493 ] ], [ [ 27, 23, 729 ], [ 729, 1, 699 ], [ 699, 40, 493 ] ], [ [ 27, 23, 722 ], [ 722, 63, 966 ], [ 966, 24, 493 ] ], [ [ 27, 23, 699 ], [ 699, 40, 729 ], [ 729, 1, 493 ] ], [ [ 27, 23, 1523 ], [ 1523, 6, 12523 ], [ 12523, 45, 493 ] ], [ [ 27, 23, 722 ], [ 722, 63, 1446 ], [ 1446, 63, 493 ] ], [ [ 27, 23, 1523 ], [ 1523, 25, 688 ], [ 688, 1, 493 ] ] ]
[ [ [ "Glucagon", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Carteolol" ] ], [ [ "Glucagon", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Nadolol" ], [ "Nadolol", "{u} (Compound) resembles {v} (Compound)", "Carteolol" ] ], [ [ "Glucagon", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Penbutolol" ], [ "Penbutolol", "{u} (Compound) resembles {v} (Compound)", "Carteolol" ] ], [ [ "Glucagon", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Nadolol" ], [ "Nadolol", "{u} (Compound) resembles {v} (Compound)", "Bupranolol" ], [ "Bupranolol", "{u} (Compound) resembles {v} (Compound)", "Carteolol" ] ], [ [ "Glucagon", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Penbutolol" ], [ "Penbutolol", "{u} (Compound) resembles {v} (Compound)", "Nadolol" ], [ "Nadolol", "{u} (Compound) resembles {v} (Compound)", "Carteolol" ] ], [ [ "Glucagon", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Levobetaxolol" ], [ "Levobetaxolol", "{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}", "Carteolol" ] ], [ [ "Glucagon", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Nadolol" ], [ "Nadolol", "{u} (Compound) resembles {v} (Compound)", "Penbutolol" ], [ "Penbutolol", "{u} (Compound) resembles {v} (Compound)", "Carteolol" ] ], [ [ "Glucagon", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Labetalol" ], [ "Labetalol", "{u} (Compound) binds {v} (Gene)", "CYP2D6" ], [ "CYP2D6", "{u} (Gene) is bound by {v} (Compound)", "Carteolol" ] ], [ [ "Glucagon", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Levobetaxolol" ], [ "Levobetaxolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lanreotide" ], [ "Lanreotide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carteolol" ] ], [ [ "Glucagon", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Labetalol" ], [ "Labetalol", "{u} may lead to a major life threatening interaction when taken with {v}", "Salbutamol" ], [ "Salbutamol", "{u} (Compound) resembles {v} (Compound)", "Carteolol" ] ] ]
Glucagon may cause a minor interaction that can limit clinical effects when taken with Carteolol Glucagon may cause a minor interaction that can limit clinical effects when taken with Nadolol and Nadolol (Compound) resembles Carteolol (Compound) Glucagon may cause a minor interaction that can limit clinical effects when taken with Penbutolol and Penbutolol (Compound) resembles Carteolol (Compound) Glucagon may cause a minor interaction that can limit clinical effects when taken with Nadolol and Nadolol (Compound) resembles Bupranolol (Compound) and Bupranolol (Compound) resembles Carteolol (Compound) Glucagon may cause a minor interaction that can limit clinical effects when taken with Penbutolol and Penbutolol (Compound) resembles Nadolol (Compound) and Nadolol (Compound) resembles Carteolol (Compound) Glucagon may cause a minor interaction that can limit clinical effects when taken with Levobetaxolol and Levobetaxolol 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 Carteolol Glucagon may cause a minor interaction that can limit clinical effects when taken with Nadolol and Nadolol (Compound) resembles Penbutolol (Compound) and Penbutolol (Compound) resembles Carteolol (Compound) Glucagon may cause a minor interaction that can limit clinical effects when taken with Labetalol and Labetalol (Compound) binds CYP2D6 (Gene) and CYP2D6 (Gene) is bound by Carteolol (Compound) Glucagon may cause a minor interaction that can limit clinical effects when taken with Levobetaxolol and Levobetaxolol may cause a moderate interaction that could exacerbate diseases when taken with Lanreotide and Lanreotide may cause a moderate interaction that could exacerbate diseases when taken with Carteolol Glucagon may cause a minor interaction that can limit clinical effects when taken with Labetalol and Labetalol may lead to a major life threatening interaction when taken with Salbutamol and Salbutamol (Compound) resembles Carteolol (Compound)
DB01101
DB14811
60
385
[ "DDInter285", "DDInter979" ]
Capecitabine
Isatuximab
Capecitabine is an orally-administered chemotherapeutic agent used in the treatment of metastatic breast and colorectal cancers. Capecitabine is a prodrug, that is enzymatically converted to fluorouracil (antimetabolite) in the tumor, where it inhibits DNA synthesis and slows growth of tumor tissue.
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.
Moderate
1
[ [ [ 60, 24, 385 ] ], [ [ 60, 24, 1362 ], [ 1362, 24, 385 ] ], [ [ 60, 63, 377 ], [ 377, 24, 385 ] ], [ [ 60, 62, 147 ], [ 147, 24, 385 ] ], [ [ 60, 64, 770 ], [ 770, 24, 385 ] ], [ [ 60, 25, 908 ], [ 908, 25, 385 ] ], [ [ 60, 64, 1377 ], [ 1377, 25, 385 ] ], [ [ 60, 25, 676 ], [ 676, 64, 385 ] ], [ [ 60, 24, 1362 ], [ 1362, 63, 377 ], [ 377, 24, 385 ] ], [ [ 60, 63, 377 ], [ 377, 24, 1362 ], [ 1362, 24, 385 ] ] ]
[ [ [ "Capecitabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isatuximab" ] ], [ [ "Capecitabine", "{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" ] ], [ [ "Capecitabine", "{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" ] ], [ [ "Capecitabine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Vinblastine" ], [ "Vinblastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isatuximab" ] ], [ [ "Capecitabine", "{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}", "Isatuximab" ] ], [ [ "Capecitabine", "{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" ] ], [ [ "Capecitabine", "{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}", "Isatuximab" ] ], [ [ "Capecitabine", "{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" ] ], [ [ "Capecitabine", "{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}", "Mitomycin" ], [ "Mitomycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isatuximab" ] ], [ [ "Capecitabine", "{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}", "Olaparib" ], [ "Olaparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isatuximab" ] ] ]
Capecitabine 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 Capecitabine 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 Capecitabine may cause a minor interaction that can limit clinical effects when taken with Vinblastine and Vinblastine may cause a moderate interaction that could exacerbate diseases when taken with Isatuximab Capecitabine 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 Isatuximab Capecitabine 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 Capecitabine 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 Isatuximab Capecitabine 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 Capecitabine 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 Mitomycin and Mitomycin may cause a moderate interaction that could exacerbate diseases when taken with Isatuximab Capecitabine 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 Olaparib and Olaparib may cause a moderate interaction that could exacerbate diseases when taken with Isatuximab
DB00388
DB01394
1,636
1,554
[ "DDInter1453", "DDInter431" ]
Phenylephrine
Colchicine
Phenylephrine is an alpha-1 adrenergic receptor agonist used to treat hypotension,[L9416,L9410] dilate the pupil, and induce local vasoconstriction. The action of phenylephrine, or neo-synephrine, was first described in literature in the 1930s. Phenylephrine was granted FDA approval in 1939.
Colchicine is an alkaloid drug derived from a plant belonging to the Lily family, known as _Colchicum autumnale_, or "autumn crocus." Its use was first approved by the FDA in 1961. Colchicine is used in the treatment of gout flares and Familial Mediterranean fever, and prevention of major cardiovascular events. It has also been investigated in other inflammatory and fibrotic conditions.
Minor
0
[ [ [ 1636, 23, 1554 ] ], [ [ 1636, 21, 28642 ], [ 28642, 60, 1554 ] ], [ [ 1636, 24, 1466 ], [ 1466, 23, 1554 ] ], [ [ 1636, 21, 28642 ], [ 28642, 60, 168 ], [ 168, 24, 1554 ] ], [ [ 1636, 21, 28787 ], [ 28787, 60, 1466 ], [ 1466, 23, 1554 ] ], [ [ 1636, 21, 28762 ], [ 28762, 60, 717 ], [ 717, 40, 1554 ] ], [ [ 1636, 1, 874 ], [ 874, 6, 6017 ], [ 6017, 45, 1554 ] ], [ [ 1636, 24, 1466 ], [ 1466, 18, 2183 ], [ 2183, 46, 1554 ] ], [ [ 1636, 21, 28642 ], [ 28642, 60, 309 ], [ 309, 63, 1554 ] ], [ [ 1636, 24, 1148 ], [ 1148, 7, 5178 ], [ 5178, 57, 1554 ] ] ]
[ [ [ "Phenylephrine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Colchicine" ] ], [ [ "Phenylephrine", "{u} (Compound) causes {v} (Side Effect)", "Shock" ], [ "Shock", "{u} (Side Effect) is caused by {v} (Compound)", "Colchicine" ] ], [ [ "Phenylephrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenylpropanolamine" ], [ "Phenylpropanolamine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Colchicine" ] ], [ [ "Phenylephrine", "{u} (Compound) causes {v} (Side Effect)", "Shock" ], [ "Shock", "{u} (Side Effect) is caused by {v} (Compound)", "Bortezomib" ], [ "Bortezomib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Colchicine" ] ], [ [ "Phenylephrine", "{u} (Compound) causes {v} (Side Effect)", "Dermatitis" ], [ "Dermatitis", "{u} (Side Effect) is caused by {v} (Compound)", "Phenylpropanolamine" ], [ "Phenylpropanolamine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Colchicine" ] ], [ [ "Phenylephrine", "{u} (Compound) causes {v} (Side Effect)", "Headache" ], [ "Headache", "{u} (Side Effect) is caused by {v} (Compound)", "Trimethobenzamide" ], [ "Trimethobenzamide", "{u} (Compound) resembles {v} (Compound)", "Colchicine" ] ], [ [ "Phenylephrine", "{u} (Compound) resembles {v} (Compound)", "Epinephrine" ], [ "Epinephrine", "{u} (Compound) binds {v} (Gene)", "CYP2C9" ], [ "CYP2C9", "{u} (Gene) is bound by {v} (Compound)", "Colchicine" ] ], [ [ "Phenylephrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenylpropanolamine" ], [ "Phenylpropanolamine", "{u} (Compound) downregulates {v} (Gene)", "CDC20" ], [ "CDC20", "{u} (Gene) is upregulated by {v} (Compound)", "Colchicine" ] ], [ [ "Phenylephrine", "{u} (Compound) causes {v} (Side Effect)", "Shock" ], [ "Shock", "{u} (Side Effect) is caused by {v} (Compound)", "Ixabepilone" ], [ "Ixabepilone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Colchicine" ] ], [ [ "Phenylephrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isoprenaline" ], [ "Isoprenaline", "{u} (Compound) upregulates {v} (Gene)", "XBP1" ], [ "XBP1", "{u} (Gene) is downregulated by {v} (Compound)", "Colchicine" ] ] ]
Phenylephrine (Compound) causes Shock (Side Effect) and Shock (Side Effect) is caused by Colchicine (Compound) Phenylephrine may cause a moderate interaction that could exacerbate diseases when taken with Phenylpropanolamine and Phenylpropanolamine may cause a minor interaction that can limit clinical effects when taken with Colchicine Phenylephrine (Compound) causes Shock (Side Effect) and Shock (Side Effect) is caused by Bortezomib (Compound) and Bortezomib may cause a moderate interaction that could exacerbate diseases when taken with Colchicine Phenylephrine (Compound) causes Dermatitis (Side Effect) and Dermatitis (Side Effect) is caused by Phenylpropanolamine (Compound) and Phenylpropanolamine may cause a minor interaction that can limit clinical effects when taken with Colchicine Phenylephrine (Compound) causes Headache (Side Effect) and Headache (Side Effect) is caused by Trimethobenzamide (Compound) and Trimethobenzamide (Compound) resembles Colchicine (Compound) Phenylephrine (Compound) resembles Epinephrine (Compound) and Epinephrine (Compound) binds CYP2C9 (Gene) and CYP2C9 (Gene) is bound by Colchicine (Compound) Phenylephrine may cause a moderate interaction that could exacerbate diseases when taken with Phenylpropanolamine and Phenylpropanolamine (Compound) downregulates CDC20 (Gene) and CDC20 (Gene) is upregulated by Colchicine (Compound) Phenylephrine (Compound) causes Shock (Side Effect) and Shock (Side Effect) is caused by Ixabepilone (Compound) and Ixabepilone may cause a moderate interaction that could exacerbate diseases when taken with Colchicine Phenylephrine may cause a moderate interaction that could exacerbate diseases when taken with Isoprenaline and Isoprenaline (Compound) upregulates XBP1 (Gene) and XBP1 (Gene) is downregulated by Colchicine (Compound)
DB08901
DB08908
1,468
713
[ "DDInter1492", "DDInter564" ]
Ponatinib
Dimethyl fumarate
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.
Dimethyl fumarate is an agent indicated for the treatment of relapsing forms of multiple sclerosis.[A253942,L43752] The mechanism of action of dimethyl fumarate in multiple sclerosis is not well understood. It is thought to involve dimethyl fumarate degradation to its active metabolite monomethyl fumarate (MMF) then MMF up-regulates the Nuclear factor (erythroid-derived 2)-like 2 (Nrf2) pathway that is activated in response to oxidative stress. Dimethyl fumarate is marketed under the brand name Tecfidera, and it was the third oral disease-modifying agent for multiple sclerosis approved by the FDA, following [fingolimod] and [teriflunomide]. Prior to its FDA approval, dimethyl fumarate had been used in Germany for treatment of psoriasis.
Moderate
1
[ [ [ 1468, 24, 713 ] ], [ [ 1468, 24, 996 ], [ 996, 24, 713 ] ], [ [ 1468, 63, 4 ], [ 4, 24, 713 ] ], [ [ 1468, 24, 119 ], [ 119, 63, 713 ] ], [ [ 1468, 74, 1419 ], [ 1419, 24, 713 ] ], [ [ 1468, 64, 39 ], [ 39, 24, 713 ] ], [ [ 1468, 25, 405 ], [ 405, 63, 713 ] ], [ [ 1468, 64, 976 ], [ 976, 25, 713 ] ], [ [ 1468, 25, 779 ], [ 779, 64, 713 ] ], [ [ 1468, 24, 287 ], [ 287, 64, 713 ] ] ]
[ [ [ "Ponatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dimethyl fumarate" ] ], [ [ "Ponatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bedaquiline" ], [ "Bedaquiline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dimethyl fumarate" ] ], [ [ "Ponatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Omacetaxine mepesuccinate" ], [ "Omacetaxine mepesuccinate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dimethyl fumarate" ] ], [ [ "Ponatinib", "{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}", "Dimethyl fumarate" ] ], [ [ "Ponatinib", "{u} (Compound) resembles {v} (Compound) and {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}", "Dimethyl fumarate" ] ], [ [ "Ponatinib", "{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}", "Dimethyl fumarate" ] ], [ [ "Ponatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Acalabrutinib" ], [ "Acalabrutinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dimethyl fumarate" ] ], [ [ "Ponatinib", "{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}", "Dimethyl fumarate" ] ], [ [ "Ponatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Smallpox (Vaccinia) Vaccine, Live" ], [ "Smallpox (Vaccinia) Vaccine, Live", "{u} may lead to a major life threatening interaction when taken with {v}", "Dimethyl fumarate" ] ], [ [ "Ponatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diroximel fumarate" ], [ "Diroximel fumarate", "{u} may lead to a major life threatening interaction when taken with {v}", "Dimethyl fumarate" ] ] ]
Ponatinib may cause a moderate interaction that could exacerbate diseases when taken with Bedaquiline and Bedaquiline may cause a moderate interaction that could exacerbate diseases when taken with Dimethyl fumarate Ponatinib may cause a moderate interaction that could exacerbate diseases when taken with Omacetaxine mepesuccinate and Omacetaxine mepesuccinate may cause a moderate interaction that could exacerbate diseases when taken with Dimethyl fumarate Ponatinib 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 Dimethyl fumarate Ponatinib (Compound) resembles Imatinib (Compound) and Ponatinib 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 Dimethyl fumarate Ponatinib 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 Dimethyl fumarate Ponatinib may lead to a major life threatening interaction when taken with Acalabrutinib and Acalabrutinib may cause a moderate interaction that could exacerbate diseases when taken with Dimethyl fumarate Ponatinib 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 Dimethyl fumarate Ponatinib may lead to a major life threatening interaction when taken with Smallpox (Vaccinia) Vaccine, Live and Smallpox (Vaccinia) Vaccine, Live may lead to a major life threatening interaction when taken with Dimethyl fumarate Ponatinib may cause a moderate interaction that could exacerbate diseases when taken with Diroximel fumarate and Diroximel fumarate may lead to a major life threatening interaction when taken with Dimethyl fumarate
DB00723
DB08907
1,240
1,344
[ "DDInter1176", "DDInter280" ]
Methoxamine
Canagliflozin
An alpha-adrenergic agonist that causes prolonged peripheral vasoconstriction. It has little if any direct effect on the central nervous system.
Canagliflozin, also known as _Invokana_, is a sodium-glucose cotransporter 2 (SGLT2) inhibitor used in the management of type 2 diabetes mellitus along with lifestyle changes including diet and exercise [FDA label]. It was initially approved by the FDA in 2013 for the management of diabetes and later approved in 2018 for a second indication of reducing the risk of cardiovascular events in patients diagnosed with type 2 diabetes mellitus , [FDA label]. Canagliflozin is the first oral antidiabetic drug approved for the prevention of cardiovascular events in patients with type 2 diabetes . Cardiovascular disease is the most common cause of death in these patients .
Moderate
1
[ [ [ 1240, 24, 1344 ] ], [ [ 1240, 24, 549 ], [ 549, 1, 1344 ] ], [ [ 1240, 24, 1148 ], [ 1148, 24, 1344 ] ], [ [ 1240, 63, 176 ], [ 176, 24, 1344 ] ], [ [ 1240, 24, 1296 ], [ 1296, 63, 1344 ] ], [ [ 1240, 24, 549 ], [ 549, 6, 16207 ], [ 16207, 45, 1344 ] ], [ [ 1240, 24, 1148 ], [ 1148, 24, 549 ], [ 549, 1, 1344 ] ], [ [ 1240, 63, 176 ], [ 176, 24, 549 ], [ 549, 1, 1344 ] ], [ [ 1240, 24, 1296 ], [ 1296, 63, 549 ], [ 549, 1, 1344 ] ], [ [ 1240, 24, 144 ], [ 144, 63, 739 ], [ 739, 24, 1344 ] ] ]
[ [ [ "Methoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Canagliflozin" ] ], [ [ "Methoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dapagliflozin" ], [ "Dapagliflozin", "{u} (Compound) resembles {v} (Compound)", "Canagliflozin" ] ], [ [ "Methoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isoprenaline" ], [ "Isoprenaline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Canagliflozin" ] ], [ [ "Methoxamine", "{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}", "Canagliflozin" ] ], [ [ "Methoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin degludec" ], [ "Insulin degludec", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Canagliflozin" ] ], [ [ "Methoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dapagliflozin" ], [ "Dapagliflozin", "{u} (Compound) binds {v} (Gene)", "SLC5A1" ], [ "SLC5A1", "{u} (Gene) is bound by {v} (Compound)", "Canagliflozin" ] ], [ [ "Methoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isoprenaline" ], [ "Isoprenaline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dapagliflozin" ], [ "Dapagliflozin", "{u} (Compound) resembles {v} (Compound)", "Canagliflozin" ] ], [ [ "Methoxamine", "{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}", "Dapagliflozin" ], [ "Dapagliflozin", "{u} (Compound) resembles {v} (Compound)", "Canagliflozin" ] ], [ [ "Methoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin degludec" ], [ "Insulin degludec", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dapagliflozin" ], [ "Dapagliflozin", "{u} (Compound) resembles {v} (Compound)", "Canagliflozin" ] ], [ [ "Methoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olodaterol" ], [ "Olodaterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lomefloxacin" ], [ "Lomefloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Canagliflozin" ] ] ]
Methoxamine may cause a moderate interaction that could exacerbate diseases when taken with Dapagliflozin and Dapagliflozin (Compound) resembles Canagliflozin (Compound) Methoxamine may cause a moderate interaction that could exacerbate diseases when taken with Isoprenaline and Isoprenaline may cause a moderate interaction that could exacerbate diseases when taken with Canagliflozin Methoxamine 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 Canagliflozin Methoxamine may cause a moderate interaction that could exacerbate diseases when taken with Insulin degludec and Insulin degludec may cause a moderate interaction that could exacerbate diseases when taken with Canagliflozin Methoxamine may cause a moderate interaction that could exacerbate diseases when taken with Dapagliflozin and Dapagliflozin (Compound) binds SLC5A1 (Gene) and SLC5A1 (Gene) is bound by Canagliflozin (Compound) Methoxamine may cause a moderate interaction that could exacerbate diseases when taken with Isoprenaline and Isoprenaline may cause a moderate interaction that could exacerbate diseases when taken with Dapagliflozin and Dapagliflozin (Compound) resembles Canagliflozin (Compound) Methoxamine 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 Dapagliflozin and Dapagliflozin (Compound) resembles Canagliflozin (Compound) Methoxamine may cause a moderate interaction that could exacerbate diseases when taken with Insulin degludec and Insulin degludec may cause a moderate interaction that could exacerbate diseases when taken with Dapagliflozin and Dapagliflozin (Compound) resembles Canagliflozin (Compound) Methoxamine may cause a moderate interaction that could exacerbate diseases when taken with Olodaterol and Olodaterol may cause a moderate interaction that could exacerbate diseases when taken with Lomefloxacin and Lomefloxacin may cause a moderate interaction that could exacerbate diseases when taken with Canagliflozin
DB00860
DB05679
891
1,683
[ "DDInter1513", "DDInter1907" ]
Prednisolone
Ustekinumab
Prednisolone is a glucocorticoid similar to [cortisol] used for its anti-inflammatory, immunosuppressive, anti-neoplastic, and vasoconstrictive effects. Prednisolone was granted FDA approval on 21 June 1955.
Ustekinumab is a human immunoglobulin (Ig) G1 kappa monoclonal antibody directed against interleukin(IL)-12 and IL-23, which are cytokines that are involved in immune and inflammatory responses. It was generated via recombinant human IL-12 immunization of human Ig (hu-Ig) transgenic mice. It is a targeted biologic disease-modifying anti-rheumatic drug (bDMARDs) that is used in the management of various inflammatory conditions that involve the activation of IL-12 and IL-23 signalling pathways. The therapeutic use of the drug started in Canada, the US, and Europe since 2009 when it was first approved for the treatment of adult patients with moderate to severe plaque psoriasis and active psoriatic arthritis, alone or in combination with [methotrexate]. In September 2016, ustekinumab was additionally approved for the management of moderate to severe Crohn's disease in selected adult patients. In October 2019, it was also approved by the FDA for use to manage moderately to severely active ulcerative colitis in adults. Ustekinumab is currently the first and only approved biologic therapy for ulcerative colitis that targets the interleukin (IL)-12 and IL-23 cytokines. The dosing regimen for ustekinumab is based on the patient's weight and there are intravenous and subcutaneous formulations of the drug based on the dosing schedule and condition being treated. Ustekinumab is commonly marketed under the trade name STELARA. Ustekinumab biosimilars are available in some markets, including Wezlana (ustekinumab-auub) in the US and Jamteki (AVT04) in Canada.
Moderate
1
[ [ [ 891, 24, 1683 ] ], [ [ 891, 62, 1461 ], [ 1461, 23, 1683 ] ], [ [ 891, 23, 1193 ], [ 1193, 62, 1683 ] ], [ [ 891, 24, 1129 ], [ 1129, 63, 1683 ] ], [ [ 891, 63, 305 ], [ 305, 24, 1683 ] ], [ [ 891, 24, 409 ], [ 409, 24, 1683 ] ], [ [ 891, 1, 617 ], [ 617, 24, 1683 ] ], [ [ 891, 40, 1573 ], [ 1573, 24, 1683 ] ], [ [ 891, 25, 652 ], [ 652, 63, 1683 ] ], [ [ 891, 25, 770 ], [ 770, 24, 1683 ] ] ]
[ [ [ "Prednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ustekinumab" ] ], [ [ "Prednisolone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Vitamin E" ], [ "Vitamin E", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ustekinumab" ] ], [ [ "Prednisolone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Zinc gluconate" ], [ "Zinc gluconate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ustekinumab" ] ], [ [ "Prednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ], [ "Human adenovirus e serotype 4 strain cl-68578 antigen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ustekinumab" ] ], [ [ "Prednisolone", "{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}", "Ustekinumab" ] ], [ [ "Prednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Felodipine" ], [ "Felodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ustekinumab" ] ], [ [ "Prednisolone", "{u} (Compound) resembles {v} (Compound)", "Budesonide" ], [ "Budesonide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ustekinumab" ] ], [ [ "Prednisolone", "{u} (Compound) resembles {v} (Compound)", "Prednisone" ], [ "Prednisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ustekinumab" ] ], [ [ "Prednisolone", "{u} may lead to a major life threatening interaction when taken with {v}", "Brexucabtagene autoleucel" ], [ "Brexucabtagene autoleucel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ustekinumab" ] ], [ [ "Prednisolone", "{u} may lead to a major life threatening interaction when taken with {v}", "Thalidomide" ], [ "Thalidomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ustekinumab" ] ] ]
Prednisolone may cause a minor interaction that can limit clinical effects when taken with Vitamin E and Vitamin E may cause a minor interaction that can limit clinical effects when taken with Ustekinumab Prednisolone may cause a minor interaction that can limit clinical effects when taken with Zinc gluconate and Zinc gluconate may cause a minor interaction that can limit clinical effects when taken with Ustekinumab Prednisolone may cause a moderate interaction that could exacerbate diseases when taken with Human adenovirus e serotype 4 strain cl-68578 antigen and Human adenovirus e serotype 4 strain cl-68578 antigen may cause a moderate interaction that could exacerbate diseases when taken with Ustekinumab Prednisolone 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 Ustekinumab Prednisolone may cause a moderate interaction that could exacerbate diseases when taken with Felodipine and Felodipine may cause a moderate interaction that could exacerbate diseases when taken with Ustekinumab Prednisolone (Compound) resembles Budesonide (Compound) and Budesonide may cause a moderate interaction that could exacerbate diseases when taken with Ustekinumab Prednisolone (Compound) resembles Prednisone (Compound) and Prednisone may cause a moderate interaction that could exacerbate diseases when taken with Ustekinumab Prednisolone may lead to a major life threatening interaction when taken with Brexucabtagene autoleucel and Brexucabtagene autoleucel may cause a moderate interaction that could exacerbate diseases when taken with Ustekinumab Prednisolone may lead to a major life threatening interaction when taken with Thalidomide and Thalidomide may cause a moderate interaction that could exacerbate diseases when taken with Ustekinumab
DB00780
DB09241
551
1,629
[ "DDInter1440", "DDInter1186" ]
Phenelzine
Methylene blue
Phenelzine, with the formula β-phenylethylhydrazine, is a monoamine oxidase inhibiting antidepressant that is effective in the treatment of panic disorder and social anxiety disorder. It was developed by Parke Davis and originally FDA approved on June 9th, 1961. It is currently approved under prescription by the name of Nardil.
Methylene blue is an oxidation-reduction agent. The intravenous form of methylene blue is approved by the FDA for the treatment of pediatric and adult patients with acquired methemoglobinemia. Historically, it has been widely used in Africa to treat malaria, but now it disappeared when chloroquine (CQ) and other drugs entered the market. Its use as an urinary tract antiseptic has also been investigated. Methylthioninium chloride (INN, or methylene blue, proposed trade name Rember) is an investigational drug being developed by the University of Aberdeen and TauRx Therapeutics that has been shown in early clinical trials to be an inhibitor of Tau protein aggregation. The drug is of potential interest for the treatment of patients with Alzheimer's disease.
Major
2
[ [ [ 551, 25, 1629 ] ], [ [ 551, 24, 1148 ], [ 1148, 24, 1629 ] ], [ [ 551, 63, 874 ], [ 874, 24, 1629 ] ], [ [ 551, 64, 73 ], [ 73, 25, 1629 ] ], [ [ 551, 1, 93 ], [ 93, 25, 1629 ] ], [ [ 551, 25, 1445 ], [ 1445, 25, 1629 ] ], [ [ 551, 25, 407 ], [ 407, 64, 1629 ] ], [ [ 551, 75, 1466 ], [ 1466, 25, 1629 ] ], [ [ 551, 37, 1090 ], [ 1090, 37, 1629 ] ], [ [ 551, 24, 1148 ], [ 1148, 63, 1052 ], [ 1052, 24, 1629 ] ] ]
[ [ [ "Phenelzine", "{u} may lead to a major life threatening interaction when taken with {v}", "Methylene blue" ] ], [ [ "Phenelzine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isoprenaline" ], [ "Isoprenaline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methylene blue" ] ], [ [ "Phenelzine", "{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}", "Methylene blue" ] ], [ [ "Phenelzine", "{u} may lead to a major life threatening interaction when taken with {v}", "Phentermine" ], [ "Phentermine", "{u} may lead to a major life threatening interaction when taken with {v}", "Methylene blue" ] ], [ [ "Phenelzine", "{u} (Compound) resembles {v} (Compound)", "Dextroamphetamine" ], [ "Dextroamphetamine", "{u} may lead to a major life threatening interaction when taken with {v}", "Methylene blue" ] ], [ [ "Phenelzine", "{u} may lead to a major life threatening interaction when taken with {v}", "Pseudoephedrine" ], [ "Pseudoephedrine", "{u} may lead to a major life threatening interaction when taken with {v}", "Methylene blue" ] ], [ [ "Phenelzine", "{u} may lead to a major life threatening interaction when taken with {v}", "Opium" ], [ "Opium", "{u} may lead to a major life threatening interaction when taken with {v}", "Methylene blue" ] ], [ [ "Phenelzine", "{u} (Compound) resembles {v} (Compound) and {u} may lead to a major life threatening interaction when taken with {v}", "Phenylpropanolamine" ], [ "Phenylpropanolamine", "{u} may lead to a major life threatening interaction when taken with {v}", "Methylene blue" ] ], [ [ "Phenelzine", "{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} and {u} may lead to a major life threatening interaction when taken with {v}", "Methylene blue" ] ], [ [ "Phenelzine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isoprenaline" ], [ "Isoprenaline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ritodrine" ], [ "Ritodrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methylene blue" ] ] ]
Phenelzine may cause a moderate interaction that could exacerbate diseases when taken with Isoprenaline and Isoprenaline may cause a moderate interaction that could exacerbate diseases when taken with Methylene blue Phenelzine 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 Methylene blue Phenelzine may lead to a major life threatening interaction when taken with Phentermine and Phentermine may lead to a major life threatening interaction when taken with Methylene blue Phenelzine (Compound) resembles Dextroamphetamine (Compound) and Dextroamphetamine may lead to a major life threatening interaction when taken with Methylene blue Phenelzine may lead to a major life threatening interaction when taken with Pseudoephedrine and Pseudoephedrine may lead to a major life threatening interaction when taken with Methylene blue Phenelzine may lead to a major life threatening interaction when taken with Opium and Opium may lead to a major life threatening interaction when taken with Methylene blue Phenelzine (Compound) resembles Phenylpropanolamine (Compound) and Phenelzine may lead to a major life threatening interaction when taken with Phenylpropanolamine and Phenylpropanolamine may lead to a major life threatening interaction when taken with Methylene blue Phenelzine may cause a moderate interaction that could exacerbate diseases when taken with Tetryzoline and Phenelzine 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 Methylene blue and Tetryzoline may lead to a major life threatening interaction when taken with Methylene blue Phenelzine may cause a moderate interaction that could exacerbate diseases when taken with Isoprenaline and Isoprenaline may cause a moderate interaction that could exacerbate diseases when taken with Ritodrine and Ritodrine may cause a moderate interaction that could exacerbate diseases when taken with Methylene blue
DB00731
DB01193
1,144
819
[ "DDInter1269", "DDInter12" ]
Nateglinide
Acebutolol
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
A cardioselective beta-adrenergic antagonist with little effect on the bronchial receptors. The drug has stabilizing and quinidine-like effects on cardiac rhythm as well as weak inherent sympathomimetic action.
Moderate
1
[ [ [ 1144, 24, 819 ] ], [ [ 1144, 24, 887 ], [ 887, 1, 819 ] ], [ [ 1144, 63, 1121 ], [ 1121, 1, 819 ] ], [ [ 1144, 6, 12523 ], [ 12523, 45, 819 ] ], [ [ 1144, 21, 28900 ], [ 28900, 60, 819 ] ], [ [ 1144, 63, 417 ], [ 417, 23, 819 ] ], [ [ 1144, 24, 1479 ], [ 1479, 23, 819 ] ], [ [ 1144, 24, 1674 ], [ 1674, 24, 819 ] ], [ [ 1144, 63, 1512 ], [ 1512, 24, 819 ] ], [ [ 1144, 24, 1450 ], [ 1450, 63, 819 ] ] ]
[ [ [ "Nateglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acebutolol" ] ], [ [ "Nateglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pindolol" ], [ "Pindolol", "{u} (Compound) resembles {v} (Compound)", "Acebutolol" ] ], [ [ "Nateglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bisoprolol" ], [ "Bisoprolol", "{u} (Compound) resembles {v} (Compound)", "Acebutolol" ] ], [ [ "Nateglinide", "{u} (Compound) binds {v} (Gene)", "CYP2D6" ], [ "CYP2D6", "{u} (Gene) is bound by {v} (Compound)", "Acebutolol" ] ], [ [ "Nateglinide", "{u} (Compound) causes {v} (Side Effect)", "Abdominal pain" ], [ "Abdominal pain", "{u} (Side Effect) is caused by {v} (Compound)", "Acebutolol" ] ], [ [ "Nateglinide", "{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}", "Acebutolol" ] ], [ [ "Nateglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acetylsalicylic acid" ], [ "Acetylsalicylic acid", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Acebutolol" ] ], [ [ "Nateglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Orciprenaline" ], [ "Orciprenaline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acebutolol" ] ], [ [ "Nateglinide", "{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}", "Acebutolol" ] ], [ [ "Nateglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Empagliflozin" ], [ "Empagliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acebutolol" ] ] ]
Nateglinide may cause a moderate interaction that could exacerbate diseases when taken with Pindolol and Pindolol (Compound) resembles Acebutolol (Compound) Nateglinide may cause a moderate interaction that could exacerbate diseases when taken with Bisoprolol and Bisoprolol (Compound) resembles Acebutolol (Compound) Nateglinide (Compound) binds CYP2D6 (Gene) and CYP2D6 (Gene) is bound by Acebutolol (Compound) Nateglinide (Compound) causes Abdominal pain (Side Effect) and Abdominal pain (Side Effect) is caused by Acebutolol (Compound) Nateglinide 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 Acebutolol Nateglinide may cause a moderate interaction that could exacerbate diseases when taken with Acetylsalicylic acid and Acetylsalicylic acid may cause a minor interaction that can limit clinical effects when taken with Acebutolol Nateglinide may cause a moderate interaction that could exacerbate diseases when taken with Orciprenaline and Orciprenaline may cause a moderate interaction that could exacerbate diseases when taken with Acebutolol Nateglinide 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 Acebutolol Nateglinide may cause a moderate interaction that could exacerbate diseases when taken with Empagliflozin and Empagliflozin may cause a moderate interaction that could exacerbate diseases when taken with Acebutolol
DB08931
DB09154
947
1,475
[ "DDInter1600", "DDInter1686" ]
Riociguat
Sodium citrate
Riociguat is a soluble guanylate cyclase (sGC) agonist approved in the USA, Europe and several other regions for patients with group I PAH (pulmonary arterial hypertension) in WHO FC II or III; and for the treatment of patients with inoperable CTEPH (chronic thromboembolic pulmonary hypertension), or persistent/recurrent PH (pulmonary hypertension) after pulmonary endarterectomy in WHO FC II or III. Riociguat is marketed under the brand Adempas® by Bayer HealthCare Pharmaceuticals. Treatment with riociguat costs USD $7,500 for 30 days of treatment.
Sodium citrate is the sodium salt of citric acid. It is white, crystalline powder or white, granular crystals, slightly deliquescent in moist air, freely soluble in water, practically insoluble in alcohol. Like citric acid, it has a sour taste. From the medical point of view, it is used as alkalinizing agent. It works by neutralizing excess acid in the blood and urine. It has been indicated for the treatment of metabolic acidosis.
Moderate
1
[ [ [ 947, 24, 1475 ] ], [ [ 947, 63, 478 ], [ 478, 24, 1475 ] ], [ [ 947, 63, 115 ], [ 115, 25, 1475 ] ], [ [ 947, 63, 478 ], [ 478, 24, 263 ], [ 263, 23, 1475 ] ], [ [ 947, 63, 379 ], [ 379, 23, 1468 ], [ 1468, 23, 1475 ] ], [ [ 947, 63, 115 ], [ 115, 62, 1603 ], [ 1603, 23, 1475 ] ], [ [ 947, 63, 478 ], [ 478, 63, 355 ], [ 355, 23, 1475 ] ], [ [ 947, 63, 1195 ], [ 1195, 24, 1406 ], [ 1406, 63, 1475 ] ], [ [ 947, 63, 609 ], [ 609, 23, 339 ], [ 339, 24, 1475 ] ], [ [ 947, 63, 1195 ], [ 1195, 24, 478 ], [ 478, 24, 1475 ] ] ]
[ [ [ "Riociguat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium citrate" ] ], [ [ "Riociguat", "{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 citrate" ] ], [ [ "Riociguat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aluminum hydroxide" ], [ "Aluminum hydroxide", "{u} may lead to a major life threatening interaction when taken with {v}", "Sodium citrate" ] ], [ [ "Riociguat", "{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}", "Axitinib" ], [ "Axitinib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sodium citrate" ] ], [ [ "Riociguat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rabeprazole" ], [ "Rabeprazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ponatinib" ], [ "Ponatinib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sodium citrate" ] ], [ [ "Riociguat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aluminum hydroxide" ], [ "Aluminum hydroxide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Captopril" ], [ "Captopril", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sodium citrate" ] ], [ [ "Riociguat", "{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}", "Lactulose" ], [ "Lactulose", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sodium citrate" ] ], [ [ "Riociguat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Erlotinib" ], [ "Erlotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Neratinib" ], [ "Neratinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium citrate" ] ], [ [ "Riociguat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clarithromycin" ], [ "Clarithromycin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Bacampicillin" ], [ "Bacampicillin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium citrate" ] ], [ [ "Riociguat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Erlotinib" ], [ "Erlotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nilotinib" ], [ "Nilotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium citrate" ] ] ]
Riociguat 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 citrate Riociguat may cause a moderate interaction that could exacerbate diseases when taken with Aluminum hydroxide and Aluminum hydroxide may lead to a major life threatening interaction when taken with Sodium citrate Riociguat 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 Axitinib and Axitinib may cause a minor interaction that can limit clinical effects when taken with Sodium citrate Riociguat may cause a moderate interaction that could exacerbate diseases when taken with Rabeprazole and Rabeprazole may cause a minor interaction that can limit clinical effects when taken with Ponatinib and Ponatinib may cause a minor interaction that can limit clinical effects when taken with Sodium citrate Riociguat may cause a moderate interaction that could exacerbate diseases when taken with Aluminum hydroxide and Aluminum hydroxide may cause a minor interaction that can limit clinical effects when taken with Captopril and Captopril may cause a minor interaction that can limit clinical effects when taken with Sodium citrate Riociguat 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 Lactulose and Lactulose may cause a minor interaction that can limit clinical effects when taken with Sodium citrate Riociguat may cause a moderate interaction that could exacerbate diseases when taken with Erlotinib and Erlotinib may cause a moderate interaction that could exacerbate diseases when taken with Neratinib and Neratinib may cause a moderate interaction that could exacerbate diseases when taken with Sodium citrate Riociguat may cause a moderate interaction that could exacerbate diseases when taken with Clarithromycin and Clarithromycin may cause a minor interaction that can limit clinical effects when taken with Bacampicillin and Bacampicillin may cause a moderate interaction that could exacerbate diseases when taken with Sodium citrate Riociguat may cause a moderate interaction that could exacerbate diseases when taken with Erlotinib and Erlotinib may cause a moderate interaction that could exacerbate diseases when taken with Nilotinib and Nilotinib may cause a moderate interaction that could exacerbate diseases when taken with Sodium citrate
DB00224
DB00468
215
1,424
[ "DDInter917", "DDInter1557" ]
Indinavir
Quinine
A potent and specific HIV protease inhibitor that appears to have good oral bioavailability. [PubChem]
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.
Moderate
1
[ [ [ 215, 24, 1424 ] ], [ [ 215, 6, 21998 ], [ 21998, 45, 1424 ] ], [ [ 215, 21, 29316 ], [ 29316, 60, 1424 ] ], [ [ 215, 25, 1135 ], [ 1135, 62, 1424 ] ], [ [ 215, 24, 1254 ], [ 1254, 63, 1424 ] ], [ [ 215, 24, 1051 ], [ 1051, 24, 1424 ] ], [ [ 215, 23, 1374 ], [ 1374, 63, 1424 ] ], [ [ 215, 25, 1491 ], [ 1491, 63, 1424 ] ], [ [ 215, 63, 176 ], [ 176, 24, 1424 ] ], [ [ 215, 40, 798 ], [ 798, 24, 1424 ] ] ]
[ [ [ "Indinavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Quinine" ] ], [ [ "Indinavir", "{u} (Compound) binds {v} (Gene)", "CYP3A7-CYP3A51P" ], [ "CYP3A7-CYP3A51P", "{u} (Gene) is bound by {v} (Compound)", "Quinine" ] ], [ [ "Indinavir", "{u} (Compound) causes {v} (Side Effect)", "Sweating" ], [ "Sweating", "{u} (Side Effect) is caused by {v} (Compound)", "Quinine" ] ], [ [ "Indinavir", "{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}", "Quinine" ] ], [ [ "Indinavir", "{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}", "Quinine" ] ], [ [ "Indinavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aminoglutethimide" ], [ "Aminoglutethimide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Quinine" ] ], [ [ "Indinavir", "{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}", "Quinine" ] ], [ [ "Indinavir", "{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}", "Quinine" ] ], [ [ "Indinavir", "{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}", "Quinine" ] ], [ [ "Indinavir", "{u} (Compound) resembles {v} (Compound)", "Nelfinavir" ], [ "Nelfinavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Quinine" ] ] ]
Indinavir (Compound) binds CYP3A7-CYP3A51P (Gene) and CYP3A7-CYP3A51P (Gene) is bound by Quinine (Compound) Indinavir (Compound) causes Sweating (Side Effect) and Sweating (Side Effect) is caused by Quinine (Compound) Indinavir 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 Quinine Indinavir 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 Quinine Indinavir may cause a moderate interaction that could exacerbate diseases when taken with Aminoglutethimide and Aminoglutethimide may cause a moderate interaction that could exacerbate diseases when taken with Quinine Indinavir 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 Quinine Indinavir 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 Quinine Indinavir 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 Quinine Indinavir (Compound) resembles Nelfinavir (Compound) and Nelfinavir may cause a moderate interaction that could exacerbate diseases when taken with Quinine
DB00486
DB01221
1,614
1,190
[ "DDInter1253", "DDInter1007" ]
Nabilone
Ketamine
Nabilone (marketed as Cesamet) is a synthetic form of delta-9-tetrahydrocannabinol (Δ⁹-THC), the primary psychoactive component of cannabis (marijuana). Although structurally distinct from THC, nabilone mimics THC's structure and pharmacological activity through weak partial agonist activity at Cannabinoid-1 (CB1R) and Cannabinoid-2 (CB2R) receptors, however it is considered to be twice as active as Δ⁹-THC. Nabilone is approved by the FDA 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
Ketamine is an NMDA receptor antagonist with a potent anesthetic effect. It was developed in 1963 as a replacement for phencyclidine (PCP) by Calvin Stevens at Parke Davis Laboratories. It started being used for veterinary purposes in Belgium and in 1964 was proven that compared to PCP, it produced minor hallucinogenic effects and shorter psychotomimetic effects. It was FDA approved in 1970, and from there, it has been used as an anesthetic for children or patients undergoing minor surgeries but mainly for veterinary purposes.
Moderate
1
[ [ [ 1614, 24, 1190 ] ], [ [ 1614, 21, 28642 ], [ 28642, 60, 1190 ] ], [ [ 1614, 24, 649 ], [ 649, 63, 1190 ] ], [ [ 1614, 24, 1688 ], [ 1688, 24, 1190 ] ], [ [ 1614, 40, 530 ], [ 530, 24, 1190 ] ], [ [ 1614, 63, 1594 ], [ 1594, 24, 1190 ] ], [ [ 1614, 21, 28642 ], [ 28642, 60, 222 ], [ 222, 24, 1190 ] ], [ [ 1614, 21, 28787 ], [ 28787, 60, 1311 ], [ 1311, 63, 1190 ] ], [ [ 1614, 24, 649 ], [ 649, 24, 407 ], [ 407, 63, 1190 ] ], [ [ 1614, 24, 407 ], [ 407, 63, 649 ], [ 649, 63, 1190 ] ] ]
[ [ [ "Nabilone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ketamine" ] ], [ [ "Nabilone", "{u} (Compound) causes {v} (Side Effect)", "Shock" ], [ "Shock", "{u} (Side Effect) is caused by {v} (Compound)", "Ketamine" ] ], [ [ "Nabilone", "{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}", "Ketamine" ] ], [ [ "Nabilone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diphenoxylate" ], [ "Diphenoxylate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ketamine" ] ], [ [ "Nabilone", "{u} (Compound) resembles {v} (Compound)", "Dronabinol" ], [ "Dronabinol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ketamine" ] ], [ [ "Nabilone", "{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}", "Ketamine" ] ], [ [ "Nabilone", "{u} (Compound) causes {v} (Side Effect)", "Shock" ], [ "Shock", "{u} (Side Effect) is caused by {v} (Compound)", "Sibutramine" ], [ "Sibutramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ketamine" ] ], [ [ "Nabilone", "{u} (Compound) causes {v} (Side Effect)", "Dermatitis" ], [ "Dermatitis", "{u} (Side Effect) is caused by {v} (Compound)", "Metoclopramide" ], [ "Metoclopramide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ketamine" ] ], [ [ "Nabilone", "{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}", "Opium" ], [ "Opium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ketamine" ] ], [ [ "Nabilone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ], [ "Opium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ], [ "Clofedanol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ketamine" ] ] ]
Nabilone (Compound) causes Shock (Side Effect) and Shock (Side Effect) is caused by Ketamine (Compound) Nabilone 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 Ketamine Nabilone may cause a moderate interaction that could exacerbate diseases when taken with Diphenoxylate and Diphenoxylate may cause a moderate interaction that could exacerbate diseases when taken with Ketamine Nabilone (Compound) resembles Dronabinol (Compound) and Dronabinol may cause a moderate interaction that could exacerbate diseases when taken with Ketamine Nabilone 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 Ketamine Nabilone (Compound) causes Shock (Side Effect) and Shock (Side Effect) is caused by Sibutramine (Compound) and Sibutramine may cause a moderate interaction that could exacerbate diseases when taken with Ketamine Nabilone (Compound) causes Dermatitis (Side Effect) and Dermatitis (Side Effect) is caused by Metoclopramide (Compound) and Metoclopramide may cause a moderate interaction that could exacerbate diseases when taken with Ketamine Nabilone 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 Opium and Opium may cause a moderate interaction that could exacerbate diseases when taken with Ketamine Nabilone may cause a moderate interaction that could exacerbate diseases when taken with Opium and Opium may cause a moderate interaction that could exacerbate diseases when taken with Clofedanol and Clofedanol may cause a moderate interaction that could exacerbate diseases when taken with Ketamine
DB00496
DB14568
194
982
[ "DDInter480", "DDInter1000" ]
Darifenacin
Ivosidenib
Darifenacin (Enablex®, Novartis) is a medication used to treat urinary incontinence. Darifenacin blocks M3 muscarinic acetylcholine receptors, which mediate bladder muscle contractions. This block reduces the urgency to urinate and so it should not be used in people with urinary retention. It is unknown if M3 receptor selectivity is clinically advantageous in overactive bladder syndrome treatments.
Ivosidenib is a first-in-class isocitrate dehydrogenase-1 (IDH1) inhibitor. IDH1 is an enzyme that is often mutated and overexpressed in some cancers, leading to aberrant cell growth and proliferation. Ivosidenib inhibits mutated IDH1, blocking the enzymatic activity and further differentiation of cancer cells. Ivosidenib was granted accelerated approval by the FDA in July 2018 for the treatment of relapsed of refractory acute myeloid leukemia in adults. It is currently approved to also treat newly diagnosed acute myeloid leukemia in older adults in combination [azacitidine] or as monotherapy, as well as locally advanced or metastatic cholangiocarcinoma and relapsed or refractory myelodysplastic syndromes in adults. The drug is only effective in patients with a susceptible IDH1 mutation. In February 2023, the EMA's Committee for Medicinal Products for Human Use (CHMP) adopted a positive opinion of ivosidenib and recommended it be granted marketing authorization for the treatment of acute myeloid leukemia and cholangiocarcinoma. It was fully approved by the EMA in May 2023.
Moderate
1
[ [ [ 194, 24, 982 ] ], [ [ 194, 63, 1101 ], [ 1101, 23, 982 ] ], [ [ 194, 24, 543 ], [ 543, 24, 982 ] ], [ [ 194, 24, 159 ], [ 159, 63, 982 ] ], [ [ 194, 63, 883 ], [ 883, 24, 982 ] ], [ [ 194, 25, 1670 ], [ 1670, 24, 982 ] ], [ [ 194, 24, 1493 ], [ 1493, 25, 982 ] ], [ [ 194, 63, 600 ], [ 600, 25, 982 ] ], [ [ 194, 25, 888 ], [ 888, 25, 982 ] ], [ [ 194, 40, 576 ], [ 576, 25, 982 ] ] ]
[ [ [ "Darifenacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivosidenib" ] ], [ [ "Darifenacin", "{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}", "Ivosidenib" ] ], [ [ "Darifenacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Loperamide" ], [ "Loperamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivosidenib" ] ], [ [ "Darifenacin", "{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}", "Ivosidenib" ] ], [ [ "Darifenacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gefitinib" ], [ "Gefitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivosidenib" ] ], [ [ "Darifenacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Eliglustat" ], [ "Eliglustat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivosidenib" ] ], [ [ "Darifenacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Halofantrine" ], [ "Halofantrine", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivosidenib" ] ], [ [ "Darifenacin", "{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}", "Ivosidenib" ] ], [ [ "Darifenacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Tamoxifen" ], [ "Tamoxifen", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivosidenib" ] ], [ [ "Darifenacin", "{u} (Compound) resembles {v} (Compound)", "Methadone" ], [ "Methadone", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivosidenib" ] ] ]
Darifenacin 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 Ivosidenib Darifenacin may cause a moderate interaction that could exacerbate diseases when taken with Loperamide and Loperamide may cause a moderate interaction that could exacerbate diseases when taken with Ivosidenib Darifenacin 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 Ivosidenib Darifenacin may cause a moderate interaction that could exacerbate diseases when taken with Gefitinib and Gefitinib may cause a moderate interaction that could exacerbate diseases when taken with Ivosidenib Darifenacin may lead to a major life threatening interaction when taken with Eliglustat and Eliglustat may cause a moderate interaction that could exacerbate diseases when taken with Ivosidenib Darifenacin may cause a moderate interaction that could exacerbate diseases when taken with Halofantrine and Halofantrine may lead to a major life threatening interaction when taken with Ivosidenib Darifenacin 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 Ivosidenib Darifenacin may lead to a major life threatening interaction when taken with Tamoxifen and Tamoxifen may lead to a major life threatening interaction when taken with Ivosidenib Darifenacin (Compound) resembles Methadone (Compound) and Methadone may lead to a major life threatening interaction when taken with Ivosidenib
DB00741
DB01185
167
155
[ "DDInter885", "DDInter759" ]
Hydrocortisone
Fluoxymesterone
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.
An anabolic steroid that has been used in the treatment of male hypogonadism, delayed puberty in males, and in the treatment of breast neoplasms in women.
Moderate
1
[ [ [ 167, 35, 155 ] ], [ [ 167, 1, 1222 ], [ 1222, 40, 155 ] ], [ [ 167, 35, 1546 ], [ 1546, 40, 155 ] ], [ [ 167, 63, 1561 ], [ 1561, 40, 155 ] ], [ [ 167, 1, 175 ], [ 175, 24, 155 ] ], [ [ 167, 63, 443 ], [ 443, 1, 155 ] ], [ [ 167, 1, 11324 ], [ 11324, 1, 155 ] ], [ [ 167, 24, 1687 ], [ 1687, 40, 155 ] ], [ [ 167, 6, 5207 ], [ 5207, 45, 155 ] ], [ [ 167, 21, 29087 ], [ 29087, 60, 155 ] ] ]
[ [ [ "Hydrocortisone", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fluoxymesterone" ] ], [ [ "Hydrocortisone", "{u} (Compound) resembles {v} (Compound)", "Megestrol acetate" ], [ "Megestrol acetate", "{u} (Compound) resembles {v} (Compound)", "Fluoxymesterone" ] ], [ [ "Hydrocortisone", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methyltestosterone" ], [ "Methyltestosterone", "{u} (Compound) resembles {v} (Compound)", "Fluoxymesterone" ] ], [ [ "Hydrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Testosterone" ], [ "Testosterone", "{u} (Compound) resembles {v} (Compound)", "Fluoxymesterone" ] ], [ [ "Hydrocortisone", "{u} (Compound) resembles {v} (Compound)", "Triamcinolone" ], [ "Triamcinolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fluoxymesterone" ] ], [ [ "Hydrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Spironolactone" ], [ "Spironolactone", "{u} (Compound) resembles {v} (Compound)", "Fluoxymesterone" ] ], [ [ "Hydrocortisone", "{u} (Compound) resembles {v} (Compound)", "Dydrogesterone" ], [ "Dydrogesterone", "{u} (Compound) resembles {v} (Compound)", "Fluoxymesterone" ] ], [ [ "Hydrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Stanozolol" ], [ "Stanozolol", "{u} (Compound) resembles {v} (Compound)", "Fluoxymesterone" ] ], [ [ "Hydrocortisone", "{u} (Compound) binds {v} (Gene)", "SHBG" ], [ "SHBG", "{u} (Gene) is bound by {v} (Compound)", "Fluoxymesterone" ] ], [ [ "Hydrocortisone", "{u} (Compound) causes {v} (Side Effect)", "Amenorrhoea" ], [ "Amenorrhoea", "{u} (Side Effect) is caused by {v} (Compound)", "Fluoxymesterone" ] ] ]
Hydrocortisone (Compound) resembles Fluoxymesterone (Compound) and Hydrocortisone (Compound) resembles Megestrol acetate (Compound) and Megestrol acetate (Compound) resembles Fluoxymesterone (Compound) Hydrocortisone (Compound) resembles Methyltestosterone (Compound) and Hydrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Methyltestosterone and Methyltestosterone (Compound) resembles Fluoxymesterone (Compound) Hydrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Testosterone and Testosterone (Compound) resembles Fluoxymesterone (Compound) Hydrocortisone (Compound) resembles Triamcinolone (Compound) and Triamcinolone may cause a moderate interaction that could exacerbate diseases when taken with Fluoxymesterone Hydrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Spironolactone and Spironolactone (Compound) resembles Fluoxymesterone (Compound) Hydrocortisone (Compound) resembles Dydrogesterone (Compound) and Dydrogesterone (Compound) resembles Fluoxymesterone (Compound) Hydrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Stanozolol and Stanozolol (Compound) resembles Fluoxymesterone (Compound) Hydrocortisone (Compound) binds SHBG (Gene) and SHBG (Gene) is bound by Fluoxymesterone (Compound) Hydrocortisone (Compound) causes Amenorrhoea (Side Effect) and Amenorrhoea (Side Effect) is caused by Fluoxymesterone (Compound)
DB00321
DB05381
21
172
[ "DDInter78", "DDInter863" ]
Amitriptyline
Histamine
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 depressor amine derived by enzymatic decarboxylation of histidine. It is a powerful stimulant of gastric secretion, a constrictor of bronchial smooth muscle, a vasodilator, and also a centrally acting neurotransmitter.
Moderate
1
[ [ [ 21, 24, 172 ] ], [ [ 21, 35, 1264 ], [ 1264, 24, 172 ] ], [ [ 21, 1, 1237 ], [ 1237, 24, 172 ] ], [ [ 21, 24, 1242 ], [ 1242, 24, 172 ] ], [ [ 21, 24, 849 ], [ 849, 63, 172 ] ], [ [ 21, 40, 1164 ], [ 1164, 24, 172 ] ], [ [ 21, 63, 701 ], [ 701, 24, 172 ] ], [ [ 21, 35, 1264 ], [ 1264, 35, 1237 ], [ 1237, 24, 172 ] ], [ [ 21, 1, 1237 ], [ 1237, 74, 1264 ], [ 1264, 24, 172 ] ], [ [ 21, 24, 1242 ], [ 1242, 24, 1264 ], [ 1264, 24, 172 ] ] ]
[ [ [ "Amitriptyline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Histamine" ] ], [ [ "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}", "Histamine" ] ], [ [ "Amitriptyline", "{u} (Compound) resembles {v} (Compound)", "Clomipramine" ], [ "Clomipramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Histamine" ] ], [ [ "Amitriptyline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cetirizine" ], [ "Cetirizine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Histamine" ] ], [ [ "Amitriptyline", "{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}", "Histamine" ] ], [ [ "Amitriptyline", "{u} (Compound) resembles {v} (Compound)", "Trimipramine" ], [ "Trimipramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Histamine" ] ], [ [ "Amitriptyline", "{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}", "Histamine" ] ], [ [ "Amitriptyline", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ], [ "Doxepin", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clomipramine" ], [ "Clomipramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Histamine" ] ], [ [ "Amitriptyline", "{u} (Compound) resembles {v} (Compound)", "Clomipramine" ], [ "Clomipramine", "{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}", "Histamine" ] ], [ [ "Amitriptyline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cetirizine" ], [ "Cetirizine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ], [ "Doxepin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Histamine" ] ] ]
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 Histamine Amitriptyline (Compound) resembles Clomipramine (Compound) and Clomipramine may cause a moderate interaction that could exacerbate diseases when taken with Histamine Amitriptyline may cause a moderate interaction that could exacerbate diseases when taken with Cetirizine and Cetirizine may cause a moderate interaction that could exacerbate diseases when taken with Histamine Amitriptyline 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 Histamine Amitriptyline (Compound) resembles Trimipramine (Compound) and Trimipramine may cause a moderate interaction that could exacerbate diseases when taken with Histamine Amitriptyline 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 Histamine Amitriptyline (Compound) resembles Doxepin (Compound) and Amitriptyline may cause a moderate interaction that could exacerbate diseases when taken with Doxepin and Doxepin (Compound) resembles Clomipramine (Compound) and Doxepin may cause a moderate interaction that could exacerbate diseases when taken with Clomipramine and Clomipramine may cause a moderate interaction that could exacerbate diseases when taken with Histamine Amitriptyline (Compound) resembles Clomipramine (Compound) and Clomipramine (Compound) resembles Doxepin (Compound) and Clomipramine 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 Histamine Amitriptyline may cause a moderate interaction that could exacerbate diseases when taken with Cetirizine and Cetirizine may cause a moderate interaction that could exacerbate diseases when taken with Doxepin and Doxepin may cause a moderate interaction that could exacerbate diseases when taken with Histamine
DB04865
DB12674
4
975
[ "DDInter1335", "DDInter1105" ]
Omacetaxine mepesuccinate
Lurbinectedin
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
Lurbinectedin is a DNA alkylating agent that has been investigated in the treatment of a variety of cancers, including mesothelioma, chronic lymphocytic leukemia (CLL), breast cancer, and small-cell lung cancer (SCLC). It is a derivative of the marine-derived agent ecteinascidin ([trabectedin]), an anticancer agent found in extracts of the tunicate _Ecteinascidia turbinata_, with the primary difference being the substitution of the tetrahydroisoquinoline with a tetrahydro β‐carboline that results in increased antitumour activity of lurbinectedin as compared to its predecessor. On June 15, 2020, the FDA granted accelerated approval and orphan drug designation to lurbinectedin for the treatment of adult patients with metastatic SCLC who have experienced disease progression despite therapy with platinum-based agents. This accelerated approval is based on the rate and duration of therapeutic response observed in ongoing clinical trials and is contingent on the verification of these results in confirmatory trials.
Moderate
1
[ [ [ 4, 24, 975 ] ], [ [ 4, 63, 1488 ], [ 1488, 24, 975 ] ], [ [ 4, 24, 980 ], [ 980, 24, 975 ] ], [ [ 4, 25, 578 ], [ 578, 24, 975 ] ], [ [ 4, 24, 994 ], [ 994, 63, 975 ] ], [ [ 4, 24, 351 ], [ 351, 25, 975 ] ], [ [ 4, 25, 1259 ], [ 1259, 25, 975 ] ], [ [ 4, 64, 1377 ], [ 1377, 25, 975 ] ], [ [ 4, 25, 676 ], [ 676, 64, 975 ] ], [ [ 4, 63, 1419 ], [ 1419, 25, 975 ] ] ]
[ [ [ "Omacetaxine mepesuccinate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lurbinectedin" ] ], [ [ "Omacetaxine mepesuccinate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fludarabine" ], [ "Fludarabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lurbinectedin" ] ], [ [ "Omacetaxine mepesuccinate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tocilizumab" ], [ "Tocilizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lurbinectedin" ] ], [ [ "Omacetaxine mepesuccinate", "{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}", "Lurbinectedin" ] ], [ [ "Omacetaxine mepesuccinate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Risankizumab" ], [ "Risankizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lurbinectedin" ] ], [ [ "Omacetaxine mepesuccinate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ribociclib" ], [ "Ribociclib", "{u} may lead to a major life threatening interaction when taken with {v}", "Lurbinectedin" ] ], [ [ "Omacetaxine mepesuccinate", "{u} may lead to a major life threatening interaction when taken with {v}", "Baricitinib" ], [ "Baricitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Lurbinectedin" ] ], [ [ "Omacetaxine mepesuccinate", "{u} may lead to a major life threatening interaction when taken with {v}", "Leflunomide" ], [ "Leflunomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Lurbinectedin" ] ], [ [ "Omacetaxine mepesuccinate", "{u} may lead to a major life threatening interaction when taken with {v}", "Upadacitinib" ], [ "Upadacitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Lurbinectedin" ] ], [ [ "Omacetaxine mepesuccinate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Imatinib" ], [ "Imatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Lurbinectedin" ] ] ]
Omacetaxine mepesuccinate may cause a moderate interaction that could exacerbate diseases when taken with Fludarabine and Fludarabine may cause a moderate interaction that could exacerbate diseases when taken with Lurbinectedin Omacetaxine mepesuccinate may cause a moderate interaction that could exacerbate diseases when taken with Tocilizumab and Tocilizumab may cause a moderate interaction that could exacerbate diseases when taken with Lurbinectedin Omacetaxine mepesuccinate 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 Lurbinectedin Omacetaxine mepesuccinate may cause a moderate interaction that could exacerbate diseases when taken with Risankizumab and Risankizumab may cause a moderate interaction that could exacerbate diseases when taken with Lurbinectedin Omacetaxine mepesuccinate may cause a moderate interaction that could exacerbate diseases when taken with Ribociclib and Ribociclib may lead to a major life threatening interaction when taken with Lurbinectedin Omacetaxine mepesuccinate may lead to a major life threatening interaction when taken with Baricitinib and Baricitinib may lead to a major life threatening interaction when taken with Lurbinectedin Omacetaxine mepesuccinate may lead to a major life threatening interaction when taken with Leflunomide and Leflunomide may lead to a major life threatening interaction when taken with Lurbinectedin Omacetaxine mepesuccinate may lead to a major life threatening interaction when taken with Upadacitinib and Upadacitinib may lead to a major life threatening interaction when taken with Lurbinectedin Omacetaxine mepesuccinate may cause a moderate interaction that could exacerbate diseases when taken with Imatinib and Imatinib may lead to a major life threatening interaction when taken with Lurbinectedin
DB00673
DB06448
723
171
[ "DDInter112", "DDInter1087" ]
Aprepitant
Lonafarnib
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).
Hutchinson-Gilford progeria syndrome (HGPS) is a rare autosomal dominant disorder estimated to affect approximately one in 20 million individuals resulting in adverse symptoms associated with premature ageing: skeletal dysplasia, joint contractures, atherosclerosis, myocardial fibrosis/dysfunction, scleroderma-like cutaneous effects, lipoatrophy, alopecia, and a severe failure to thrive; HGPS is uniformly fatal.[A224379, A224384, A224389, A224394, A224399] Mechanistically, HGPS is underpinned by a single heterozygous C-to-T mutation at position 1824 of the _LMNA_ gene, which results in the accumulation of an aberrant farnesylated form of lamin A called progerin in the inner nuclear membrane.[A224379, A224394] Lonafarnib is a farnesyl transferase (FTase) inhibitor (FTI), which reduces the farnesylation of numerous cellular proteins, including progerin; as progerin farnesylation is important for localization to the nuclear membrane, lonafarnib inhibits progerin accumulation and improves symptoms in HGPS patients.[A224379, A224414, A224419, L23414] Merck originally developed Lonafarnib and subsequently licensed it to Eiger Biopharmaceuticals Inc., which currently markets it under the trademark ZOKINVY™.[L23414, L23544] Lonafarnib was granted FDA approval on November 20, 2020, and is the first FDA-approved treatment for HGPS and other related progeroid laminopathies.[L23414, L23549]
Major
2
[ [ [ 723, 25, 171 ] ], [ [ 723, 23, 222 ], [ 222, 23, 171 ] ], [ [ 723, 63, 254 ], [ 254, 24, 171 ] ], [ [ 723, 24, 300 ], [ 300, 24, 171 ] ], [ [ 723, 24, 310 ], [ 310, 63, 171 ] ], [ [ 723, 62, 1101 ], [ 1101, 24, 171 ] ], [ [ 723, 64, 1557 ], [ 1557, 24, 171 ] ], [ [ 723, 23, 466 ], [ 466, 63, 171 ] ], [ [ 723, 24, 129 ], [ 129, 64, 171 ] ], [ [ 723, 25, 1493 ], [ 1493, 25, 171 ] ] ]
[ [ [ "Aprepitant", "{u} may lead to a major life threatening interaction when taken with {v}", "Lonafarnib" ] ], [ [ "Aprepitant", "{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}", "Lonafarnib" ] ], [ [ "Aprepitant", "{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}", "Lonafarnib" ] ], [ [ "Aprepitant", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Letrozole" ], [ "Letrozole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lonafarnib" ] ], [ [ "Aprepitant", "{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}", "Lonafarnib" ] ], [ [ "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}", "Lonafarnib" ] ], [ [ "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}", "Lonafarnib" ] ], [ [ "Aprepitant", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Darolutamide" ], [ "Darolutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lonafarnib" ] ], [ [ "Aprepitant", "{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}", "Lonafarnib" ] ], [ [ "Aprepitant", "{u} may lead to a major life threatening interaction when taken with {v}", "Halofantrine" ], [ "Halofantrine", "{u} may lead to a major life threatening interaction when taken with {v}", "Lonafarnib" ] ] ]
Aprepitant 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 Lonafarnib Aprepitant 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 Lonafarnib Aprepitant may cause a moderate interaction that could exacerbate diseases when taken with Letrozole and Letrozole may cause a moderate interaction that could exacerbate diseases when taken with Lonafarnib Aprepitant 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 Lonafarnib 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 Lonafarnib 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 Lonafarnib Aprepitant may cause a minor interaction that can limit clinical effects when taken with Darolutamide and Darolutamide may cause a moderate interaction that could exacerbate diseases when taken with Lonafarnib Aprepitant 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 Lonafarnib Aprepitant may lead to a major life threatening interaction when taken with Halofantrine and Halofantrine may lead to a major life threatening interaction when taken with Lonafarnib
DB00515
DB01059
589
956
[ "DDInter387", "DDInter1313" ]
Cisplatin
Norfloxacin
Cisplatin, cisplatinum or cis-diamminedichloroplatinum(II) (CDDP) is a platinum-based chemotherapy drug used to treat various types of cancers, including sarcomas, some carcinomas (e.g. small cell lung cancer, and ovarian cancer), lymphomas and germ cell tumors. It was the first member of its class, which now also includes carboplatin and oxaliplatin.
A synthetic fluoroquinolone (fluoroquinolones) with broad-spectrum antibacterial activity against most gram-negative and gram-positive bacteria. Norfloxacin inhibits bacterial DNA gyrase.
Minor
0
[ [ [ 589, 23, 956 ] ], [ [ 589, 23, 872 ], [ 872, 40, 956 ] ], [ [ 589, 62, 1176 ], [ 1176, 1, 956 ] ], [ [ 589, 23, 1539 ], [ 1539, 1, 956 ] ], [ [ 589, 21, 29196 ], [ 29196, 60, 956 ] ], [ [ 589, 24, 1307 ], [ 1307, 23, 956 ] ], [ [ 589, 63, 377 ], [ 377, 23, 956 ] ], [ [ 589, 64, 1648 ], [ 1648, 23, 956 ] ], [ [ 589, 24, 1532 ], [ 1532, 62, 956 ] ], [ [ 589, 25, 869 ], [ 869, 23, 956 ] ] ]
[ [ [ "Cisplatin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Norfloxacin" ] ], [ [ "Cisplatin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Gemifloxacin" ], [ "Gemifloxacin", "{u} (Compound) resembles {v} (Compound)", "Norfloxacin" ] ], [ [ "Cisplatin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Moxifloxacin" ], [ "Moxifloxacin", "{u} (Compound) resembles {v} (Compound)", "Norfloxacin" ] ], [ [ "Cisplatin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ofloxacin" ], [ "Ofloxacin", "{u} (Compound) resembles {v} (Compound)", "Norfloxacin" ] ], [ [ "Cisplatin", "{u} (Compound) causes {v} (Side Effect)", "Paraesthesia" ], [ "Paraesthesia", "{u} (Side Effect) is caused by {v} (Compound)", "Norfloxacin" ] ], [ [ "Cisplatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Melphalan" ], [ "Melphalan", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Norfloxacin" ] ], [ [ "Cisplatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mitomycin" ], [ "Mitomycin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Norfloxacin" ] ], [ [ "Cisplatin", "{u} may lead to a major life threatening interaction when taken with {v}", "Aldesleukin" ], [ "Aldesleukin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Norfloxacin" ] ], [ [ "Cisplatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ifosfamide" ], [ "Ifosfamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Norfloxacin" ] ], [ [ "Cisplatin", "{u} may lead to a major life threatening interaction when taken with {v}", "Topotecan" ], [ "Topotecan", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Norfloxacin" ] ] ]
Cisplatin may cause a minor interaction that can limit clinical effects when taken with Gemifloxacin and Gemifloxacin (Compound) resembles Norfloxacin (Compound) Cisplatin may cause a minor interaction that can limit clinical effects when taken with Moxifloxacin and Moxifloxacin (Compound) resembles Norfloxacin (Compound) Cisplatin may cause a minor interaction that can limit clinical effects when taken with Ofloxacin and Ofloxacin (Compound) resembles Norfloxacin (Compound) Cisplatin (Compound) causes Paraesthesia (Side Effect) and Paraesthesia (Side Effect) is caused by Norfloxacin (Compound) Cisplatin may cause a moderate interaction that could exacerbate diseases when taken with Melphalan and Melphalan may cause a minor interaction that can limit clinical effects when taken with Norfloxacin Cisplatin may cause a moderate interaction that could exacerbate diseases when taken with Mitomycin and Mitomycin may cause a minor interaction that can limit clinical effects when taken with Norfloxacin Cisplatin may lead to a major life threatening interaction when taken with Aldesleukin and Aldesleukin may cause a minor interaction that can limit clinical effects when taken with Norfloxacin Cisplatin may cause a moderate interaction that could exacerbate diseases when taken with Ifosfamide and Ifosfamide may cause a minor interaction that can limit clinical effects when taken with Norfloxacin Cisplatin may lead to a major life threatening interaction when taken with Topotecan and Topotecan may cause a minor interaction that can limit clinical effects when taken with Norfloxacin
DB01268
DB14568
1,151
982
[ "DDInter1731", "DDInter1000" ]
Sunitinib
Ivosidenib
Sunitinib is a small-molecule multi-targeted receptor tyrosine kinase (RTK) inhibitor. On January 26, 2006, the agent was formally approved by the US FDA for the indications of treating renal cell carcinoma (RCC) and imatinib-resistant gastrointestinal stromal tumor (GIST). For these purposes, sunitinib is generally available as an orally administered formulation. Sunitinib inhibits cellular signaling by targeting multiple RTKs. These include all platelet-derived growth factor receptors (PDGF-R) and vascular endothelial growth factor receptors (VEGF-R). Sunitinib also inhibits KIT (CD117), the RTK that drives the majority of GISTs. In addition, sunitinib inhibits other RTKs including RET, CSF-1R, and flt3.
Ivosidenib is a first-in-class isocitrate dehydrogenase-1 (IDH1) inhibitor. IDH1 is an enzyme that is often mutated and overexpressed in some cancers, leading to aberrant cell growth and proliferation. Ivosidenib inhibits mutated IDH1, blocking the enzymatic activity and further differentiation of cancer cells. Ivosidenib was granted accelerated approval by the FDA in July 2018 for the treatment of relapsed of refractory acute myeloid leukemia in adults. It is currently approved to also treat newly diagnosed acute myeloid leukemia in older adults in combination [azacitidine] or as monotherapy, as well as locally advanced or metastatic cholangiocarcinoma and relapsed or refractory myelodysplastic syndromes in adults. The drug is only effective in patients with a susceptible IDH1 mutation. In February 2023, the EMA's Committee for Medicinal Products for Human Use (CHMP) adopted a positive opinion of ivosidenib and recommended it be granted marketing authorization for the treatment of acute myeloid leukemia and cholangiocarcinoma. It was fully approved by the EMA in May 2023.
Major
2
[ [ [ 1151, 25, 982 ] ], [ [ 1151, 62, 112 ], [ 112, 23, 982 ] ], [ [ 1151, 64, 1101 ], [ 1101, 23, 982 ] ], [ [ 1151, 63, 543 ], [ 543, 24, 982 ] ], [ [ 1151, 24, 28 ], [ 28, 24, 982 ] ], [ [ 1151, 25, 503 ], [ 503, 63, 982 ] ], [ [ 1151, 24, 159 ], [ 159, 63, 982 ] ], [ [ 1151, 63, 472 ], [ 472, 25, 982 ] ], [ [ 1151, 64, 1301 ], [ 1301, 25, 982 ] ], [ [ 1151, 75, 1401 ], [ 1401, 25, 982 ] ] ]
[ [ [ "Sunitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivosidenib" ] ], [ [ "Sunitinib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ivosidenib" ] ], [ [ "Sunitinib", "{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}", "Ivosidenib" ] ], [ [ "Sunitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Loperamide" ], [ "Loperamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivosidenib" ] ], [ [ "Sunitinib", "{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}", "Ivosidenib" ] ], [ [ "Sunitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Zanubrutinib" ], [ "Zanubrutinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivosidenib" ] ], [ [ "Sunitinib", "{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}", "Ivosidenib" ] ], [ [ "Sunitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alfuzosin" ], [ "Alfuzosin", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivosidenib" ] ], [ [ "Sunitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Levacetylmethadol" ], [ "Levacetylmethadol", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivosidenib" ] ], [ [ "Sunitinib", "{u} (Compound) resembles {v} (Compound) and {u} may lead to a major life threatening interaction when taken with {v}", "Procainamide" ], [ "Procainamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivosidenib" ] ] ]
Sunitinib may cause a minor interaction that can limit clinical effects when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Ivosidenib Sunitinib 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 Ivosidenib Sunitinib may cause a moderate interaction that could exacerbate diseases when taken with Loperamide and Loperamide may cause a moderate interaction that could exacerbate diseases when taken with Ivosidenib Sunitinib 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 Ivosidenib Sunitinib may lead to a major life threatening interaction when taken with Zanubrutinib and Zanubrutinib may cause a moderate interaction that could exacerbate diseases when taken with Ivosidenib Sunitinib 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 Ivosidenib Sunitinib may cause a moderate interaction that could exacerbate diseases when taken with Alfuzosin and Alfuzosin may lead to a major life threatening interaction when taken with Ivosidenib Sunitinib may lead to a major life threatening interaction when taken with Levacetylmethadol and Levacetylmethadol may lead to a major life threatening interaction when taken with Ivosidenib Sunitinib (Compound) resembles Procainamide (Compound) and Sunitinib may lead to a major life threatening interaction when taken with Procainamide and Procainamide may lead to a major life threatening interaction when taken with Ivosidenib
DB00612
DB01067
1,121
959
[ "DDInter216", "DDInter826" ]
Bisoprolol
Glipizide
Bisoprolol is a cardioselective β1-adrenergic blocking agent used to treat high blood pressure.[A180472,L7219] It is considered a potent drug with a long-half life that can be used once daily to reduce the need for multiple doses of antihypertensive drugs. Bisoprolol is generally well tolerated, likely due to its β1-adrenergic receptor selectivity and is a useful alternative to non-selective β-blocker drugs in the treatment of hypertension such as [Carvedilol] and [Labetalol]. It may be used alone or in combination with other drugs to manage hypertension and can be useful in patients with chronic obstructive pulmonary disease (COPD) due to its receptor selectivity.
Glipizide is an oral hypoglycemic agent in the second-generation sulfonylurea drug class that is used to control blood sugar levels in patients with type 2 diabetes mellitus. It was first introduced in 1984 and is available in various countries including Canada and the U.S. According to the 2018 Clinical Practice Guidelines by Diabetes Canada, sulfonylurea drugs are considered a second-line glucose-lowering therapy following metformin. Because sulfonylureas require functional pancreatic beta cells for their therapeutic effectiveness, sulfonylureas are more commonly used for early-stage type 2 diabetes when there is no progressed pancreatic failure. Compared to the first-generation sulfonylureas, such as [tolbutamide] and [chlorpropamide], second-generation sulfonylureas contain a more non-polar side chain in their chemical structure, which enhances their hypoglycemic potency. Compared to other members of the sulfonylurea drug group, glipizide displays rapid absorption and onset of action with the shortest half-life and duration of action, reducing the risk for long-lasting hypoglycemia that is often observed with blood glucose-lowering agents. Glipizide was first approved by the FDA in 1994 and is available in extended-release tablets under the brand name Glucotrol®, as well as in combination with metformin under the brand name Metaglip®.
Moderate
1
[ [ [ 1121, 24, 959 ] ], [ [ 1121, 63, 245 ], [ 245, 40, 959 ] ], [ [ 1121, 24, 1411 ], [ 1411, 1, 959 ] ], [ [ 1121, 6, 8374 ], [ 8374, 45, 959 ] ], [ [ 1121, 21, 29442 ], [ 29442, 60, 959 ] ], [ [ 1121, 24, 22 ], [ 22, 63, 959 ] ], [ [ 1121, 24, 1674 ], [ 1674, 24, 959 ] ], [ [ 1121, 23, 1479 ], [ 1479, 24, 959 ] ], [ [ 1121, 62, 417 ], [ 417, 24, 959 ] ], [ [ 1121, 1, 88 ], [ 88, 24, 959 ] ] ]
[ [ [ "Bisoprolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glipizide" ] ], [ [ "Bisoprolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glimepiride" ], [ "Glimepiride", "{u} (Compound) resembles {v} (Compound)", "Glipizide" ] ], [ [ "Bisoprolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tolbutamide" ], [ "Tolbutamide", "{u} (Compound) resembles {v} (Compound)", "Glipizide" ] ], [ [ "Bisoprolol", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Glipizide" ] ], [ [ "Bisoprolol", "{u} (Compound) causes {v} (Side Effect)", "Abnormal vision" ], [ "Abnormal vision", "{u} (Side Effect) is caused by {v} (Compound)", "Glipizide" ] ], [ [ "Bisoprolol", "{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}", "Glipizide" ] ], [ [ "Bisoprolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Orciprenaline" ], [ "Orciprenaline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glipizide" ] ], [ [ "Bisoprolol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Acetylsalicylic acid" ], [ "Acetylsalicylic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glipizide" ] ], [ [ "Bisoprolol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sucralfate" ], [ "Sucralfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glipizide" ] ], [ [ "Bisoprolol", "{u} (Compound) resembles {v} (Compound)", "Metoprolol" ], [ "Metoprolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glipizide" ] ] ]
Bisoprolol may cause a moderate interaction that could exacerbate diseases when taken with Glimepiride and Glimepiride (Compound) resembles Glipizide (Compound) Bisoprolol may cause a moderate interaction that could exacerbate diseases when taken with Tolbutamide and Tolbutamide (Compound) resembles Glipizide (Compound) Bisoprolol (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Glipizide (Compound) Bisoprolol (Compound) causes Abnormal vision (Side Effect) and Abnormal vision (Side Effect) is caused by Glipizide (Compound) Bisoprolol 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 Glipizide Bisoprolol may cause a moderate interaction that could exacerbate diseases when taken with Orciprenaline and Orciprenaline may cause a moderate interaction that could exacerbate diseases when taken with Glipizide Bisoprolol may cause a minor interaction that can limit clinical effects when taken with Acetylsalicylic acid and Acetylsalicylic acid may cause a moderate interaction that could exacerbate diseases when taken with Glipizide Bisoprolol may cause a minor interaction that can limit clinical effects when taken with Sucralfate and Sucralfate may cause a moderate interaction that could exacerbate diseases when taken with Glipizide Bisoprolol (Compound) resembles Metoprolol (Compound) and Metoprolol may cause a moderate interaction that could exacerbate diseases when taken with Glipizide
DB00206
DB00414
1,245
590
[ "DDInter1582", "DDInter16" ]
Reserpine
Acetohexamide
An alkaloid found in the roots of Rauwolfia serpentina and R. vomitoria. Reserpine inhibits the uptake of norepinephrine into storage vesicles resulting in depletion of catecholamines and serotonin from central and peripheral axon terminals. It has been used as an antihypertensive and an antipsychotic as well as a research tool, but its adverse effects limit its clinical use. The FDA withdrew its approval for the use of all oral dosage form drug products containing more than 1 mg of reserpine.
A sulfonylurea hypoglycemic agent that is metabolized in the liver to 1-hydrohexamide. Acetohexamide has been discontinued in the US market.
Moderate
1
[ [ [ 1245, 24, 590 ] ], [ [ 1245, 24, 874 ], [ 874, 63, 590 ] ], [ [ 1245, 63, 176 ], [ 176, 24, 590 ] ], [ [ 1245, 24, 1636 ], [ 1636, 24, 590 ] ], [ [ 1245, 24, 874 ], [ 874, 24, 1551 ], [ 1551, 62, 590 ] ], [ [ 1245, 24, 549 ], [ 549, 62, 1103 ], [ 1103, 23, 590 ] ], [ [ 1245, 24, 251 ], [ 251, 40, 1103 ], [ 1103, 23, 590 ] ], [ [ 1245, 24, 1042 ], [ 1042, 63, 1551 ], [ 1551, 62, 590 ] ], [ [ 1245, 63, 176 ], [ 176, 23, 1103 ], [ 1103, 23, 590 ] ], [ [ 1245, 24, 1148 ], [ 1148, 40, 1551 ], [ 1551, 62, 590 ] ] ]
[ [ [ "Reserpine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acetohexamide" ] ], [ [ "Reserpine", "{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}", "Acetohexamide" ] ], [ [ "Reserpine", "{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}", "Acetohexamide" ] ], [ [ "Reserpine", "{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}", "Acetohexamide" ] ], [ [ "Reserpine", "{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}", "Methyldopa" ], [ "Methyldopa", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Acetohexamide" ] ], [ [ "Reserpine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dapagliflozin" ], [ "Dapagliflozin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Amcinonide" ], [ "Amcinonide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Acetohexamide" ] ], [ [ "Reserpine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Betamethasone" ], [ "Betamethasone", "{u} (Compound) resembles {v} (Compound)", "Amcinonide" ], [ "Amcinonide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Acetohexamide" ] ], [ [ "Reserpine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetracosactide" ], [ "Tetracosactide", "{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}", "Acetohexamide" ] ], [ [ "Reserpine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin glargine" ], [ "Insulin glargine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Amcinonide" ], [ "Amcinonide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Acetohexamide" ] ], [ [ "Reserpine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isoprenaline" ], [ "Isoprenaline", "{u} (Compound) resembles {v} (Compound)", "Methyldopa" ], [ "Methyldopa", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Acetohexamide" ] ] ]
Reserpine 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 Acetohexamide Reserpine 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 Acetohexamide Reserpine 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 Acetohexamide Reserpine 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 Methyldopa and Methyldopa may cause a minor interaction that can limit clinical effects when taken with Acetohexamide Reserpine may cause a moderate interaction that could exacerbate diseases when taken with Dapagliflozin and Dapagliflozin may cause a minor interaction that can limit clinical effects when taken with Amcinonide and Amcinonide may cause a minor interaction that can limit clinical effects when taken with Acetohexamide Reserpine may cause a moderate interaction that could exacerbate diseases when taken with Betamethasone and Betamethasone (Compound) resembles Amcinonide (Compound) and Amcinonide may cause a minor interaction that can limit clinical effects when taken with Acetohexamide Reserpine may cause a moderate interaction that could exacerbate diseases when taken with Tetracosactide and Tetracosactide 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 Acetohexamide Reserpine may cause a moderate interaction that could exacerbate diseases when taken with Insulin glargine and Insulin glargine may cause a minor interaction that can limit clinical effects when taken with Amcinonide and Amcinonide may cause a minor interaction that can limit clinical effects when taken with Acetohexamide Reserpine may cause a moderate interaction that could exacerbate diseases when taken with Isoprenaline and Isoprenaline (Compound) resembles Methyldopa (Compound) and Methyldopa may cause a minor interaction that can limit clinical effects when taken with Acetohexamide
DB09046
DB12674
1,094
975
[ "DDInter1201", "DDInter1105" ]
Metreleptin
Lurbinectedin
Metreleptin, a recombinant analog of the human hormone leptin, is an orphan drug used to treat complications of leptin deficiency in people with lipodystrophy. Lipodystrophies include a range of disorders characterized by the reduction, absence, or altered distribution of adipose tissue. Complications of lipodystrophy include metabolic abnormalities such as hypertriglyceridemia, insulin resistance, diabetes mellitus, and fatty liver disease. These metabolic abnormalities are often aggravated by excessive food intake, which is further aggravated by leptin deficiency, a protein secreted by adipose tissue. Administration of metreleptin results in improvement of metabolic symptoms including improvements in insulin resistance, reduced HbA1c and fasting glucose, reduced triglycerides, and reductions in food intake. Metreleptin is produced in _E. coli_ and differs from native human leptin by the addition of a methionine residue at its amino terminus. In February
Lurbinectedin is a DNA alkylating agent that has been investigated in the treatment of a variety of cancers, including mesothelioma, chronic lymphocytic leukemia (CLL), breast cancer, and small-cell lung cancer (SCLC). It is a derivative of the marine-derived agent ecteinascidin ([trabectedin]), an anticancer agent found in extracts of the tunicate _Ecteinascidia turbinata_, with the primary difference being the substitution of the tetrahydroisoquinoline with a tetrahydro β‐carboline that results in increased antitumour activity of lurbinectedin as compared to its predecessor. On June 15, 2020, the FDA granted accelerated approval and orphan drug designation to lurbinectedin for the treatment of adult patients with metastatic SCLC who have experienced disease progression despite therapy with platinum-based agents. This accelerated approval is based on the rate and duration of therapeutic response observed in ongoing clinical trials and is contingent on the verification of these results in confirmatory trials.
Moderate
1
[ [ [ 1094, 24, 975 ] ], [ [ 1094, 24, 159 ], [ 159, 63, 975 ] ], [ [ 1094, 24, 1362 ], [ 1362, 24, 975 ] ], [ [ 1094, 63, 578 ], [ 578, 24, 975 ] ], [ [ 1094, 24, 351 ], [ 351, 25, 975 ] ], [ [ 1094, 63, 1419 ], [ 1419, 25, 975 ] ], [ [ 1094, 24, 159 ], [ 159, 63, 1613 ], [ 1613, 24, 975 ] ], [ [ 1094, 24, 1297 ], [ 1297, 24, 159 ], [ 159, 63, 975 ] ], [ [ 1094, 63, 578 ], [ 578, 24, 159 ], [ 159, 63, 975 ] ], [ [ 1094, 63, 868 ], [ 868, 24, 1613 ], [ 1613, 24, 975 ] ] ]
[ [ [ "Metreleptin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lurbinectedin" ] ], [ [ "Metreleptin", "{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}", "Lurbinectedin" ] ], [ [ "Metreleptin", "{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}", "Lurbinectedin" ] ], [ [ "Metreleptin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ticagrelor" ], [ "Ticagrelor", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lurbinectedin" ] ], [ [ "Metreleptin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ribociclib" ], [ "Ribociclib", "{u} may lead to a major life threatening interaction when taken with {v}", "Lurbinectedin" ] ], [ [ "Metreleptin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Imatinib" ], [ "Imatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Lurbinectedin" ] ], [ [ "Metreleptin", "{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}", "Peginterferon beta-1a" ], [ "Peginterferon beta-1a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lurbinectedin" ] ], [ [ "Metreleptin", "{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}", "Larotrectinib" ], [ "Larotrectinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lurbinectedin" ] ], [ [ "Metreleptin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ticagrelor" ], [ "Ticagrelor", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Larotrectinib" ], [ "Larotrectinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lurbinectedin" ] ], [ [ "Metreleptin", "{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}", "Peginterferon beta-1a" ], [ "Peginterferon beta-1a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lurbinectedin" ] ] ]
Metreleptin 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 Lurbinectedin Metreleptin 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 Lurbinectedin Metreleptin may cause a moderate interaction that could exacerbate diseases when taken with Ticagrelor and Ticagrelor may cause a moderate interaction that could exacerbate diseases when taken with Lurbinectedin Metreleptin may cause a moderate interaction that could exacerbate diseases when taken with Ribociclib and Ribociclib may lead to a major life threatening interaction when taken with Lurbinectedin Metreleptin may cause a moderate interaction that could exacerbate diseases when taken with Imatinib and Imatinib may lead to a major life threatening interaction when taken with Lurbinectedin Metreleptin 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 Peginterferon beta-1a and Peginterferon beta-1a may cause a moderate interaction that could exacerbate diseases when taken with Lurbinectedin Metreleptin 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 Larotrectinib and Larotrectinib may cause a moderate interaction that could exacerbate diseases when taken with Lurbinectedin Metreleptin may cause a moderate interaction that could exacerbate diseases when taken with Ticagrelor and Ticagrelor may cause a moderate interaction that could exacerbate diseases when taken with Larotrectinib and Larotrectinib may cause a moderate interaction that could exacerbate diseases when taken with Lurbinectedin Metreleptin 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 Peginterferon beta-1a and Peginterferon beta-1a may cause a moderate interaction that could exacerbate diseases when taken with Lurbinectedin
DB00381
DB13142
376
841
[ "DDInter79", "DDInter274" ]
Amlodipine
Calcium glubionate anhydrous
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].
Calcium glubionate (or glubionate calcium) is a mineral supplement to prevent or treat low blood calcium levels in people who do not get enough calcium from their diets.
Moderate
1
[ [ [ 376, 24, 841 ] ], [ [ 376, 40, 409 ], [ 409, 24, 841 ] ], [ [ 376, 1, 336 ], [ 336, 24, 841 ] ], [ [ 376, 40, 409 ], [ 409, 1, 336 ], [ 336, 24, 841 ] ], [ [ 376, 1, 336 ], [ 336, 40, 409 ], [ 409, 24, 841 ] ], [ [ 376, 24, 1053 ], [ 1053, 23, 255 ], [ 255, 24, 841 ] ], [ [ 376, 1, 336 ], [ 336, 1, 1081 ], [ 1081, 24, 841 ] ], [ [ 376, 63, 1648 ], [ 1648, 23, 255 ], [ 255, 24, 841 ] ], [ [ 376, 24, 1053 ], [ 1053, 24, 762 ], [ 762, 24, 841 ] ], [ [ 376, 40, 409 ], [ 409, 40, 84 ], [ 84, 24, 841 ] ] ]
[ [ [ "Amlodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium glubionate anhydrous" ] ], [ [ "Amlodipine", "{u} (Compound) resembles {v} (Compound)", "Felodipine" ], [ "Felodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium glubionate anhydrous" ] ], [ [ "Amlodipine", "{u} (Compound) resembles {v} (Compound)", "Nifedipine" ], [ "Nifedipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium glubionate anhydrous" ] ], [ [ "Amlodipine", "{u} (Compound) resembles {v} (Compound)", "Felodipine" ], [ "Felodipine", "{u} (Compound) resembles {v} (Compound)", "Nifedipine" ], [ "Nifedipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium glubionate anhydrous" ] ], [ [ "Amlodipine", "{u} (Compound) resembles {v} (Compound)", "Nifedipine" ], [ "Nifedipine", "{u} (Compound) resembles {v} (Compound)", "Felodipine" ], [ "Felodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium glubionate anhydrous" ] ], [ [ "Amlodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Procarbazine" ], [ "Procarbazine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Delafloxacin" ], [ "Delafloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium glubionate anhydrous" ] ], [ [ "Amlodipine", "{u} (Compound) resembles {v} (Compound)", "Nifedipine" ], [ "Nifedipine", "{u} (Compound) resembles {v} (Compound)", "Nicardipine" ], [ "Nicardipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium glubionate anhydrous" ] ], [ [ "Amlodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aldesleukin" ], [ "Aldesleukin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Delafloxacin" ], [ "Delafloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium glubionate anhydrous" ] ], [ [ "Amlodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Procarbazine" ], [ "Procarbazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bepridil" ], [ "Bepridil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium glubionate anhydrous" ] ], [ [ "Amlodipine", "{u} (Compound) resembles {v} (Compound)", "Felodipine" ], [ "Felodipine", "{u} (Compound) resembles {v} (Compound)", "Nisoldipine" ], [ "Nisoldipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium glubionate anhydrous" ] ] ]
Amlodipine (Compound) resembles Felodipine (Compound) and Felodipine may cause a moderate interaction that could exacerbate diseases when taken with Calcium glubionate anhydrous Amlodipine (Compound) resembles Nifedipine (Compound) and Nifedipine may cause a moderate interaction that could exacerbate diseases when taken with Calcium glubionate anhydrous Amlodipine (Compound) resembles Felodipine (Compound) and Felodipine (Compound) resembles Nifedipine (Compound) and Nifedipine may cause a moderate interaction that could exacerbate diseases when taken with Calcium glubionate anhydrous Amlodipine (Compound) resembles Nifedipine (Compound) and Nifedipine (Compound) resembles Felodipine (Compound) and Felodipine may cause a moderate interaction that could exacerbate diseases when taken with Calcium glubionate anhydrous Amlodipine may cause a moderate interaction that could exacerbate diseases when taken with Procarbazine and Procarbazine may cause a minor interaction that can limit clinical effects when taken with Delafloxacin and Delafloxacin may cause a moderate interaction that could exacerbate diseases when taken with Calcium glubionate anhydrous Amlodipine (Compound) resembles Nifedipine (Compound) and Nifedipine (Compound) resembles Nicardipine (Compound) and Nicardipine may cause a moderate interaction that could exacerbate diseases when taken with Calcium glubionate anhydrous Amlodipine may cause a moderate interaction that could exacerbate diseases when taken with Aldesleukin and Aldesleukin may cause a minor interaction that can limit clinical effects when taken with Delafloxacin and Delafloxacin may cause a moderate interaction that could exacerbate diseases when taken with Calcium glubionate anhydrous Amlodipine may cause a moderate interaction that could exacerbate diseases when taken with Procarbazine and Procarbazine may cause a moderate interaction that could exacerbate diseases when taken with Bepridil and Bepridil may cause a moderate interaction that could exacerbate diseases when taken with Calcium glubionate anhydrous Amlodipine (Compound) resembles Felodipine (Compound) and Felodipine (Compound) resembles Nisoldipine (Compound) and Nisoldipine may cause a moderate interaction that could exacerbate diseases when taken with Calcium glubionate anhydrous
DB00009
DB00812
1,271
998
[ "DDInter56", "DDInter1451" ]
Alteplase
Phenylbutazone
Alteplase is a recombinant tissue plasminogen activator (rt-PA) used as a thrombolytic agent. It cleaves plasminogen to form plasmin, an enzyme involved in the degradation of fibrin clots. In the absence of fibrin, the alteplase-mediated conversion of plasminogen is limited, thanks to the high affinity between alteplase and fibrin.[A252330,L43125] Alteplase is a purified glycoprotein of 527 amino acids expressed in Chinese hamster ovary (CHO) cells.[A252345,L43125] It was first approved by the FDA in 1987 for the management of thromboembolic disease, including acute myocardial infarction (AMI). The use of alteplase to manage AMI has decreased thanks to the availability of safer treatments such as angioplasty and stenting. However, its use for the treatment of acute ischem
A drug that has anti-inflammatory, antipyretic, and analgesic activities. It is especially effective in the treatment of ankylosing spondylitis. It also is useful in rheumatoid arthritis and Reiter's syndrome (investigational indication). Although phenylbutazone is effective in gouty arthritis, risk/benefit considerations indicate that this drug should not be employed for this disease. (From AMA Drug Evaluations Annual, 1994, p1822)
Moderate
1
[ [ [ 1271, 24, 998 ] ], [ [ 1271, 24, 804 ], [ 804, 40, 998 ] ], [ [ 1271, 24, 1061 ], [ 1061, 24, 998 ] ], [ [ 1271, 64, 942 ], [ 942, 24, 998 ] ], [ [ 1271, 24, 714 ], [ 714, 63, 998 ] ], [ [ 1271, 25, 291 ], [ 291, 24, 998 ] ], [ [ 1271, 25, 1046 ], [ 1046, 63, 998 ] ], [ [ 1271, 25, 498 ], [ 498, 64, 998 ] ], [ [ 1271, 25, 834 ], [ 834, 25, 998 ] ], [ [ 1271, 24, 804 ], [ 804, 6, 8374 ], [ 8374, 45, 998 ] ] ]
[ [ [ "Alteplase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenylbutazone" ] ], [ [ "Alteplase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sulfinpyrazone" ], [ "Sulfinpyrazone", "{u} (Compound) resembles {v} (Compound)", "Phenylbutazone" ] ], [ [ "Alteplase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Treprostinil" ], [ "Treprostinil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenylbutazone" ] ], [ [ "Alteplase", "{u} may lead to a major life threatening interaction when taken with {v}", "Bivalirudin" ], [ "Bivalirudin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenylbutazone" ] ], [ [ "Alteplase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iloprost" ], [ "Iloprost", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenylbutazone" ] ], [ [ "Alteplase", "{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}", "Phenylbutazone" ] ], [ [ "Alteplase", "{u} may lead to a major life threatening interaction when taken with {v}", "Caplacizumab" ], [ "Caplacizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenylbutazone" ] ], [ [ "Alteplase", "{u} may lead to a major life threatening interaction when taken with {v}", "Edoxaban" ], [ "Edoxaban", "{u} may lead to a major life threatening interaction when taken with {v}", "Phenylbutazone" ] ], [ [ "Alteplase", "{u} may lead to a major life threatening interaction when taken with {v}", "Drotrecogin alfa" ], [ "Drotrecogin alfa", "{u} may lead to a major life threatening interaction when taken with {v}", "Phenylbutazone" ] ], [ [ "Alteplase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sulfinpyrazone" ], [ "Sulfinpyrazone", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Phenylbutazone" ] ] ]
Alteplase may cause a moderate interaction that could exacerbate diseases when taken with Sulfinpyrazone and Sulfinpyrazone (Compound) resembles Phenylbutazone (Compound) Alteplase may cause a moderate interaction that could exacerbate diseases when taken with Treprostinil and Treprostinil may cause a moderate interaction that could exacerbate diseases when taken with Phenylbutazone Alteplase may lead to a major life threatening interaction when taken with Bivalirudin and Bivalirudin may cause a moderate interaction that could exacerbate diseases when taken with Phenylbutazone Alteplase may cause a moderate interaction that could exacerbate diseases when taken with Iloprost and Iloprost may cause a moderate interaction that could exacerbate diseases when taken with Phenylbutazone Alteplase 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 Phenylbutazone Alteplase may lead to a major life threatening interaction when taken with Caplacizumab and Caplacizumab may cause a moderate interaction that could exacerbate diseases when taken with Phenylbutazone Alteplase may lead to a major life threatening interaction when taken with Edoxaban and Edoxaban may lead to a major life threatening interaction when taken with Phenylbutazone Alteplase may lead to a major life threatening interaction when taken with Drotrecogin alfa and Drotrecogin alfa may lead to a major life threatening interaction when taken with Phenylbutazone Alteplase may cause a moderate interaction that could exacerbate diseases when taken with Sulfinpyrazone and Sulfinpyrazone (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Phenylbutazone (Compound)
DB00358
DB00726
1,010
1,164
[ "DDInter1140", "DDInter1876" ]
Mefloquine
Trimipramine
Malaria is a protozoan disease that places an enormous burden on human health in endemic areas around the world. The 2020 World Health Organization malaria report indicates a 60% decrease in the global malaria fatality rate between 2000 to 2019. Despite this, malaria remains a significant cause of morbidity and mortality; 90% of deaths from malaria occur in Africa. Individuals at the highest risk for malaria are those in disease naïve populations, children under age 5, refugees in Central and Eastern Africa, nonimmune civilian and military travelers, pregnant women, and immigrants traveling to their place of origin. Mefloquine, commonly known as Lariam, is an antimalarial drug used for the prevention and treatment of malaria caused by infection with Plasmodium vivax and Plasmodium falciparum. The drug was initially discovered by the Walter Reed Army Institute of Research (WRAIR) during a malaria drug discovery program between 196
Tricyclic antidepressant similar to imipramine, but with more antihistaminic and sedative properties.
Moderate
1
[ [ [ 1010, 24, 1164 ] ], [ [ 1010, 24, 1237 ], [ 1237, 40, 1164 ] ], [ [ 1010, 64, 576 ], [ 576, 40, 1164 ] ], [ [ 1010, 63, 21 ], [ 21, 40, 1164 ] ], [ [ 1010, 6, 4973 ], [ 4973, 45, 1164 ] ], [ [ 1010, 7, 7647 ], [ 7647, 46, 1164 ] ], [ [ 1010, 21, 28809 ], [ 28809, 60, 1164 ] ], [ [ 1010, 23, 112 ], [ 112, 62, 1164 ] ], [ [ 1010, 24, 79 ], [ 79, 24, 1164 ] ], [ [ 1010, 24, 1662 ], [ 1662, 63, 1164 ] ] ]
[ [ [ "Mefloquine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trimipramine" ] ], [ [ "Mefloquine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clomipramine" ], [ "Clomipramine", "{u} (Compound) resembles {v} (Compound)", "Trimipramine" ] ], [ [ "Mefloquine", "{u} may lead to a major life threatening interaction when taken with {v}", "Methadone" ], [ "Methadone", "{u} (Compound) resembles {v} (Compound)", "Trimipramine" ] ], [ [ "Mefloquine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amitriptyline" ], [ "Amitriptyline", "{u} (Compound) resembles {v} (Compound)", "Trimipramine" ] ], [ [ "Mefloquine", "{u} (Compound) binds {v} (Gene)", "ABCB1" ], [ "ABCB1", "{u} (Gene) is bound by {v} (Compound)", "Trimipramine" ] ], [ [ "Mefloquine", "{u} (Compound) upregulates {v} (Gene)", "NPC1" ], [ "NPC1", "{u} (Gene) is upregulated by {v} (Compound)", "Trimipramine" ] ], [ [ "Mefloquine", "{u} (Compound) causes {v} (Side Effect)", "Diarrhoea" ], [ "Diarrhoea", "{u} (Side Effect) is caused by {v} (Compound)", "Trimipramine" ] ], [ [ "Mefloquine", "{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}", "Trimipramine" ] ], [ [ "Mefloquine", "{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}", "Trimipramine" ] ], [ [ "Mefloquine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Picosulfuric acid" ], [ "Picosulfuric acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trimipramine" ] ] ]
Mefloquine may cause a moderate interaction that could exacerbate diseases when taken with Clomipramine and Clomipramine (Compound) resembles Trimipramine (Compound) Mefloquine may lead to a major life threatening interaction when taken with Methadone and Methadone (Compound) resembles Trimipramine (Compound) Mefloquine may cause a moderate interaction that could exacerbate diseases when taken with Amitriptyline and Amitriptyline (Compound) resembles Trimipramine (Compound) Mefloquine (Compound) binds ABCB1 (Gene) and ABCB1 (Gene) is bound by Trimipramine (Compound) Mefloquine (Compound) upregulates NPC1 (Gene) and NPC1 (Gene) is upregulated by Trimipramine (Compound) Mefloquine (Compound) causes Diarrhoea (Side Effect) and Diarrhoea (Side Effect) is caused by Trimipramine (Compound) Mefloquine 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 Trimipramine Mefloquine 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 Trimipramine Mefloquine may cause a moderate interaction that could exacerbate diseases when taken with Picosulfuric acid and Picosulfuric acid may cause a moderate interaction that could exacerbate diseases when taken with Trimipramine
DB00995
DB06317
1,112
1,626
[ "DDInter139", "DDInter630" ]
Auranofin
Elotuzumab
Auranofin is a gold salt that is capable of eliciting pharmacologic actions that suppress inflammation and stimulate cell-mediated immunity. It has subsequently been listed by the World Health Organization as a member of the antirheumatic agent category. Auranofin appears to induce heme oxygenase 1 (HO-1) mRNA. Heme oxygenase 1 is an inducible heme-degrading enzyme with anti-inflammatory properties.
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
[ [ [ 1112, 24, 1626 ] ], [ [ 1112, 24, 973 ], [ 973, 24, 1626 ] ], [ [ 1112, 63, 597 ], [ 597, 24, 1626 ] ], [ [ 1112, 24, 310 ], [ 310, 63, 1626 ] ], [ [ 1112, 25, 1487 ], [ 1487, 24, 1626 ] ], [ [ 1112, 24, 375 ], [ 375, 64, 1626 ] ], [ [ 1112, 63, 1057 ], [ 1057, 25, 1626 ] ], [ [ 1112, 25, 1510 ], [ 1510, 64, 1626 ] ], [ [ 1112, 64, 1064 ], [ 1064, 25, 1626 ] ], [ [ 1112, 25, 1377 ], [ 1377, 25, 1626 ] ] ]
[ [ [ "Auranofin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Elotuzumab" ] ], [ [ "Auranofin", "{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" ] ], [ [ "Auranofin", "{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" ] ], [ [ "Auranofin", "{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" ] ], [ [ "Auranofin", "{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}", "Elotuzumab" ] ], [ [ "Auranofin", "{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" ] ], [ [ "Auranofin", "{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" ] ], [ [ "Auranofin", "{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" ] ], [ [ "Auranofin", "{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}", "Elotuzumab" ] ], [ [ "Auranofin", "{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" ] ] ]
Auranofin 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 Auranofin 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 Auranofin 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 Auranofin 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 Elotuzumab Auranofin 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 Auranofin 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 Auranofin 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 Auranofin 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 Elotuzumab Auranofin 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
DB01067
DB11228
959
721
[ "DDInter826", "DDInter1184" ]
Glipizide
Methylcellulose
Glipizide is an oral hypoglycemic agent in the second-generation sulfonylurea drug class that is used to control blood sugar levels in patients with type 2 diabetes mellitus. It was first introduced in 1984 and is available in various countries including Canada and the U.S. According to the 2018 Clinical Practice Guidelines by Diabetes Canada, sulfonylurea drugs are considered a second-line glucose-lowering therapy following metformin. Because sulfonylureas require functional pancreatic beta cells for their therapeutic effectiveness, sulfonylureas are more commonly used for early-stage type 2 diabetes when there is no progressed pancreatic failure. Compared to the first-generation sulfonylureas, such as [tolbutamide] and [chlorpropamide], second-generation sulfonylureas contain a more non-polar side chain in their chemical structure, which enhances their hypoglycemic potency. Compared to other members of the sulfonyl
Methyl cellulose polymer consisting of numerous linked glucose molecules used as a stabiliser, thickener and emulsifier for foodstuffs and cosmetics. The Degree of Substitution (DS) of a given form of methyl cellulose is defined as the average number of substituted hydroxyl groups per glucose with a theoretical maximum of 3, however more typical values are 1.3 2.6. Methyl cellulose is a hydrophilic white powder in pure form and dissolves in cold (but not in hot) water, forming a clear viscous solution or gel. It is available under a variety of trade names as a treatment for constipation. Like cellulose, it is not digestible, not toxic, and not allergenic
Minor
0
[ [ [ 959, 23, 721 ] ], [ [ 959, 40, 1411 ], [ 1411, 23, 721 ] ], [ [ 959, 1, 245 ], [ 245, 23, 721 ] ], [ [ 959, 63, 127 ], [ 127, 23, 721 ] ], [ [ 959, 24, 1296 ], [ 1296, 23, 721 ] ], [ [ 959, 40, 1411 ], [ 1411, 1, 245 ], [ 245, 23, 721 ] ], [ [ 959, 1, 245 ], [ 245, 40, 1411 ], [ 1411, 23, 721 ] ], [ [ 959, 63, 127 ], [ 127, 24, 1411 ], [ 1411, 23, 721 ] ], [ [ 959, 24, 1296 ], [ 1296, 63, 1411 ], [ 1411, 23, 721 ] ], [ [ 959, 40, 1411 ], [ 1411, 63, 127 ], [ 127, 23, 721 ] ] ]
[ [ [ "Glipizide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Methylcellulose" ] ], [ [ "Glipizide", "{u} (Compound) resembles {v} (Compound)", "Tolbutamide" ], [ "Tolbutamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Methylcellulose" ] ], [ [ "Glipizide", "{u} (Compound) resembles {v} (Compound)", "Glimepiride" ], [ "Glimepiride", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Methylcellulose" ] ], [ [ "Glipizide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Miglitol" ], [ "Miglitol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Methylcellulose" ] ], [ [ "Glipizide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin degludec" ], [ "Insulin degludec", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Methylcellulose" ] ], [ [ "Glipizide", "{u} (Compound) resembles {v} (Compound)", "Tolbutamide" ], [ "Tolbutamide", "{u} (Compound) resembles {v} (Compound)", "Glimepiride" ], [ "Glimepiride", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Methylcellulose" ] ], [ [ "Glipizide", "{u} (Compound) resembles {v} (Compound)", "Glimepiride" ], [ "Glimepiride", "{u} (Compound) resembles {v} (Compound)", "Tolbutamide" ], [ "Tolbutamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Methylcellulose" ] ], [ [ "Glipizide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Miglitol" ], [ "Miglitol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tolbutamide" ], [ "Tolbutamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Methylcellulose" ] ], [ [ "Glipizide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin degludec" ], [ "Insulin degludec", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tolbutamide" ], [ "Tolbutamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Methylcellulose" ] ], [ [ "Glipizide", "{u} (Compound) resembles {v} (Compound)", "Tolbutamide" ], [ "Tolbutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Miglitol" ], [ "Miglitol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Methylcellulose" ] ] ]
Glipizide (Compound) resembles Tolbutamide (Compound) and Tolbutamide may cause a minor interaction that can limit clinical effects when taken with Methylcellulose Glipizide (Compound) resembles Glimepiride (Compound) and Glimepiride may cause a minor interaction that can limit clinical effects when taken with Methylcellulose Glipizide may cause a moderate interaction that could exacerbate diseases when taken with Miglitol and Miglitol may cause a minor interaction that can limit clinical effects when taken with Methylcellulose Glipizide may cause a moderate interaction that could exacerbate diseases when taken with Insulin degludec and Insulin degludec may cause a minor interaction that can limit clinical effects when taken with Methylcellulose Glipizide (Compound) resembles Tolbutamide (Compound) and Tolbutamide (Compound) resembles Glimepiride (Compound) and Glimepiride may cause a minor interaction that can limit clinical effects when taken with Methylcellulose Glipizide (Compound) resembles Glimepiride (Compound) and Glimepiride (Compound) resembles Tolbutamide (Compound) and Tolbutamide may cause a minor interaction that can limit clinical effects when taken with Methylcellulose Glipizide may cause a moderate interaction that could exacerbate diseases when taken with Miglitol and Miglitol may cause a moderate interaction that could exacerbate diseases when taken with Tolbutamide and Tolbutamide may cause a minor interaction that can limit clinical effects when taken with Methylcellulose Glipizide may cause a moderate interaction that could exacerbate diseases when taken with Insulin degludec and Insulin degludec may cause a moderate interaction that could exacerbate diseases when taken with Tolbutamide and Tolbutamide may cause a minor interaction that can limit clinical effects when taken with Methylcellulose Glipizide (Compound) resembles Tolbutamide (Compound) and Tolbutamide may cause a moderate interaction that could exacerbate diseases when taken with Miglitol and Miglitol may cause a minor interaction that can limit clinical effects when taken with Methylcellulose
DB00427
DB00831
1,233
1,178
[ "DDInter1879", "DDInter1866" ]
Triprolidine
Trifluoperazine
First generation histamine H1 antagonist used in allergic rhinitis; asthma; and urticaria. It is a component of cough and cold medicines. It may cause drowsiness.
A phenothiazine with actions similar to chlorpromazine. It is used as an antipsychotic and an antiemetic.
Moderate
1
[ [ [ 1233, 24, 1178 ] ], [ [ 1233, 63, 695 ], [ 695, 40, 1178 ] ], [ [ 1233, 24, 146 ], [ 146, 40, 1178 ] ], [ [ 1233, 24, 9 ], [ 9, 1, 1178 ] ], [ [ 1233, 6, 10104 ], [ 10104, 45, 1178 ] ], [ [ 1233, 18, 7359 ], [ 7359, 57, 1178 ] ], [ [ 1233, 24, 1219 ], [ 1219, 24, 1178 ] ], [ [ 1233, 24, 516 ], [ 516, 63, 1178 ] ], [ [ 1233, 63, 701 ], [ 701, 24, 1178 ] ], [ [ 1233, 63, 475 ], [ 475, 25, 1178 ] ] ]
[ [ [ "Triprolidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trifluoperazine" ] ], [ [ "Triprolidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clozapine" ], [ "Clozapine", "{u} (Compound) resembles {v} (Compound)", "Trifluoperazine" ] ], [ [ "Triprolidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Propiomazine" ], [ "Propiomazine", "{u} (Compound) resembles {v} (Compound)", "Trifluoperazine" ] ], [ [ "Triprolidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methotrimeprazine" ], [ "Methotrimeprazine", "{u} (Compound) resembles {v} (Compound)", "Trifluoperazine" ] ], [ [ "Triprolidine", "{u} (Compound) binds {v} (Gene)", "HRH1" ], [ "HRH1", "{u} (Gene) is bound by {v} (Compound)", "Trifluoperazine" ] ], [ [ "Triprolidine", "{u} (Compound) downregulates {v} (Gene)", "TXNDC9" ], [ "TXNDC9", "{u} (Gene) is downregulated by {v} (Compound)", "Trifluoperazine" ] ], [ [ "Triprolidine", "{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}", "Trifluoperazine" ] ], [ [ "Triprolidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levocetirizine" ], [ "Levocetirizine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trifluoperazine" ] ], [ [ "Triprolidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clemastine" ], [ "Clemastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trifluoperazine" ] ], [ [ "Triprolidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Morphine" ], [ "Morphine", "{u} may lead to a major life threatening interaction when taken with {v}", "Trifluoperazine" ] ] ]
Triprolidine may cause a moderate interaction that could exacerbate diseases when taken with Clozapine and Clozapine (Compound) resembles Trifluoperazine (Compound) Triprolidine may cause a moderate interaction that could exacerbate diseases when taken with Propiomazine and Propiomazine (Compound) resembles Trifluoperazine (Compound) Triprolidine may cause a moderate interaction that could exacerbate diseases when taken with Methotrimeprazine and Methotrimeprazine (Compound) resembles Trifluoperazine (Compound) Triprolidine (Compound) binds HRH1 (Gene) and HRH1 (Gene) is bound by Trifluoperazine (Compound) Triprolidine (Compound) downregulates TXNDC9 (Gene) and TXNDC9 (Gene) is downregulated by Trifluoperazine (Compound) Triprolidine 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 Trifluoperazine Triprolidine may cause a moderate interaction that could exacerbate diseases when taken with Levocetirizine and Levocetirizine may cause a moderate interaction that could exacerbate diseases when taken with Trifluoperazine Triprolidine may cause a moderate interaction that could exacerbate diseases when taken with Clemastine and Clemastine may cause a moderate interaction that could exacerbate diseases when taken with Trifluoperazine Triprolidine may cause a moderate interaction that could exacerbate diseases when taken with Morphine and Morphine may lead to a major life threatening interaction when taken with Trifluoperazine
DB00488
DB11627
196
1,367
[ "DDInter57", "DDInter860" ]
Altretamine
Hepatitis B Vaccine (Recombinant)
An alkylating agent proposed as an antineoplastic. It also acts as a chemosterilant for male houseflies and other insects.
Hepatitis B Vaccine is an ingredient in the EMA-withdrawn product Quintanrix. It is marketed in Canada as Engerix B. It is also a part of Twinrix (Hep A/Hep B vaccine) available also in Canada. The hepatitis B virus induces a severe form of viral hepatitis. Other causative agents are hepatitis A virus, and the non-A, non-B hepatitis viruses. Hepatitis D virus, a defective virus requiring the “keeper function” of the hepatitis B virus, occurs either as a co-infection or super-infection in a HBsAg carrier. Transmission of the virus occurs through percutaneous contact with contaminated blood, serum or plasma. Infection may also occur by the exposure of mucous surfaces, or intact or damaged skin to other body fluids such as saliva, mucosal secretions and semen. There is no specific treatment for hepatitis. The incubation period may be as long as 6 months, followed by a very complex clinical course of an acute or chronic nature, often leading to hospitalization. Viral hepatitis caused by hepatitis B virus is a major worldwide health problem, though the incidence and epidemiology vary widely among geographical areas and population subgroups. In Canada, the United States and Northern Europe, 4% to 6% of the population are infected during their lifetime (mostly young adults); between 5% and 10% of infections lead to persistent viremia (carrier state). Certain population subgroups in these areas, however, are at high risk (see Indications and Clinical Use). In Asia, infection often occurs early in life, leading to a hepatitis B marker prevalence of more than 70% in the general population and a carrier rate of up to 20%. It is estimated that the reservoir of persistent hepatitis B surface antigen carriers amounts to 350 million people worldwide. Carriers are at a high risk of developing chronic liver disease which may lead to cirrhosis or primary hepatocellular carcinoma. A significant reduction in the incidence of hepatocellular carcinoma has been observed in children aged 6 to14 years following a nationwide hepatitis B vaccination in Taiwan. This resulted from a significant decline in the prevalence of hepatitis B antigen, the persistence of which is an essential factor in the development of hepatocellular carcinoma. Vaccination against hepatitis B is expected in the long term to reduce the overall incidence of both hepatitis B and the chronic complications such as chronic active hepatitis and cirrhosis.
Moderate
1
[ [ [ 196, 24, 1367 ] ], [ [ 196, 64, 1064 ], [ 1064, 24, 1367 ] ], [ [ 196, 24, 259 ], [ 259, 24, 1367 ] ], [ [ 196, 25, 375 ], [ 375, 24, 1367 ] ], [ [ 196, 63, 66 ], [ 66, 24, 1367 ] ], [ [ 196, 24, 738 ], [ 738, 63, 1367 ] ], [ [ 196, 25, 676 ], [ 676, 63, 1367 ] ], [ [ 196, 64, 1064 ], [ 1064, 36, 1083 ], [ 1083, 24, 1367 ] ], [ [ 196, 24, 259 ], [ 259, 63, 1083 ], [ 1083, 24, 1367 ] ], [ [ 196, 25, 375 ], [ 375, 64, 1083 ], [ 1083, 24, 1367 ] ] ]
[ [ [ "Altretamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hepatitis B Vaccine (Recombinant)" ] ], [ [ "Altretamine", "{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}", "Hepatitis B Vaccine (Recombinant)" ] ], [ [ "Altretamine", "{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}", "Hepatitis B Vaccine (Recombinant)" ] ], [ [ "Altretamine", "{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}", "Hepatitis B Vaccine (Recombinant)" ] ], [ [ "Altretamine", "{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}", "Hepatitis B Vaccine (Recombinant)" ] ], [ [ "Altretamine", "{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}", "Hepatitis B Vaccine (Recombinant)" ] ], [ [ "Altretamine", "{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}", "Hepatitis B Vaccine (Recombinant)" ] ], [ [ "Altretamine", "{u} may lead to a major life threatening interaction when taken with {v}", "Cladribine" ], [ "Cladribine", "{u} (Compound) resembles {v} (Compound) and {u} may lead to a major life threatening interaction when taken with {v}", "Trifluridine" ], [ "Trifluridine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hepatitis B Vaccine (Recombinant)" ] ], [ [ "Altretamine", "{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}", "Trifluridine" ], [ "Trifluridine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hepatitis B Vaccine (Recombinant)" ] ], [ [ "Altretamine", "{u} may lead to a major life threatening interaction when taken with {v}", "Certolizumab pegol" ], [ "Certolizumab pegol", "{u} may lead to a major life threatening interaction when taken with {v}", "Trifluridine" ], [ "Trifluridine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hepatitis B Vaccine (Recombinant)" ] ] ]
Altretamine 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 Hepatitis B Vaccine (Recombinant) Altretamine 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 Hepatitis B Vaccine (Recombinant) Altretamine 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 Hepatitis B Vaccine (Recombinant) Altretamine 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 Hepatitis B Vaccine (Recombinant) Altretamine 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 Hepatitis B Vaccine (Recombinant) Altretamine 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 Hepatitis B Vaccine (Recombinant) Altretamine may lead to a major life threatening interaction when taken with Cladribine and Cladribine (Compound) resembles Trifluridine (Compound) and Cladribine may lead to a major life threatening interaction when taken with Trifluridine and Trifluridine may cause a moderate interaction that could exacerbate diseases when taken with Hepatitis B Vaccine (Recombinant) Altretamine 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 Trifluridine and Trifluridine may cause a moderate interaction that could exacerbate diseases when taken with Hepatitis B Vaccine (Recombinant) Altretamine may lead to a major life threatening interaction when taken with Certolizumab pegol and Certolizumab pegol may lead to a major life threatening interaction when taken with Trifluridine and Trifluridine may cause a moderate interaction that could exacerbate diseases when taken with Hepatitis B Vaccine (Recombinant)
DB00294
DB08882
1,336
1,281
[ "DDInter701", "DDInter1070" ]
Etonogestrel
Linagliptin
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.
Linagliptin is a DPP-4 inhibitor developed by Boehringer Ingelheim for the treatment of type II diabetes . Linagliptin differs from other DPP-4 inhibitors in that it has a non-linear pharmacokinetic profile, is not primarily eliminated by the renal system, and obeys concentration dependant protein binding. Linagliptin was approved by the FDA on May 2, 2011.
Moderate
1
[ [ [ 1336, 24, 1281 ] ], [ [ 1336, 24, 1002 ], [ 1002, 1, 1281 ] ], [ [ 1336, 6, 8374 ], [ 8374, 45, 1281 ] ], [ [ 1336, 21, 28966 ], [ 28966, 60, 1281 ] ], [ [ 1336, 24, 1320 ], [ 1320, 63, 1281 ] ], [ [ 1336, 24, 868 ], [ 868, 24, 1281 ] ], [ [ 1336, 40, 566 ], [ 566, 24, 1281 ] ], [ [ 1336, 63, 1685 ], [ 1685, 24, 1281 ] ], [ [ 1336, 25, 353 ], [ 353, 24, 1281 ] ], [ [ 1336, 25, 927 ], [ 927, 63, 1281 ] ] ]
[ [ [ "Etonogestrel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Linagliptin" ] ], [ [ "Etonogestrel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alogliptin" ], [ "Alogliptin", "{u} (Compound) resembles {v} (Compound)", "Linagliptin" ] ], [ [ "Etonogestrel", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Linagliptin" ] ], [ [ "Etonogestrel", "{u} (Compound) causes {v} (Side Effect)", "Upper respiratory tract infection" ], [ "Upper respiratory tract infection", "{u} (Side Effect) is caused by {v} (Compound)", "Linagliptin" ] ], [ [ "Etonogestrel", "{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}", "Linagliptin" ] ], [ [ "Etonogestrel", "{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}", "Linagliptin" ] ], [ [ "Etonogestrel", "{u} (Compound) resembles {v} (Compound)", "Levonorgestrel" ], [ "Levonorgestrel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Linagliptin" ] ], [ [ "Etonogestrel", "{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}", "Linagliptin" ] ], [ [ "Etonogestrel", "{u} may lead to a major life threatening interaction when taken with {v}", "Griseofulvin" ], [ "Griseofulvin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Linagliptin" ] ], [ [ "Etonogestrel", "{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}", "Linagliptin" ] ] ]
Etonogestrel may cause a moderate interaction that could exacerbate diseases when taken with Alogliptin and Alogliptin (Compound) resembles Linagliptin (Compound) Etonogestrel (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Linagliptin (Compound) Etonogestrel (Compound) causes Upper respiratory tract infection (Side Effect) and Upper respiratory tract infection (Side Effect) is caused by Linagliptin (Compound) Etonogestrel 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 Linagliptin Etonogestrel 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 Linagliptin Etonogestrel (Compound) resembles Levonorgestrel (Compound) and Levonorgestrel may cause a moderate interaction that could exacerbate diseases when taken with Linagliptin Etonogestrel 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 Linagliptin Etonogestrel may lead to a major life threatening interaction when taken with Griseofulvin and Griseofulvin may cause a moderate interaction that could exacerbate diseases when taken with Linagliptin Etonogestrel 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 Linagliptin
DB00938
DB04868
455
478
[ "DDInter1635", "DDInter1293" ]
Salmeterol
Nilotinib
Salmeterol is a long-acting beta-2 adrenergic receptor agonist drug that is currently prescribed for the treatment of asthma and chronic obstructive pulmonary disease COPD.[L11545,L11548,L11551,L11554,L11557] It has a longer duration of action than the short-acting beta-2 adrenergic receptor agonist, [salbutamol]. Salmeterol was first described in the literature in 1988. Salmeterol's structure is similar to salbutamol's with an aralkyloxy-alkyl substitution on the amine. Salmeterol was granted FDA approval on 4 February 1994.
Nilotinib, also known as AMN107, is a tyrosine kinase inhibitor under investigation as a possible treatment for chronic myelogenous leukemia (CML). A Phase I clinical trial in 2006 showed that this drug was relatively safe and offered significant therapeutic benefits in cases of CML which were found to be resistant to treatment with imatinib (Gleevec), another tyrosine kinase inhibitor used as a first-line treatment for CML.
Moderate
1
[ [ [ 455, 24, 478 ] ], [ [ 455, 6, 8374 ], [ 8374, 45, 478 ] ], [ [ 455, 6, 3576 ], [ 3576, 46, 478 ] ], [ [ 455, 7, 7669 ], [ 7669, 46, 478 ] ], [ [ 455, 18, 2183 ], [ 2183, 57, 478 ] ], [ [ 455, 7, 5509 ], [ 5509, 57, 478 ] ], [ [ 455, 21, 28963 ], [ 28963, 60, 478 ] ], [ [ 455, 63, 307 ], [ 307, 23, 478 ] ], [ [ 455, 63, 1559 ], [ 1559, 24, 478 ] ], [ [ 455, 24, 761 ], [ 761, 63, 478 ] ] ]
[ [ [ "Salmeterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nilotinib" ] ], [ [ "Salmeterol", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Nilotinib" ] ], [ [ "Salmeterol", "{u} (Compound) binds {v} (Gene)", "ADRB2" ], [ "ADRB2", "{u} (Gene) is upregulated by {v} (Compound)", "Nilotinib" ] ], [ [ "Salmeterol", "{u} (Compound) upregulates {v} (Gene)", "DDIT4" ], [ "DDIT4", "{u} (Gene) is upregulated by {v} (Compound)", "Nilotinib" ] ], [ [ "Salmeterol", "{u} (Compound) downregulates {v} (Gene)", "CDC20" ], [ "CDC20", "{u} (Gene) is downregulated by {v} (Compound)", "Nilotinib" ] ], [ [ "Salmeterol", "{u} (Compound) upregulates {v} (Gene)", "FDFT1" ], [ "FDFT1", "{u} (Gene) is downregulated by {v} (Compound)", "Nilotinib" ] ], [ [ "Salmeterol", "{u} (Compound) causes {v} (Side Effect)", "Anxiety" ], [ "Anxiety", "{u} (Side Effect) is caused by {v} (Compound)", "Nilotinib" ] ], [ [ "Salmeterol", "{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}", "Nilotinib" ] ], [ [ "Salmeterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Famotidine" ], [ "Famotidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nilotinib" ] ], [ [ "Salmeterol", "{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}", "Nilotinib" ] ] ]
Salmeterol (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Nilotinib (Compound) Salmeterol (Compound) binds ADRB2 (Gene) and ADRB2 (Gene) is upregulated by Nilotinib (Compound) Salmeterol (Compound) upregulates DDIT4 (Gene) and DDIT4 (Gene) is upregulated by Nilotinib (Compound) Salmeterol (Compound) downregulates CDC20 (Gene) and CDC20 (Gene) is downregulated by Nilotinib (Compound) Salmeterol (Compound) upregulates FDFT1 (Gene) and FDFT1 (Gene) is downregulated by Nilotinib (Compound) Salmeterol (Compound) causes Anxiety (Side Effect) and Anxiety (Side Effect) is caused by Nilotinib (Compound) Salmeterol 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 Nilotinib Salmeterol may cause a moderate interaction that could exacerbate diseases when taken with Famotidine and Famotidine may cause a moderate interaction that could exacerbate diseases when taken with Nilotinib Salmeterol 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 Nilotinib
DB00776
DB11130
1,335
407
[ "DDInter1360", "DDInter1344" ]
Oxcarbazepine
Opium
Oxcarbazepine is an anti-epileptic medication used in the treatment of partial onset seizures that was first approved for use in the United States in 2000.[L8627,L8630,L8633] It is a structural derivative of [carbamazepine] and exerts a majority of its activity via a pharmacologically active metabolite, MHD, which exists as a racemate in the blood - a pro-drug of the more active (S)-enantiomer is also marketed as a separate anti-epileptic under the name [eslicarbazepine]. Compared to other anti-epileptic drugs, which are generally metabolized via the cytochrome P450 system, oxcarbazepine has a reduced propensity for involvement in drug-drug interactions owing to its primarily reductive metabolism.
Opium is the first substance of the diverse group of the opiates. It has been known for a long time, and the first evidence of a poppy culture dates from 5 thousand years by the Sumerians. During the years, opium was used as a sedative and hypnotic, but it was determined to be addictive. Opium is extracted from _Papaver somniferum_, which is more known as poppies. This plant is an integrant of the Papaveraceae family, and it is characterized by solitary leaves and capsulated fruits. Therefore, opium is a sticky brown resin obtained by collecting and drying the latex that exudes from the poppy pods. Once extracted, opium contains two main groups of alkaloids; the psychoactive constituents which are in the category of phenanthrenes and alkaloids that have no central nervous system effect in the category of isoquinolines. Morphine is the most prevalent and principal alkaloid in opium, and it is responsible for most of the harmful effects of opium. Opium has gradually been superseded by a variety of synthetic opioids and general anesthetics. Some of the isolated derivatives of opium are morphine, noscapine, strychnine, veratrine, colchicine, codeine, and quinine. Opium is a prohibited drug of abuse in most countries, but the illegal production of this drug and its derivatives keeps being registered. There is some legal production of opium in different countries for the obtention of alkaloids by extraction.
Moderate
1
[ [ [ 1335, 24, 407 ] ], [ [ 1335, 63, 662 ], [ 662, 24, 407 ] ], [ [ 1335, 24, 976 ], [ 976, 24, 407 ] ], [ [ 1335, 40, 508 ], [ 508, 24, 407 ] ], [ [ 1335, 1, 902 ], [ 902, 24, 407 ] ], [ [ 1335, 24, 1609 ], [ 1609, 63, 407 ] ], [ [ 1335, 25, 1053 ], [ 1053, 25, 407 ] ], [ [ 1335, 63, 662 ], [ 662, 63, 558 ], [ 558, 24, 407 ] ], [ [ 1335, 24, 976 ], [ 976, 63, 529 ], [ 529, 24, 407 ] ], [ [ 1335, 24, 104 ], [ 104, 24, 409 ], [ 409, 24, 407 ] ] ]
[ [ [ "Oxcarbazepine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ] ], [ [ "Oxcarbazepine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carbinoxamine" ], [ "Carbinoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ] ], [ [ "Oxcarbazepine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tofacitinib" ], [ "Tofacitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ] ], [ [ "Oxcarbazepine", "{u} (Compound) resembles {v} (Compound)", "Promazine" ], [ "Promazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ] ], [ [ "Oxcarbazepine", "{u} (Compound) resembles {v} (Compound)", "Clobazam" ], [ "Clobazam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ] ], [ [ "Oxcarbazepine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentoxyverine" ], [ "Pentoxyverine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ] ], [ [ "Oxcarbazepine", "{u} may lead to a major life threatening interaction when taken with {v}", "Procarbazine" ], [ "Procarbazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Opium" ] ], [ [ "Oxcarbazepine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carbinoxamine" ], [ "Carbinoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zolpidem" ], [ "Zolpidem", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ] ], [ [ "Oxcarbazepine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tofacitinib" ], [ "Tofacitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fluvoxamine" ], [ "Fluvoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ] ], [ [ "Oxcarbazepine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methdilazine" ], [ "Methdilazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Felodipine" ], [ "Felodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ] ] ]
Oxcarbazepine may cause a moderate interaction that could exacerbate diseases when taken with Carbinoxamine and Carbinoxamine may cause a moderate interaction that could exacerbate diseases when taken with Opium Oxcarbazepine may cause a moderate interaction that could exacerbate diseases when taken with Tofacitinib and Tofacitinib may cause a moderate interaction that could exacerbate diseases when taken with Opium Oxcarbazepine (Compound) resembles Promazine (Compound) and Promazine may cause a moderate interaction that could exacerbate diseases when taken with Opium Oxcarbazepine (Compound) resembles Clobazam (Compound) and Clobazam may cause a moderate interaction that could exacerbate diseases when taken with Opium Oxcarbazepine may cause a moderate interaction that could exacerbate diseases when taken with Pentoxyverine and Pentoxyverine may cause a moderate interaction that could exacerbate diseases when taken with Opium Oxcarbazepine may lead to a major life threatening interaction when taken with Procarbazine and Procarbazine may lead to a major life threatening interaction when taken with Opium Oxcarbazepine may cause a moderate interaction that could exacerbate diseases when taken with Carbinoxamine and Carbinoxamine may cause a moderate interaction that could exacerbate diseases when taken with Zolpidem and Zolpidem may cause a moderate interaction that could exacerbate diseases when taken with Opium Oxcarbazepine may cause a moderate interaction that could exacerbate diseases when taken with Tofacitinib and Tofacitinib may cause a moderate interaction that could exacerbate diseases when taken with Fluvoxamine and Fluvoxamine may cause a moderate interaction that could exacerbate diseases when taken with Opium Oxcarbazepine may cause a moderate interaction that could exacerbate diseases when taken with Methdilazine and Methdilazine may cause a moderate interaction that could exacerbate diseases when taken with Felodipine and Felodipine may cause a moderate interaction that could exacerbate diseases when taken with Opium
DB00361
DB00794
134
759
[ "DDInter1939", "DDInter1521" ]
Vinorelbine
Primidone
Vinorelbine is an anti-mitotic chemotherapy drug that is used in the treatment of several types of malignancies, including breast cancer and non-small cell lung cancer (NSCLC). It was initially approved in the USA in 1990's for the treatment of NSCLC. It is a third-generation vinca alkaloid. The introduction of third-generation drugs (vinorelbine, gemcitabine, taxanes) in platinum combination improved survival of patients with advanced NSCLC, with very similar results from the various drugs. Treatment toxicities are considerable in the combination treatment setting. A study was done on the clearance rate of vinorelbine on individuals with various single polymorphonuclear mutations. It was found that there was 4.3-fold variation in vinorelbine clearance across the cohort, suggesting a strong influence of genetics on the clearance of this drug.
Primidone is an anticonvulsant used to treat essential tremor as well as grand mal, psychomotor, and focal epileptic seizures. Primidone was developed by J Yule Bogue and H C Carrington in 1949. Primidone was granted FDA Approval on 8 March 1954.
Moderate
1
[ [ [ 134, 24, 759 ] ], [ [ 134, 24, 697 ], [ 697, 40, 759 ] ], [ [ 134, 63, 362 ], [ 362, 1, 759 ] ], [ [ 134, 24, 157 ], [ 157, 1, 759 ] ], [ [ 134, 6, 8374 ], [ 8374, 45, 759 ] ], [ [ 134, 18, 3741 ], [ 3741, 57, 759 ] ], [ [ 134, 21, 28921 ], [ 28921, 60, 759 ] ], [ [ 134, 63, 1101 ], [ 1101, 23, 759 ] ], [ [ 134, 24, 738 ], [ 738, 63, 759 ] ], [ [ 134, 25, 908 ], [ 908, 63, 759 ] ] ]
[ [ [ "Vinorelbine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Primidone" ] ], [ [ "Vinorelbine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenobarbital" ], [ "Phenobarbital", "{u} (Compound) resembles {v} (Compound)", "Primidone" ] ], [ [ "Vinorelbine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenytoin" ], [ "Phenytoin", "{u} (Compound) resembles {v} (Compound)", "Primidone" ] ], [ [ "Vinorelbine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ethotoin" ], [ "Ethotoin", "{u} (Compound) resembles {v} (Compound)", "Primidone" ] ], [ [ "Vinorelbine", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Primidone" ] ], [ [ "Vinorelbine", "{u} (Compound) downregulates {v} (Gene)", "OXA1L" ], [ "OXA1L", "{u} (Gene) is downregulated by {v} (Compound)", "Primidone" ] ], [ [ "Vinorelbine", "{u} (Compound) causes {v} (Side Effect)", "Dizziness" ], [ "Dizziness", "{u} (Side Effect) is caused by {v} (Compound)", "Primidone" ] ], [ [ "Vinorelbine", "{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}", "Primidone" ] ], [ [ "Vinorelbine", "{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}", "Primidone" ] ], [ [ "Vinorelbine", "{u} may lead to a major life threatening interaction when taken with {v}", "Golimumab" ], [ "Golimumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Primidone" ] ] ]
Vinorelbine may cause a moderate interaction that could exacerbate diseases when taken with Phenobarbital and Phenobarbital (Compound) resembles Primidone (Compound) Vinorelbine may cause a moderate interaction that could exacerbate diseases when taken with Phenytoin and Phenytoin (Compound) resembles Primidone (Compound) Vinorelbine may cause a moderate interaction that could exacerbate diseases when taken with Ethotoin and Ethotoin (Compound) resembles Primidone (Compound) Vinorelbine (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Primidone (Compound) Vinorelbine (Compound) downregulates OXA1L (Gene) and OXA1L (Gene) is downregulated by Primidone (Compound) Vinorelbine (Compound) causes Dizziness (Side Effect) and Dizziness (Side Effect) is caused by Primidone (Compound) Vinorelbine 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 Primidone Vinorelbine 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 Primidone Vinorelbine may lead to a major life threatening interaction when taken with Golimumab and Golimumab may cause a moderate interaction that could exacerbate diseases when taken with Primidone
DB00791
DB11601
132
1,270
[ "DDInter1902", "DDInter1889" ]
Uracil mustard
Tuberculin purified protein derivative
Nitrogen mustard derivative of uracil. It is a alkylating antineoplastic agent that is used in lymphatic malignancies, and causes mainly gastrointestinal and bone marrow damage.
Tuberculin Purified Protein Derivative (PPD) is a sterile aqueous solution of a purified protein fraction for intradermal administration as an aid in the diagnosis of tuberculosis. The diagnostic test is commonly referred to as the Mantoux test which serves to minimize the risk of transmission of infection with *Mycobacterium tuberculosis* through early diagnosis and appropriate therapeutic intervention. The purified protein fraction is isolated from culture media filtrates of a human strain of Mycobacterium tuberculosis. It is included in the World Health Organization's List of Essential Medicines.
Moderate
1
[ [ [ 132, 24, 1270 ] ], [ [ 132, 24, 1531 ], [ 1531, 24, 1270 ] ], [ [ 132, 64, 1064 ], [ 1064, 24, 1270 ] ], [ [ 132, 63, 599 ], [ 599, 24, 1270 ] ], [ [ 132, 25, 1259 ], [ 1259, 63, 1270 ] ], [ [ 132, 25, 976 ], [ 976, 24, 1270 ] ], [ [ 132, 24, 738 ], [ 738, 63, 1270 ] ], [ [ 132, 1, 970 ], [ 970, 24, 1270 ] ], [ [ 132, 24, 1531 ], [ 1531, 24, 350 ], [ 350, 24, 1270 ] ], [ [ 132, 64, 1064 ], [ 1064, 25, 350 ], [ 350, 24, 1270 ] ] ]
[ [ [ "Uracil mustard", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tuberculin purified protein derivative" ] ], [ [ "Uracil mustard", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Canakinumab" ], [ "Canakinumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tuberculin purified protein derivative" ] ], [ [ "Uracil mustard", "{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}", "Tuberculin purified protein derivative" ] ], [ [ "Uracil mustard", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alemtuzumab" ], [ "Alemtuzumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tuberculin purified protein derivative" ] ], [ [ "Uracil mustard", "{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}", "Tuberculin purified protein derivative" ] ], [ [ "Uracil mustard", "{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}", "Tuberculin purified protein derivative" ] ], [ [ "Uracil mustard", "{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}", "Tuberculin purified protein derivative" ] ], [ [ "Uracil mustard", "{u} (Compound) resembles {v} (Compound)", "Fluorouracil" ], [ "Fluorouracil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tuberculin purified protein derivative" ] ], [ [ "Uracil mustard", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Canakinumab" ], [ "Canakinumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carfilzomib" ], [ "Carfilzomib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tuberculin purified protein derivative" ] ], [ [ "Uracil mustard", "{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}", "Carfilzomib" ], [ "Carfilzomib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tuberculin purified protein derivative" ] ] ]
Uracil mustard may cause a moderate interaction that could exacerbate diseases when taken with Canakinumab and Canakinumab may cause a moderate interaction that could exacerbate diseases when taken with Tuberculin purified protein derivative Uracil mustard 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 Tuberculin purified protein derivative Uracil mustard may cause a moderate interaction that could exacerbate diseases when taken with Alemtuzumab and Alemtuzumab may cause a moderate interaction that could exacerbate diseases when taken with Tuberculin purified protein derivative Uracil mustard 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 Tuberculin purified protein derivative Uracil mustard 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 Tuberculin purified protein derivative Uracil mustard 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 Tuberculin purified protein derivative Uracil mustard (Compound) resembles Fluorouracil (Compound) and Fluorouracil may cause a moderate interaction that could exacerbate diseases when taken with Tuberculin purified protein derivative Uracil mustard may cause a moderate interaction that could exacerbate diseases when taken with Canakinumab and Canakinumab may cause a moderate interaction that could exacerbate diseases when taken with Carfilzomib and Carfilzomib may cause a moderate interaction that could exacerbate diseases when taken with Tuberculin purified protein derivative Uracil mustard 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 Carfilzomib and Carfilzomib may cause a moderate interaction that could exacerbate diseases when taken with Tuberculin purified protein derivative
DB00609
DB00641
595
467
[ "DDInter694", "DDInter1675" ]
Ethionamide
Simvastatin
A second-line antitubercular agent that inhibits mycolic acid synthesis. It also may be used for treatment of leprosy. (From Smith and Reynard, Textbook of Pharmacology, 1992, p868)
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 moderate to high risk of development of CVD, such as those with Type 2 Diabetes. The clear evidence of the benefit of statin use coupled with very minimal side effects or long term effects has resulted in this class becoming one of the most widely prescribed medications in North America.[A181087, A181406] Simvastatin and other drugs from the statin class of medications including [atorvastatin], [pravastatin], [rosuvastatin], [fluvastatin], and [lovastatin] are considered first-line options for the treatment of dyslipidemia.[A181087, A181406] Increasing use of the statin class of drugs is largely due to the fact that cardiovascular disease (CVD), which includes heart attack, atherosclerosis, angina, peripheral artery disease, and stroke, has become a leading cause of death in high-income countries and a major cause of morbidity around the world. Elevated cholesterol levels, and in particular, elevated low-density lipoprotein (LDL) levels, are an important risk factor for the development of CVD.[A181087,A181553] Use of statins to target and reduce LDL levels has been shown in a number of landmark studies to significantly reduce the risk of development of CVD and all-cause mortality.[A181090,A181093,A181096,A181427,A181475,A181538] Statins are considered a cost-effective treatment option for CVD due to their evidence of reducing all-cause mortality including fatal and non-fatal CVD as well as the need for surgical revascularization or angioplasty following a heart attack.[A181087, A181406] Evidence has shown that even for low-risk individuals (with <10% risk of a major vascular event occurring within 5 years) statins cause a 20%-22% relative reduction in major cardiovascular events (heart attack, stroke, coronary revascularization, and coronary death) for every 1 mmol/L reduction in LDL without any significant side effects or risks.[A181397, A181403] While all statin medications are considered equally effective from a clinical standpoint, [rosuvastatin] is considered the most potent; doses of 10 to 40mg [rosuvastatin] per day were found in clinical studies to result in a 45.8% to 54.6% decrease in LDL cholesterol levels, while simvastatin has been found to have an average decrease in LDL-C of ~35%.[A181409,A181535,A181538,A1793] Potency is thought to correlate to tissue permeability as the more lipophilic statins such as simvastatin are thought to enter endothelial cells by passive diffusion, as opposed to hydrophilic statins such as [pravastatin] and [rosuvastatin] which are taken up into hepatocytes through OATP1B1 (organic anion transporter protein 1B1)-mediated transport.[A181424,A181460] Despite these differences in potency, several trials have demonstrated only minimal differences in terms of clinical outcomes between statins.
Moderate
1
[ [ [ 595, 24, 467 ] ], [ [ 595, 7, 2703 ], [ 2703, 46, 467 ] ], [ [ 595, 7, 4378 ], [ 4378, 57, 467 ] ], [ [ 595, 18, 4360 ], [ 4360, 57, 467 ] ], [ [ 595, 21, 28810 ], [ 28810, 60, 467 ] ], [ [ 595, 63, 367 ], [ 367, 24, 467 ] ], [ [ 595, 24, 1047 ], [ 1047, 63, 467 ] ], [ [ 595, 24, 372 ], [ 372, 24, 467 ] ], [ [ 595, 24, 384 ], [ 384, 64, 467 ] ], [ [ 595, 25, 1510 ], [ 1510, 64, 467 ] ] ]
[ [ [ "Ethionamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Simvastatin" ] ], [ [ "Ethionamide", "{u} (Compound) upregulates {v} (Gene)", "IKZF1" ], [ "IKZF1", "{u} (Gene) is upregulated by {v} (Compound)", "Simvastatin" ] ], [ [ "Ethionamide", "{u} (Compound) upregulates {v} (Gene)", "CTNNAL1" ], [ "CTNNAL1", "{u} (Gene) is downregulated by {v} (Compound)", "Simvastatin" ] ], [ [ "Ethionamide", "{u} (Compound) downregulates {v} (Gene)", "TIMM9" ], [ "TIMM9", "{u} (Gene) is downregulated by {v} (Compound)", "Simvastatin" ] ], [ [ "Ethionamide", "{u} (Compound) causes {v} (Side Effect)", "Gastrointestinal pain" ], [ "Gastrointestinal pain", "{u} (Side Effect) is caused by {v} (Compound)", "Simvastatin" ] ], [ [ "Ethionamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Interferon alfacon-1" ], [ "Interferon alfacon-1", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Simvastatin" ] ], [ [ "Ethionamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trastuzumab emtansine" ], [ "Trastuzumab emtansine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Simvastatin" ] ], [ [ "Ethionamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofarabine" ], [ "Clofarabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Simvastatin" ] ], [ [ "Ethionamide", "{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}", "Simvastatin" ] ], [ [ "Ethionamide", "{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}", "Simvastatin" ] ] ]
Ethionamide (Compound) upregulates IKZF1 (Gene) and IKZF1 (Gene) is upregulated by Simvastatin (Compound) Ethionamide (Compound) upregulates CTNNAL1 (Gene) and CTNNAL1 (Gene) is downregulated by Simvastatin (Compound) Ethionamide (Compound) downregulates TIMM9 (Gene) and TIMM9 (Gene) is downregulated by Simvastatin (Compound) Ethionamide (Compound) causes Gastrointestinal pain (Side Effect) and Gastrointestinal pain (Side Effect) is caused by Simvastatin (Compound) Ethionamide may cause a moderate interaction that could exacerbate diseases when taken with Interferon alfacon-1 and Interferon alfacon-1 may cause a moderate interaction that could exacerbate diseases when taken with Simvastatin Ethionamide may cause a moderate interaction that could exacerbate diseases when taken with Trastuzumab emtansine and Trastuzumab emtansine may cause a moderate interaction that could exacerbate diseases when taken with Simvastatin Ethionamide may cause a moderate interaction that could exacerbate diseases when taken with Clofarabine and Clofarabine may cause a moderate interaction that could exacerbate diseases when taken with Simvastatin Ethionamide 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 Simvastatin Ethionamide 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 Simvastatin
DB01115
DB09330
336
985
[ "DDInter1291", "DDInter1352" ]
Nifedipine
Osimertinib
Nifedipine, or BAY a 1040, is a first generation dihydropyridine L-type calcium channel blocker, similar to [nicardipine].[A190210,A190273,A175390,L11383] Nifedipine was developed by Bayer and first described in the literature, along with other dihydropyridines, in 1972.[A175390,A190276] Since nifedipine's development, second and third generation dihydropyridines have been developed with slower onsets and longer durations of action. The most popular of the third generation dihydropyridines is [amlodipine]. Nifedipine was granted FDA approval on 31 December 1981.
Osimertinib is an oral, third-generation epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor (TKI) drug developed by AstraZeneca Pharmaceuticals.[A7926,L43453] Its use is indicated for the treatment of metastatic non-small cell lung cancer (NSCLC) in cases where tumour EGFR expression is positive for the T790M mutation as detected by FDA-approved testing and which has progressed following therapy with a first-generation EGFR tyrosine kinase inhibitor. Approximately 10% of patients with NSCLC have a rapid and clinically effective response to EGFR-TKIs due to the presence of specific activating EGFR mutations within the tumour cells. More specifically, deletions around the LREA motif in exon 19 and exon 21 L858R point mutations are correlated with response to therapy. Development of third-generation EGFR-TKIs, such as osimertinib, has been in response to altered tumour resistance patterns following treatment and toxic side effects that impact patient quality of life. Treatment with first-generation EGFR-TKIs (gefitinib and erlotinib) has been associated with the development of resistance through activating mutations in the EGFR gene. Second-generation EGFR-TKIs (afatinib and dacomitinib) were then developed to be more potent inhibitors, although their use is associated with increased toxicity through nonspecific targeting of wild-type EGFR. In contrast, third-generation inhibitors are specific for the gate-keeper T790M mutations which increases ATP binding activity to EGFR and result in poor prognosis for late-stage disease. Furthermore, osimertinib has been shown to spare wild-type EGFR during therapy, thereby reducing non-specific binding and limiting toxicity.[A7926,A7927,A7931]
Moderate
1
[ [ [ 336, 24, 985 ] ], [ [ 336, 24, 1478 ], [ 1478, 24, 985 ] ], [ [ 336, 24, 119 ], [ 119, 63, 985 ] ], [ [ 336, 63, 58 ], [ 58, 24, 985 ] ], [ [ 336, 23, 578 ], [ 578, 24, 985 ] ], [ [ 336, 23, 466 ], [ 466, 63, 985 ] ], [ [ 336, 62, 1031 ], [ 1031, 24, 985 ] ], [ [ 336, 63, 11 ], [ 11, 25, 985 ] ], [ [ 336, 24, 594 ], [ 594, 25, 985 ] ], [ [ 336, 24, 484 ], [ 484, 64, 985 ] ] ]
[ [ [ "Nifedipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Osimertinib" ] ], [ [ "Nifedipine", "{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" ] ], [ [ "Nifedipine", "{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}", "Osimertinib" ] ], [ [ "Nifedipine", "{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}", "Osimertinib" ] ], [ [ "Nifedipine", "{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}", "Osimertinib" ] ], [ [ "Nifedipine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Darolutamide" ], [ "Darolutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Osimertinib" ] ], [ [ "Nifedipine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Theophylline" ], [ "Theophylline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Osimertinib" ] ], [ [ "Nifedipine", "{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}", "Osimertinib" ] ], [ [ "Nifedipine", "{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" ] ], [ [ "Nifedipine", "{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" ] ] ]
Nifedipine 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 Nifedipine 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 Osimertinib Nifedipine 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 Osimertinib Nifedipine 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 Osimertinib Nifedipine may cause a minor interaction that can limit clinical effects when taken with Darolutamide and Darolutamide may cause a moderate interaction that could exacerbate diseases when taken with Osimertinib Nifedipine may cause a minor interaction that can limit clinical effects when taken with Theophylline and Theophylline may cause a moderate interaction that could exacerbate diseases when taken with Osimertinib Nifedipine 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 Osimertinib Nifedipine 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 Nifedipine 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
DB00405
DB00776
128
1,335
[ "DDInter517", "DDInter1360" ]
Dexbrompheniramine
Oxcarbazepine
Dexbrompheniramine maleate is an antihistamine agent that is used for the treatment of allergic conditions, such as hay fever or urticaria.
Oxcarbazepine is an anti-epileptic medication used in the treatment of partial onset seizures that was first approved for use in the United States in 2000.[L8627,L8630,L8633] It is a structural derivative of [carbamazepine] and exerts a majority of its activity via a pharmacologically active metabolite, MHD, which exists as a racemate in the blood - a pro-drug of the more active (S)-enantiomer is also marketed as a separate anti-epileptic under the name [eslicarbazepine]. Compared to other anti-epileptic drugs, which are generally metabolized via the cytochrome P450 system, oxcarbazepine has a reduced propensity for involvement in drug-drug interactions owing to its primarily reductive metabolism.
Moderate
1
[ [ [ 128, 24, 1335 ] ], [ [ 128, 24, 1264 ], [ 1264, 63, 1335 ] ], [ [ 128, 24, 1236 ], [ 1236, 1, 1335 ] ], [ [ 128, 63, 902 ], [ 902, 40, 1335 ] ], [ [ 128, 63, 21 ], [ 21, 1, 1335 ] ], [ [ 128, 24, 662 ], [ 662, 24, 1335 ] ], [ [ 128, 63, 475 ], [ 475, 24, 1335 ] ], [ [ 128, 74, 1594 ], [ 1594, 24, 1335 ] ], [ [ 128, 24, 1053 ], [ 1053, 64, 1335 ] ], [ [ 128, 24, 1264 ], [ 1264, 63, 1605 ], [ 1605, 1, 1335 ] ] ]
[ [ [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxcarbazepine" ] ], [ [ "Dexbrompheniramine", "{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}", "Oxcarbazepine" ] ], [ [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carbamazepine" ], [ "Carbamazepine", "{u} (Compound) resembles {v} (Compound)", "Oxcarbazepine" ] ], [ [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clobazam" ], [ "Clobazam", "{u} (Compound) resembles {v} (Compound)", "Oxcarbazepine" ] ], [ [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amitriptyline" ], [ "Amitriptyline", "{u} (Compound) resembles {v} (Compound)", "Oxcarbazepine" ] ], [ [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carbinoxamine" ], [ "Carbinoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxcarbazepine" ] ], [ [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Morphine" ], [ "Morphine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxcarbazepine" ] ], [ [ "Dexbrompheniramine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxylamine" ], [ "Doxylamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxcarbazepine" ] ], [ [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Procarbazine" ], [ "Procarbazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Oxcarbazepine" ] ], [ [ "Dexbrompheniramine", "{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}", "Indapamide" ], [ "Indapamide", "{u} (Compound) resembles {v} (Compound)", "Oxcarbazepine" ] ] ]
Dexbrompheniramine 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 Oxcarbazepine Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Carbamazepine and Carbamazepine (Compound) resembles Oxcarbazepine (Compound) Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Clobazam and Clobazam (Compound) resembles Oxcarbazepine (Compound) Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Amitriptyline and Amitriptyline (Compound) resembles Oxcarbazepine (Compound) Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Carbinoxamine and Carbinoxamine may cause a moderate interaction that could exacerbate diseases when taken with Oxcarbazepine Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Morphine and Morphine may cause a moderate interaction that could exacerbate diseases when taken with Oxcarbazepine Dexbrompheniramine (Compound) resembles Doxylamine (Compound) and Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Doxylamine and Doxylamine may cause a moderate interaction that could exacerbate diseases when taken with Oxcarbazepine Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Procarbazine and Procarbazine may lead to a major life threatening interaction when taken with Oxcarbazepine Dexbrompheniramine 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 Indapamide and Indapamide (Compound) resembles Oxcarbazepine (Compound)
DB01174
DB09291
697
741
[ "DDInter1442", "DDInter1615" ]
Phenobarbital
Rolapitant
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.
Rolapitant is a potent, highly selective, long-acting Neurokinin-1 (NK-1) receptor antagonist approved for the prevention of delayed chemotherapy-induced nausea and vomiting (CINV) in adults. Delayed-phase CINV typically occurs >24 hours after chemotherapy treatment and is principally mediated by Neurokinin-1 and its ligand Substance P, which is released in the gut following chemotherapy administration. Neurokinin-1 is also known as Tachykinin Receptor 1 (TACR1), Neurokinin 1 Receptor (NK1R), and Substance P Receptor (SPR). By blocking Substance P from interacting with NK-1 receptors in the gut and the central nervous system, rolapitant prevents late-phase CINV. Unlike other available NK-1 receptor antagonists, rolapitant is not an inhibitor of Cytochrome P450 enzyme CYP3A4 and has a long elimination half-life, allowing a single dose to prevent both acute and late-phase CINV during the first 120 hours post-chemotherapy.
Major
2
[ [ [ 697, 25, 741 ] ], [ [ 697, 25, 1135 ], [ 1135, 23, 741 ] ], [ [ 697, 63, 506 ], [ 506, 24, 741 ] ], [ [ 697, 25, 159 ], [ 159, 63, 741 ] ], [ [ 697, 25, 1496 ], [ 1496, 24, 741 ] ], [ [ 697, 24, 973 ], [ 973, 24, 741 ] ], [ [ 697, 62, 1101 ], [ 1101, 24, 741 ] ], [ [ 697, 24, 710 ], [ 710, 63, 741 ] ], [ [ 697, 64, 629 ], [ 629, 24, 741 ] ], [ [ 697, 40, 1023 ], [ 1023, 24, 741 ] ] ]
[ [ [ "Phenobarbital", "{u} may lead to a major life threatening interaction when taken with {v}", "Rolapitant" ] ], [ [ "Phenobarbital", "{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}", "Rolapitant" ] ], [ [ "Phenobarbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dextromethorphan" ], [ "Dextromethorphan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rolapitant" ] ], [ [ "Phenobarbital", "{u} may lead to a major life threatening interaction when taken with {v}", "Larotrectinib" ], [ "Larotrectinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rolapitant" ] ], [ [ "Phenobarbital", "{u} may lead to a major life threatening interaction when taken with {v}", "Nintedanib" ], [ "Nintedanib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rolapitant" ] ], [ [ "Phenobarbital", "{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}", "Rolapitant" ] ], [ [ "Phenobarbital", "{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}", "Rolapitant" ] ], [ [ "Phenobarbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Binimetinib" ], [ "Binimetinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rolapitant" ] ], [ [ "Phenobarbital", "{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}", "Rolapitant" ] ], [ [ "Phenobarbital", "{u} (Compound) resembles {v} (Compound)", "Pentobarbital" ], [ "Pentobarbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rolapitant" ] ] ]
Phenobarbital 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 Rolapitant Phenobarbital may cause a moderate interaction that could exacerbate diseases when taken with Dextromethorphan and Dextromethorphan may cause a moderate interaction that could exacerbate diseases when taken with Rolapitant Phenobarbital may lead to a major life threatening interaction when taken with Larotrectinib and Larotrectinib may cause a moderate interaction that could exacerbate diseases when taken with Rolapitant Phenobarbital may lead to a major life threatening interaction when taken with Nintedanib and Nintedanib may cause a moderate interaction that could exacerbate diseases when taken with Rolapitant Phenobarbital 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 Rolapitant Phenobarbital 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 Rolapitant Phenobarbital may cause a moderate interaction that could exacerbate diseases when taken with Binimetinib and Binimetinib may cause a moderate interaction that could exacerbate diseases when taken with Rolapitant Phenobarbital 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 Rolapitant Phenobarbital (Compound) resembles Pentobarbital (Compound) and Pentobarbital may cause a moderate interaction that could exacerbate diseases when taken with Rolapitant
DB00413
DB00902
1,346
104
[ "DDInter1505", "DDInter1168" ]
Pramipexole
Methdilazine
Pramipexole is a drug used to treat the symptoms of Parkinson's Disease (PD). It is a _non-ergot dopamine agonist_ drug that is efficacious in treating various Parkinson's symptoms such as tremor, rigidity, and bradykinesia (slow movement). It was first approved by the FDA in 1997. Parkinson's Disease is one of the most common neurodegenerative disorders and causes a high level of disability in patients, leading to increased difficulty in performing activities of daily living due to symptoms that progress over time. The prevalence of Parkinson's Disease worldwide has increased from approximately 2.5 million in 1990 to about 6.1 million in 2016. This increase may be attributed to an aging population along with other contributing factors. In addition to the above FDA approval for Parkinson's Disease, pramipexole was also approved by the FDA in 2006 for the treatment of Restless Legs Syndrome (
Methdilazine is a phenothiazine compound with antihistaminic activity. It is used in the treatment of various dermatoses to relieve pruritus.
Moderate
1
[ [ [ 1346, 24, 104 ] ], [ [ 1346, 24, 13 ], [ 13, 24, 104 ] ], [ [ 1346, 24, 820 ], [ 820, 1, 104 ] ], [ [ 1346, 24, 537 ], [ 537, 40, 104 ] ], [ [ 1346, 24, 401 ], [ 401, 63, 104 ] ], [ [ 1346, 63, 475 ], [ 475, 24, 104 ] ], [ [ 1346, 24, 1311 ], [ 1311, 64, 104 ] ], [ [ 1346, 24, 13 ], [ 13, 40, 11286 ], [ 11286, 1, 104 ] ], [ [ 1346, 24, 537 ], [ 537, 63, 13 ], [ 13, 24, 104 ] ], [ [ 1346, 63, 475 ], [ 475, 24, 13 ], [ 13, 24, 104 ] ] ]
[ [ [ "Pramipexole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methdilazine" ] ], [ [ "Pramipexole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyproheptadine" ], [ "Cyproheptadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methdilazine" ] ], [ [ "Pramipexole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alimemazine" ], [ "Alimemazine", "{u} (Compound) resembles {v} (Compound)", "Methdilazine" ] ], [ [ "Pramipexole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyclizine" ], [ "Cyclizine", "{u} (Compound) resembles {v} (Compound)", "Methdilazine" ] ], [ [ "Pramipexole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promethazine" ], [ "Promethazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methdilazine" ] ], [ [ "Pramipexole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Morphine" ], [ "Morphine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methdilazine" ] ], [ [ "Pramipexole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metoclopramide" ], [ "Metoclopramide", "{u} may lead to a major life threatening interaction when taken with {v}", "Methdilazine" ] ], [ [ "Pramipexole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyproheptadine" ], [ "Cyproheptadine", "{u} (Compound) resembles {v} (Compound)", "Diphenylpyraline" ], [ "Diphenylpyraline", "{u} (Compound) resembles {v} (Compound)", "Methdilazine" ] ], [ [ "Pramipexole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyclizine" ], [ "Cyclizine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyproheptadine" ], [ "Cyproheptadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methdilazine" ] ], [ [ "Pramipexole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Morphine" ], [ "Morphine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyproheptadine" ], [ "Cyproheptadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methdilazine" ] ] ]
Pramipexole may cause a moderate interaction that could exacerbate diseases when taken with Cyproheptadine and Cyproheptadine may cause a moderate interaction that could exacerbate diseases when taken with Methdilazine Pramipexole may cause a moderate interaction that could exacerbate diseases when taken with Alimemazine and Alimemazine (Compound) resembles Methdilazine (Compound) Pramipexole may cause a moderate interaction that could exacerbate diseases when taken with Cyclizine and Cyclizine (Compound) resembles Methdilazine (Compound) Pramipexole may cause a moderate interaction that could exacerbate diseases when taken with Promethazine and Promethazine may cause a moderate interaction that could exacerbate diseases when taken with Methdilazine Pramipexole may cause a moderate interaction that could exacerbate diseases when taken with Morphine and Morphine may cause a moderate interaction that could exacerbate diseases when taken with Methdilazine Pramipexole may cause a moderate interaction that could exacerbate diseases when taken with Metoclopramide and Metoclopramide may lead to a major life threatening interaction when taken with Methdilazine Pramipexole may cause a moderate interaction that could exacerbate diseases when taken with Cyproheptadine and Cyproheptadine (Compound) resembles Diphenylpyraline (Compound) and Diphenylpyraline (Compound) resembles Methdilazine (Compound) Pramipexole may cause a moderate interaction that could exacerbate diseases when taken with Cyclizine and Cyclizine may cause a moderate interaction that could exacerbate diseases when taken with Cyproheptadine and Cyproheptadine may cause a moderate interaction that could exacerbate diseases when taken with Methdilazine Pramipexole may cause a moderate interaction that could exacerbate diseases when taken with Morphine and Morphine may cause a moderate interaction that could exacerbate diseases when taken with Cyproheptadine and Cyproheptadine may cause a moderate interaction that could exacerbate diseases when taken with Methdilazine
DB06206
DB11166
1,268
18
[ "DDInter1719", "DDInter104" ]
Sugammadex
Antithrombin Alfa
Sugammadex is a selective relaxant binding agent indicated for reversal of neuromuscular blockade induced by rocuronium bromide and vecuronium bromide during surgery. Rocuronium bromide and vecuronium bromide are neuromuscular blocking medications that cause temporary paralysis and are especially useful for general anesthesia, ventilation, or tracheal intubation that patients may require for surgery. Sugammadex provides a new treatment option to reverse the effects of those medications and possibly help patients recover sooner post-surgery. Sugammadex (brand name Bridion) is marketed by Merck Sharp and Dohme, and was approved by the United States FDA on December 15, 2015.
Antithrombin Alfa is a recombinant antithrombin , an anticoagulant, that is used for the prevention of thromboembolic events in patients that have hereditary deficiency of antithrombin in high risk situations.
Moderate
1
[ [ [ 1268, 24, 18 ] ], [ [ 1268, 24, 1409 ], [ 1409, 25, 18 ] ], [ [ 1268, 24, 1421 ], [ 1421, 64, 18 ] ], [ [ 1268, 63, 553 ], [ 553, 25, 18 ] ], [ [ 1268, 24, 1409 ], [ 1409, 63, 1595 ], [ 1595, 24, 18 ] ], [ [ 1268, 63, 553 ], [ 553, 63, 1595 ], [ 1595, 24, 18 ] ], [ [ 1268, 24, 1409 ], [ 1409, 24, 116 ], [ 116, 24, 18 ] ], [ [ 1268, 63, 553 ], [ 553, 24, 116 ], [ 116, 24, 18 ] ], [ [ 1268, 63, 11 ], [ 11, 24, 4 ], [ 4, 25, 18 ] ], [ [ 1268, 24, 1409 ], [ 1409, 64, 714 ], [ 714, 24, 18 ] ] ]
[ [ [ "Sugammadex", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Antithrombin Alfa" ] ], [ [ "Sugammadex", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apixaban" ], [ "Apixaban", "{u} may lead to a major life threatening interaction when taken with {v}", "Antithrombin Alfa" ] ], [ [ "Sugammadex", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Betrixaban" ], [ "Betrixaban", "{u} may lead to a major life threatening interaction when taken with {v}", "Antithrombin Alfa" ] ], [ [ "Sugammadex", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fondaparinux" ], [ "Fondaparinux", "{u} may lead to a major life threatening interaction when taken with {v}", "Antithrombin Alfa" ] ], [ [ "Sugammadex", "{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}", "Collagenase clostridium histolyticum" ], [ "Collagenase clostridium histolyticum", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Antithrombin Alfa" ] ], [ [ "Sugammadex", "{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}", "Collagenase clostridium histolyticum" ], [ "Collagenase clostridium histolyticum", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Antithrombin Alfa" ] ], [ [ "Sugammadex", "{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}", "Iodide I-131" ], [ "Iodide I-131", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Antithrombin Alfa" ] ], [ [ "Sugammadex", "{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}", "Iodide I-131" ], [ "Iodide I-131", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Antithrombin Alfa" ] ], [ [ "Sugammadex", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Toremifene" ], [ "Toremifene", "{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}", "Antithrombin Alfa" ] ], [ [ "Sugammadex", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apixaban" ], [ "Apixaban", "{u} may lead to a major life threatening interaction when taken with {v}", "Iloprost" ], [ "Iloprost", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Antithrombin Alfa" ] ] ]
Sugammadex may cause a moderate interaction that could exacerbate diseases when taken with Apixaban and Apixaban may lead to a major life threatening interaction when taken with Antithrombin Alfa Sugammadex may cause a moderate interaction that could exacerbate diseases when taken with Betrixaban and Betrixaban may lead to a major life threatening interaction when taken with Antithrombin Alfa Sugammadex may cause a moderate interaction that could exacerbate diseases when taken with Fondaparinux and Fondaparinux may lead to a major life threatening interaction when taken with Antithrombin Alfa Sugammadex 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 Collagenase clostridium histolyticum and Collagenase clostridium histolyticum may cause a moderate interaction that could exacerbate diseases when taken with Antithrombin Alfa Sugammadex 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 Collagenase clostridium histolyticum and Collagenase clostridium histolyticum may cause a moderate interaction that could exacerbate diseases when taken with Antithrombin Alfa Sugammadex 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 Iodide I-131 and Iodide I-131 may cause a moderate interaction that could exacerbate diseases when taken with Antithrombin Alfa Sugammadex 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 Iodide I-131 and Iodide I-131 may cause a moderate interaction that could exacerbate diseases when taken with Antithrombin Alfa Sugammadex may cause a moderate interaction that could exacerbate diseases when taken with Toremifene and Toremifene 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 Antithrombin Alfa Sugammadex may cause a moderate interaction that could exacerbate diseases when taken with Apixaban and Apixaban may lead to a major life threatening interaction when taken with Iloprost and Iloprost may cause a moderate interaction that could exacerbate diseases when taken with Antithrombin Alfa
DB00188
DB04845
168
309
[ "DDInter222", "DDInter1001" ]
Bortezomib
Ixabepilone
Bortezomib is a dipeptide boronic acid derivative and proteasome inhibitor used to treat multiple myeloma and mantle cell lymphoma. The 26S proteasome is a protein complex that degrades ubiquitinated proteins in the ubiquitin-proteasome pathway: reversible inhibition of the 26S proteasome, leading to cell cycle arrest and apoptosis of cancer cells, is thought to be the main mechanism of action of bortezomib. However, multiple mechanisms may be involved in the anticancer activity of bortezomib. Bortezomib was first synthesized in 1995. In May 2003, bortezomib became the first anticancer proteasome inhibitor that was approved by the FDA under the trade name VELCADE. Phase I, II, III, and IV clinical trials are undergoing to investigate the therapeutic efficacy of bortezomib in leukemia, myasthenia gravis, systemic
Ixabepilone is an epothilone B analog developed by Bristol-Myers Squibb as a cancer drug. It was FDA approved on October 16, 2007, for the treatment of unresponsive aggressive metastatic or locally advanced breast cancer. Ixabepilone is administered through injection, and will be marketed under the trade name Ixempra. Ixabepilone is a semisynthetic analogue of epothilone B. It has a lactone–lactam modification that minimizes susceptibility to esterase degradation.
Moderate
1
[ [ [ 168, 24, 309 ] ], [ [ 168, 6, 8374 ], [ 8374, 45, 309 ] ], [ [ 168, 21, 28736 ], [ 28736, 60, 309 ] ], [ [ 168, 23, 307 ], [ 307, 23, 309 ] ], [ [ 168, 24, 139 ], [ 139, 24, 309 ] ], [ [ 168, 23, 1249 ], [ 1249, 24, 309 ] ], [ [ 168, 24, 68 ], [ 68, 63, 309 ] ], [ [ 168, 25, 697 ], [ 697, 24, 309 ] ], [ [ 168, 23, 98 ], [ 98, 63, 309 ] ], [ [ 168, 63, 66 ], [ 66, 24, 309 ] ] ]
[ [ [ "Bortezomib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ixabepilone" ] ], [ [ "Bortezomib", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Ixabepilone" ] ], [ [ "Bortezomib", "{u} (Compound) causes {v} (Side Effect)", "Dehydration" ], [ "Dehydration", "{u} (Side Effect) is caused by {v} (Compound)", "Ixabepilone" ] ], [ [ "Bortezomib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Modafinil" ], [ "Modafinil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ixabepilone" ] ], [ [ "Bortezomib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zidovudine" ], [ "Zidovudine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ixabepilone" ] ], [ [ "Bortezomib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Nafcillin" ], [ "Nafcillin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ixabepilone" ] ], [ [ "Bortezomib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Troleandomycin" ], [ "Troleandomycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ixabepilone" ] ], [ [ "Bortezomib", "{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}", "Ixabepilone" ] ], [ [ "Bortezomib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Somatrem" ], [ "Somatrem", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ixabepilone" ] ], [ [ "Bortezomib", "{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}", "Ixabepilone" ] ] ]
Bortezomib (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Ixabepilone (Compound) Bortezomib (Compound) causes Dehydration (Side Effect) and Dehydration (Side Effect) is caused by Ixabepilone (Compound) Bortezomib may cause a minor interaction that can limit clinical effects when taken with Modafinil and Modafinil may cause a minor interaction that can limit clinical effects when taken with Ixabepilone Bortezomib may cause a moderate interaction that could exacerbate diseases when taken with Zidovudine and Zidovudine may cause a moderate interaction that could exacerbate diseases when taken with Ixabepilone Bortezomib may cause a minor interaction that can limit clinical effects when taken with Nafcillin and Nafcillin may cause a moderate interaction that could exacerbate diseases when taken with Ixabepilone Bortezomib may cause a moderate interaction that could exacerbate diseases when taken with Troleandomycin and Troleandomycin may cause a moderate interaction that could exacerbate diseases when taken with Ixabepilone Bortezomib 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 Ixabepilone Bortezomib may cause a minor interaction that can limit clinical effects when taken with Somatrem and Somatrem may cause a moderate interaction that could exacerbate diseases when taken with Ixabepilone Bortezomib 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 Ixabepilone
DB00242
DB14711
1,064
779
[ "DDInter392", "DDInter1680" ]
Cladribine
Smallpox (Vaccinia) Vaccine, Live
An antineoplastic agent used in the treatment of lymphoproliferative diseases including hairy-cell leukemia.
The New York City Board of Health strain of _Vaccinia_ is a viral strain used as a component of some smallpox vaccinations. ACAM2000, a percutaneously administered smallpox vaccine that was approved by the FDA in 2007, contains live antigens of this strain.
Major
2
[ [ [ 1064, 25, 779 ] ], [ [ 1064, 25, 478 ], [ 478, 25, 779 ] ], [ [ 1064, 64, 168 ], [ 168, 25, 779 ] ], [ [ 1064, 25, 994 ], [ 994, 64, 779 ] ], [ [ 1064, 36, 1083 ], [ 1083, 25, 779 ] ], [ [ 1064, 37, 1224 ], [ 1224, 25, 779 ] ], [ [ 1064, 24, 869 ], [ 869, 25, 779 ] ], [ [ 1064, 25, 478 ], [ 478, 64, 1377 ], [ 1377, 25, 779 ] ], [ [ 1064, 25, 1377 ], [ 1377, 25, 478 ], [ 478, 25, 779 ] ], [ [ 1064, 25, 147 ], [ 147, 24, 478 ], [ 478, 25, 779 ] ] ]
[ [ [ "Cladribine", "{u} may lead to a major life threatening interaction when taken with {v}", "Smallpox (Vaccinia) Vaccine, Live" ] ], [ [ "Cladribine", "{u} may lead to a major life threatening interaction when taken with {v}", "Nilotinib" ], [ "Nilotinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Smallpox (Vaccinia) Vaccine, Live" ] ], [ [ "Cladribine", "{u} may lead to a major life threatening interaction when taken with {v}", "Bortezomib" ], [ "Bortezomib", "{u} may lead to a major life threatening interaction when taken with {v}", "Smallpox (Vaccinia) Vaccine, Live" ] ], [ [ "Cladribine", "{u} may lead to a major life threatening interaction when taken with {v}", "Risankizumab" ], [ "Risankizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Smallpox (Vaccinia) Vaccine, Live" ] ], [ [ "Cladribine", "{u} (Compound) resembles {v} (Compound) and {u} may lead to a major life threatening interaction when taken with {v}", "Trifluridine" ], [ "Trifluridine", "{u} may lead to a major life threatening interaction when taken with {v}", "Smallpox (Vaccinia) Vaccine, Live" ] ], [ [ "Cladribine", "{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}", "Cytarabine" ], [ "Cytarabine", "{u} may lead to a major life threatening interaction when taken with {v}", "Smallpox (Vaccinia) Vaccine, Live" ] ], [ [ "Cladribine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Topotecan" ], [ "Topotecan", "{u} may lead to a major life threatening interaction when taken with {v}", "Smallpox (Vaccinia) Vaccine, Live" ] ], [ [ "Cladribine", "{u} may lead to a major life threatening interaction when taken with {v}", "Nilotinib" ], [ "Nilotinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Leflunomide" ], [ "Leflunomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Smallpox (Vaccinia) Vaccine, Live" ] ], [ [ "Cladribine", "{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}", "Nilotinib" ], [ "Nilotinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Smallpox (Vaccinia) Vaccine, Live" ] ], [ [ "Cladribine", "{u} may lead to a major life threatening interaction when taken with {v}", "Vinblastine" ], [ "Vinblastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nilotinib" ], [ "Nilotinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Smallpox (Vaccinia) Vaccine, Live" ] ] ]
Cladribine may lead to a major life threatening interaction when taken with Nilotinib and Nilotinib may lead to a major life threatening interaction when taken with Smallpox (Vaccinia) Vaccine, Live Cladribine may lead to a major life threatening interaction when taken with Bortezomib and Bortezomib may lead to a major life threatening interaction when taken with Smallpox (Vaccinia) Vaccine, Live Cladribine may lead to a major life threatening interaction when taken with Risankizumab and Risankizumab may lead to a major life threatening interaction when taken with Smallpox (Vaccinia) Vaccine, Live Cladribine (Compound) resembles Trifluridine (Compound) and Cladribine may lead to a major life threatening interaction when taken with Trifluridine and Trifluridine may lead to a major life threatening interaction when taken with Smallpox (Vaccinia) Vaccine, Live Cladribine may cause a moderate interaction that could exacerbate diseases when taken with Cytarabine and Cladribine may lead to a major life threatening interaction when taken with Cytarabine and Cytarabine may lead to a major life threatening interaction when taken with Smallpox (Vaccinia) Vaccine, Live Cladribine may cause a moderate interaction that could exacerbate diseases when taken with Topotecan and Topotecan may lead to a major life threatening interaction when taken with Smallpox (Vaccinia) Vaccine, Live Cladribine may lead to a major life threatening interaction when taken with Nilotinib and Nilotinib may lead to a major life threatening interaction when taken with Leflunomide and Leflunomide may lead to a major life threatening interaction when taken with Smallpox (Vaccinia) Vaccine, Live Cladribine 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 Nilotinib and Nilotinib may lead to a major life threatening interaction when taken with Smallpox (Vaccinia) Vaccine, Live Cladribine may lead to a major life threatening interaction when taken with Vinblastine and Vinblastine may cause a moderate interaction that could exacerbate diseases when taken with Nilotinib and Nilotinib may lead to a major life threatening interaction when taken with Smallpox (Vaccinia) Vaccine, Live
DB00501
DB00643
752
1,370
[ "DDInter380", "DDInter1128" ]
Cimetidine
Mebendazole
A histamine congener, it competitively inhibits histamine binding to histamine H2 receptors. Cimetidine has a range of pharmacological actions. It inhibits gastric acid secretion, as well as pepsin and gastrins output. It also blocks the activity of cytochrome P-450 which might explain proposals for use in neoadjuvant therapy.
A benzimidazole that acts by interfering with carbohydrate metabolism and inhibiting polymerization of microtubules. [PubChem]
Minor
0
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[ [ [ "Cimetidine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Mebendazole" ] ], [ [ "Cimetidine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Albendazole" ], [ "Albendazole", "{u} (Compound) resembles {v} (Compound)", "Mebendazole" ] ], [ [ "Cimetidine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ketorolac" ], [ "Ketorolac", "{u} (Compound) resembles {v} (Compound)", "Mebendazole" ] ], [ [ "Cimetidine", "{u} (Compound) binds {v} (Gene)", "ABCB1" ], [ "ABCB1", "{u} (Gene) is bound by {v} (Compound)", "Mebendazole" ] ], [ [ "Cimetidine", "{u} (Compound) downregulates {v} (Gene)", "PIN1" ], [ "PIN1", "{u} (Gene) is downregulated by {v} (Compound)", "Mebendazole" ] ], [ [ "Cimetidine", "{u} (Compound) causes {v} (Side Effect)", "Rash" ], [ "Rash", "{u} (Side Effect) is caused by {v} (Compound)", "Mebendazole" ] ], [ [ "Cimetidine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Phenobarbital" ], [ "Phenobarbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mebendazole" ] ], [ [ "Cimetidine", "{u} may lead to a major life threatening interaction when taken with {v}", "Phenytoin" ], [ "Phenytoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mebendazole" ] ], [ [ "Cimetidine", "{u} may lead to a major life threatening interaction when taken with {v}", "Fosphenytoin" ], [ "Fosphenytoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mebendazole" ] ], [ [ "Cimetidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carbamazepine" ], [ "Carbamazepine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mebendazole" ] ] ]
Cimetidine may cause a minor interaction that can limit clinical effects when taken with Albendazole and Albendazole (Compound) resembles Mebendazole (Compound) Cimetidine may cause a minor interaction that can limit clinical effects when taken with Ketorolac and Ketorolac (Compound) resembles Mebendazole (Compound) Cimetidine (Compound) binds ABCB1 (Gene) and ABCB1 (Gene) is bound by Mebendazole (Compound) Cimetidine (Compound) downregulates PIN1 (Gene) and PIN1 (Gene) is downregulated by Mebendazole (Compound) Cimetidine (Compound) causes Rash (Side Effect) and Rash (Side Effect) is caused by Mebendazole (Compound) Cimetidine may cause a minor interaction that can limit clinical effects when taken with Phenobarbital and Phenobarbital may cause a moderate interaction that could exacerbate diseases when taken with Mebendazole Cimetidine may lead to a major life threatening interaction when taken with Phenytoin and Phenytoin may cause a moderate interaction that could exacerbate diseases when taken with Mebendazole Cimetidine may lead to a major life threatening interaction when taken with Fosphenytoin and Fosphenytoin may cause a moderate interaction that could exacerbate diseases when taken with Mebendazole Cimetidine may cause a moderate interaction that could exacerbate diseases when taken with Carbamazepine and Carbamazepine may cause a moderate interaction that could exacerbate diseases when taken with Mebendazole
DB01234
DB12095
1,220
179
[ "DDInter513", "DDInter1760" ]
Dexamethasone
Telotristat ethyl
Dexamethasone, or MK-125, is a corticosteroid fluorinated at position 9 used to treat endocrine, rheumatic, collagen, dermatologic, allergic, ophthalmic, gastrointestinal, respiratory, hematologic, neoplastic, edematous, and other conditions. Developed in 1957, it is structurally similar to other corticosteroids like [hydrocortisone] and [prednisolone]. Dexamethasone was granted FDA approval on 30 October 1958. In a press release for the Randomized Evaluation of COVID-19 Therapy (RECOVERY) trial on 16 June 2020, dexamethasone was recommended for use in COVID-19 patients with severe respiratory symptoms. Dexamethasone reduced deaths by approximately one third in patients requiring ventilation and by one fifth in those requiring oxygen.
Telotristat ethyl is a prodrug of telotristat that was approved by the FDA in March 2017 as Xermelo. It was previously referred to as telotristat etiprate, the hippurate salt form; however, the FDA recommends the use of the name of the neutral form rather than that of the salt.[A252937, A252942] Currently, telotristat ethyl is used to treat carcinoid syndrome diarrhea from neuroendocrine tumors that are inadequately controlled by short-acting somatostatin analog (SSA) treatment. Neuroendocrine cells are cells that secrete regulatory peptides and biogenic amines in response to chemical, neural, or other types of stimuli. Neuroendocrine tumors (NET) arising from these cells can therefore secrete chemical mediators into the bloodstream to cause side effects in distant sites, a phenomenon called carcinoid syndrome. The most common peptides and amines secreted by NET are histamines, tachykinins, kallikrein, and serotonin. Overexposure to serotonin can cause severe diarrhea, one of the main clinical symptoms of carcinoid syndrome. Serotonin is metabolized in the urinary metabolite 5-hydroxy indole acetic acid (u5-HIAA), and high levels of u5-HIAA is associated with poor survival outcome in patients with NET. The first line treatment of carcinoid syndrome diarrhea is SSA, but symptoms still reoccur over the course of the disease.
Moderate
1
[ [ [ 1220, 24, 179 ] ], [ [ 1220, 63, 79 ], [ 79, 24, 179 ] ], [ [ 1220, 24, 214 ], [ 214, 24, 179 ] ], [ [ 1220, 25, 1213 ], [ 1213, 24, 179 ] ], [ [ 1220, 25, 283 ], [ 283, 63, 179 ] ], [ [ 1220, 64, 593 ], [ 593, 24, 179 ] ], [ [ 1220, 62, 510 ], [ 510, 24, 179 ] ], [ [ 1220, 1, 175 ], [ 175, 24, 179 ] ], [ [ 1220, 24, 877 ], [ 877, 63, 179 ] ], [ [ 1220, 40, 167 ], [ 167, 24, 179 ] ] ]
[ [ [ "Dexamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Telotristat ethyl" ] ], [ [ "Dexamethasone", "{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}", "Telotristat ethyl" ] ], [ [ "Dexamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostamatinib" ], [ "Fostamatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Telotristat ethyl" ] ], [ [ "Dexamethasone", "{u} may lead to a major life threatening interaction when taken with {v}", "Dasatinib" ], [ "Dasatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Telotristat ethyl" ] ], [ [ "Dexamethasone", "{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}", "Telotristat ethyl" ] ], [ [ "Dexamethasone", "{u} may lead to a major life threatening interaction when taken with {v}", "Bupropion" ], [ "Bupropion", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Telotristat ethyl" ] ], [ [ "Dexamethasone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Albendazole" ], [ "Albendazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Telotristat ethyl" ] ], [ [ "Dexamethasone", "{u} (Compound) resembles {v} (Compound)", "Triamcinolone" ], [ "Triamcinolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Telotristat ethyl" ] ], [ [ "Dexamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Macimorelin" ], [ "Macimorelin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Telotristat ethyl" ] ], [ [ "Dexamethasone", "{u} (Compound) resembles {v} (Compound)", "Hydrocortisone" ], [ "Hydrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Telotristat ethyl" ] ] ]
Dexamethasone 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 Telotristat ethyl Dexamethasone may cause a moderate interaction that could exacerbate diseases when taken with Fostamatinib and Fostamatinib may cause a moderate interaction that could exacerbate diseases when taken with Telotristat ethyl Dexamethasone may lead to a major life threatening interaction when taken with Dasatinib and Dasatinib may cause a moderate interaction that could exacerbate diseases when taken with Telotristat ethyl Dexamethasone 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 Telotristat ethyl Dexamethasone may lead to a major life threatening interaction when taken with Bupropion and Bupropion may cause a moderate interaction that could exacerbate diseases when taken with Telotristat ethyl Dexamethasone may cause a minor interaction that can limit clinical effects when taken with Albendazole and Albendazole may cause a moderate interaction that could exacerbate diseases when taken with Telotristat ethyl Dexamethasone (Compound) resembles Triamcinolone (Compound) and Triamcinolone may cause a moderate interaction that could exacerbate diseases when taken with Telotristat ethyl Dexamethasone may cause a moderate interaction that could exacerbate diseases when taken with Macimorelin and Macimorelin may cause a moderate interaction that could exacerbate diseases when taken with Telotristat ethyl Dexamethasone (Compound) resembles Hydrocortisone (Compound) and Hydrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Telotristat ethyl
DB00005
DB10316
1,057
334
[ "DDInter687", "DDInter1248" ]
Etanercept
Mumps virus strain B level jeryl lynn live antigen
Dimeric fusion protein consisting of the extracellular ligand-binding portion of the human 75 kilodalton (p75) tumor necrosis factor receptor (TNFR) linked to the Fc portion of human IgG1.[L14862,A216522] The Fc component of etanercept contains the CH2 domain, the CH3 domain and hinge region, but not the CH1 domain of IgG1. Etanercept is produced by recombinant DNA technology in a Chinese hamster ovary (CHO) mammalian cell expression system. It consists of 934 amino acids. It is used to treat or manage a variety of inflammatory conditions including rheumatoid arthritis (RA), ankylosing spondylitis (AS), and juvenile idiopathic poly-articular arthritis (JIA).
Mumps virus strain B level jeryl lynn live antigen is a live attenuated virus vaccine for subcutenous injection. It is an active immunization against mumps, which is a common childhood disease.
Major
2
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[ [ [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Mumps virus strain B level jeryl lynn live antigen" ] ], [ [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Tetracosactide" ], [ "Tetracosactide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mumps virus strain B level jeryl lynn live antigen" ] ], [ [ "Etanercept", "{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}", "Mumps virus strain B level jeryl lynn live antigen" ] ], [ [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Durvalumab" ], [ "Durvalumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Mumps virus strain B level jeryl lynn live antigen" ] ], [ [ "Etanercept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alemtuzumab" ], [ "Alemtuzumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Mumps virus strain B level jeryl lynn live antigen" ] ], [ [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Denileukin diftitox" ], [ "Denileukin diftitox", "{u} may lead to a major life threatening interaction when taken with {v}", "Mumps virus strain B level jeryl lynn live antigen" ] ], [ [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Tetracosactide" ], [ "Tetracosactide", "{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}", "Mumps virus strain B level jeryl lynn live antigen" ] ], [ [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Budesonide" ], [ "Budesonide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Durvalumab" ], [ "Durvalumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Mumps virus strain B level jeryl lynn live antigen" ] ], [ [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Durvalumab" ], [ "Durvalumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Budesonide" ], [ "Budesonide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mumps virus strain B level jeryl lynn live antigen" ] ], [ [ "Etanercept", "{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}", "Tetracosactide" ], [ "Tetracosactide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mumps virus strain B level jeryl lynn live antigen" ] ] ]
Etanercept may lead to a major life threatening interaction when taken with Tetracosactide and Tetracosactide may cause a moderate interaction that could exacerbate diseases when taken with Mumps virus strain B level jeryl lynn live antigen Etanercept 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 Mumps virus strain B level jeryl lynn live antigen Etanercept may lead to a major life threatening interaction when taken with Durvalumab and Durvalumab may lead to a major life threatening interaction when taken with Mumps virus strain B level jeryl lynn live antigen Etanercept may cause a moderate interaction that could exacerbate diseases when taken with Alemtuzumab and Alemtuzumab may lead to a major life threatening interaction when taken with Mumps virus strain B level jeryl lynn live antigen Etanercept may lead to a major life threatening interaction when taken with Denileukin diftitox and Denileukin diftitox may lead to a major life threatening interaction when taken with Mumps virus strain B level jeryl lynn live antigen Etanercept may lead to a major life threatening interaction when taken with Tetracosactide and Tetracosactide 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 Mumps virus strain B level jeryl lynn live antigen Etanercept may lead to a major life threatening interaction when taken with Budesonide and Budesonide may cause a moderate interaction that could exacerbate diseases when taken with Durvalumab and Durvalumab may lead to a major life threatening interaction when taken with Mumps virus strain B level jeryl lynn live antigen Etanercept may lead to a major life threatening interaction when taken with Durvalumab and Durvalumab may cause a moderate interaction that could exacerbate diseases when taken with Budesonide and Budesonide may cause a moderate interaction that could exacerbate diseases when taken with Mumps virus strain B level jeryl lynn live antigen Etanercept 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 Tetracosactide and Tetracosactide may cause a moderate interaction that could exacerbate diseases when taken with Mumps virus strain B level jeryl lynn live antigen
DB05578
DB08901
330
1,468
[ "DDInter1566", "DDInter1492" ]
Ramucirumab
Ponatinib
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
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
[ [ [ 330, 25, 1468 ] ], [ [ 330, 24, 384 ], [ 384, 63, 1468 ] ], [ [ 330, 63, 1230 ], [ 1230, 24, 1468 ] ], [ [ 330, 24, 282 ], [ 282, 24, 1468 ] ], [ [ 330, 25, 1598 ], [ 1598, 63, 1468 ] ], [ [ 330, 64, 4 ], [ 4, 24, 1468 ] ], [ [ 330, 25, 365 ], [ 365, 25, 1468 ] ], [ [ 330, 64, 1263 ], [ 1263, 25, 1468 ] ], [ [ 330, 25, 498 ], [ 498, 64, 1468 ] ], [ [ 330, 76, 1274 ], [ 1274, 37, 1468 ] ] ]
[ [ [ "Ramucirumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Ponatinib" ] ], [ [ "Ramucirumab", "{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}", "Ponatinib" ] ], [ [ "Ramucirumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Citalopram" ], [ "Citalopram", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ponatinib" ] ], [ [ "Ramucirumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nepafenac" ], [ "Nepafenac", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ponatinib" ] ], [ [ "Ramucirumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Tazemetostat" ], [ "Tazemetostat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ponatinib" ] ], [ [ "Ramucirumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Omacetaxine mepesuccinate" ], [ "Omacetaxine mepesuccinate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ponatinib" ] ], [ [ "Ramucirumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Dalteparin" ], [ "Dalteparin", "{u} may lead to a major life threatening interaction when taken with {v}", "Ponatinib" ] ], [ [ "Ramucirumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Bromfenac" ], [ "Bromfenac", "{u} may lead to a major life threatening interaction when taken with {v}", "Ponatinib" ] ], [ [ "Ramucirumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Edoxaban" ], [ "Edoxaban", "{u} may lead to a major life threatening interaction when taken with {v}", "Ponatinib" ] ], [ [ "Ramucirumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v} and {u} may lead to a major life threatening interaction when taken with {v}", "Flurbiprofen" ], [ "Flurbiprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v} and {u} may lead to a major life threatening interaction when taken with {v}", "Ponatinib" ] ] ]
Ramucirumab 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 Ponatinib Ramucirumab may cause a moderate interaction that could exacerbate diseases when taken with Citalopram and Citalopram may cause a moderate interaction that could exacerbate diseases when taken with Ponatinib Ramucirumab may cause a moderate interaction that could exacerbate diseases when taken with Nepafenac and Nepafenac may cause a moderate interaction that could exacerbate diseases when taken with Ponatinib Ramucirumab may lead to a major life threatening interaction when taken with Tazemetostat and Tazemetostat may cause a moderate interaction that could exacerbate diseases when taken with Ponatinib Ramucirumab may lead to a major life threatening interaction when taken with Omacetaxine mepesuccinate and Omacetaxine mepesuccinate may cause a moderate interaction that could exacerbate diseases when taken with Ponatinib Ramucirumab may lead to a major life threatening interaction when taken with Dalteparin and Dalteparin may lead to a major life threatening interaction when taken with Ponatinib Ramucirumab may lead to a major life threatening interaction when taken with Bromfenac and Bromfenac may lead to a major life threatening interaction when taken with Ponatinib Ramucirumab may lead to a major life threatening interaction when taken with Edoxaban and Edoxaban may lead to a major life threatening interaction when taken with Ponatinib Ramucirumab may cause a moderate interaction that could exacerbate diseases when taken with Flurbiprofen and Ramucirumab may lead to a major life threatening interaction when taken with Flurbiprofen and Flurbiprofen may cause a moderate interaction that could exacerbate diseases when taken with Ponatinib and Flurbiprofen may lead to a major life threatening interaction when taken with Ponatinib
DB00377
DB11901
1,494
913
[ "DDInter1382", "DDInter107" ]
Palonosetron
Apalutamide
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.
Apalutamide is a potent androgen receptor (AR) antagonist that selectively binds to the ligand-binding domain of AR and blocks AR nuclear translocation or binding to androgen response elements . It has been used in trials studying the treatment of Prostate Cancer, Hepatic Impairment, Prostatic Neoplasms, Castration-Resistant Prostate Cancer, and Prostatic Neoplasms, Castration-Resistant, among others. Exerting an antitumor action, apalutamide blocking the effect of androgens that promote tumor growth. It targets the AR ligand-binding domain and prevents AR nuclear translocation, DNA binding, and transcription of AR gene targets in prostate tumors . In mice bearing human CRPC xenograft models, apalutamide treatment produced tumor regressions in a dose-dependent manner that was more effective than that of or . Unlike bicalutamide, apalutamide antagonized AR-mediated signaling in AR overexpressing human CRPC cell lines . Androgen-deprivation therapy, or hormone therapy, can be used as part of maintenance therapy for patients with non-metastatic prostate cancer. Although most patients achieve therapeutic responses at the initial hormone therapy, many patients progress to non-metastatic castration-resistant (resistance to hormone therapy) prostate cancer which is the second-most common cause of cancer-related deaths in American males . Castration-resistant prostate cancer is often incurable, which poses significant clinical challenges for patients. Approximately 10 to 20 % of prostate cancer cases are castration-resistant, and up to 16% of these patients show no evidence of cancer metastasis at the time of castration-resistant diagnosis . Higher prostate-specific antigen (PSA) and shorter PSA doubling time (PSA DT) are associated with a higher risk for metastases and death . In a phase-2 multicenter open-label study, 89% of patients with non-metastatic, castration-resistant prostate cancer had ≥50% PSA decline at week 12 of apalutamide treatment . In a randomized trial, the median metastasis-free survival for patients taking apalutamide was 40.5 months compared to 16.2 months for patients taking a placebo . Apalutamide displayed good tolerability and safety profile in clinical studies. Apalutamide was approved in February 2018 by the FDA as Erleada for the treatment of patients with non-metastatic prostate cancer that is resistant to treatment with hormone therapy (castration-resistant). It is available as oral tablets. Apalutamide is the first FDA-approved treatment for non-metastatic, castration-resistant prostate cancer .
Moderate
1
[ [ [ 1494, 24, 913 ] ], [ [ 1494, 23, 112 ], [ 112, 23, 913 ] ], [ [ 1494, 25, 1322 ], [ 1322, 24, 913 ] ], [ [ 1494, 63, 600 ], [ 600, 24, 913 ] ], [ [ 1494, 24, 28 ], [ 28, 24, 913 ] ], [ [ 1494, 64, 21 ], [ 21, 24, 913 ] ], [ [ 1494, 25, 877 ], [ 877, 63, 913 ] ], [ [ 1494, 24, 1619 ], [ 1619, 63, 913 ] ], [ [ 1494, 25, 593 ], [ 593, 25, 913 ] ], [ [ 1494, 25, 1375 ], [ 1375, 64, 913 ] ] ]
[ [ [ "Palonosetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ] ], [ [ "Palonosetron", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Apalutamide" ] ], [ [ "Palonosetron", "{u} may lead to a major life threatening interaction when taken with {v}", "Alfentanil" ], [ "Alfentanil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ] ], [ [ "Palonosetron", "{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" ] ], [ [ "Palonosetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bisacodyl" ], [ "Bisacodyl", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ] ], [ [ "Palonosetron", "{u} may lead to a major life threatening interaction when taken with {v}", "Amitriptyline" ], [ "Amitriptyline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ] ], [ [ "Palonosetron", "{u} may lead to a major life threatening interaction when taken with {v}", "Macimorelin" ], [ "Macimorelin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ] ], [ [ "Palonosetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rucaparib" ], [ "Rucaparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ] ], [ [ "Palonosetron", "{u} may lead to a major life threatening interaction when taken with {v}", "Bupropion" ], [ "Bupropion", "{u} may lead to a major life threatening interaction when taken with {v}", "Apalutamide" ] ], [ [ "Palonosetron", "{u} may lead to a major life threatening interaction when taken with {v}", "Lefamulin" ], [ "Lefamulin", "{u} may lead to a major life threatening interaction when taken with {v}", "Apalutamide" ] ] ]
Palonosetron may cause a minor interaction that can limit clinical effects when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Apalutamide Palonosetron may lead to a major life threatening interaction when taken with Alfentanil and Alfentanil may cause a moderate interaction that could exacerbate diseases when taken with Apalutamide Palonosetron 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 Palonosetron may cause a moderate interaction that could exacerbate diseases when taken with Bisacodyl and Bisacodyl may cause a moderate interaction that could exacerbate diseases when taken with Apalutamide Palonosetron may lead to a major life threatening interaction when taken with Amitriptyline and Amitriptyline may cause a moderate interaction that could exacerbate diseases when taken with Apalutamide Palonosetron may lead to a major life threatening interaction when taken with Macimorelin and Macimorelin may cause a moderate interaction that could exacerbate diseases when taken with Apalutamide Palonosetron may cause a moderate interaction that could exacerbate diseases when taken with Rucaparib and Rucaparib may cause a moderate interaction that could exacerbate diseases when taken with Apalutamide Palonosetron may lead to a major life threatening interaction when taken with Bupropion and Bupropion may lead to a major life threatening interaction when taken with Apalutamide Palonosetron may lead to a major life threatening interaction when taken with Lefamulin and Lefamulin may lead to a major life threatening interaction when taken with Apalutamide
DB00443
DB01044
251
246
[ "DDInter195", "DDInter809" ]
Betamethasone
Gatifloxacin
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.
Gatifloxacin is an antibiotic agent and a member of the fourth-generation fluoroquinolone family. It works by inhibiting the bacterial enzymes DNA gyrase and topoisomerase IV. It was first introduced by Bristol-Myers Squibb in 1999 under the brand name Tequin® for the treatment of respiratory tract infections. Gatifloxacin is available as tablets and in various aqueous solutions for intravenous therapy. It is also available as eye drops under the brand name Zymar® marketed by Allergan. The FDA withdrew its approval for the use of non-ophthalmic drug products containing gatifloxacin due to the high prevalence of gatifloxacin-associated dysglycemia adverse event reports and the high incidence of hyperglycemic and hypoglycemic episodes in patients taking gatifloxacin compared to those on macrolide antibiotics.[L43942,L44037]
Major
2
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[ [ [ "Betamethasone", "{u} may lead to a major life threatening interaction when taken with {v}", "Gatifloxacin" ] ], [ [ "Betamethasone", "{u} may lead to a major life threatening interaction when taken with {v}", "Lomefloxacin" ], [ "Lomefloxacin", "{u} (Compound) resembles {v} (Compound)", "Gatifloxacin" ] ], [ [ "Betamethasone", "{u} may lead to a major life threatening interaction when taken with {v}", "Moxifloxacin" ], [ "Moxifloxacin", "{u} (Compound) resembles {v} (Compound)", "Gatifloxacin" ] ], [ [ "Betamethasone", "{u} may lead to a major life threatening interaction when taken with {v}", "Sparfloxacin" ], [ "Sparfloxacin", "{u} (Compound) resembles {v} (Compound)", "Gatifloxacin" ] ], [ [ "Betamethasone", "{u} (Compound) downregulates {v} (Gene)", "NFKBIE" ], [ "NFKBIE", "{u} (Gene) is upregulated by {v} (Compound)", "Gatifloxacin" ] ], [ [ "Betamethasone", "{u} (Compound) upregulates {v} (Gene)", "CEBPD" ], [ "CEBPD", "{u} (Gene) is upregulated by {v} (Compound)", "Gatifloxacin" ] ], [ [ "Betamethasone", "{u} (Compound) downregulates {v} (Gene)", "RPS4Y1" ], [ "RPS4Y1", "{u} (Gene) is downregulated by {v} (Compound)", "Gatifloxacin" ] ], [ [ "Betamethasone", "{u} (Compound) causes {v} (Side Effect)", "Musculoskeletal discomfort" ], [ "Musculoskeletal discomfort", "{u} (Side Effect) is caused by {v} (Compound)", "Gatifloxacin" ] ], [ [ "Betamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cisplatin" ], [ "Cisplatin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Gatifloxacin" ] ], [ [ "Betamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aldesleukin" ], [ "Aldesleukin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Gatifloxacin" ] ] ]
Betamethasone may lead to a major life threatening interaction when taken with Lomefloxacin and Lomefloxacin (Compound) resembles Gatifloxacin (Compound) Betamethasone may lead to a major life threatening interaction when taken with Moxifloxacin and Moxifloxacin (Compound) resembles Gatifloxacin (Compound) Betamethasone may lead to a major life threatening interaction when taken with Sparfloxacin and Sparfloxacin (Compound) resembles Gatifloxacin (Compound) Betamethasone (Compound) downregulates NFKBIE (Gene) and NFKBIE (Gene) is upregulated by Gatifloxacin (Compound) Betamethasone (Compound) upregulates CEBPD (Gene) and CEBPD (Gene) is upregulated by Gatifloxacin (Compound) Betamethasone (Compound) downregulates RPS4Y1 (Gene) and RPS4Y1 (Gene) is downregulated by Gatifloxacin (Compound) Betamethasone (Compound) causes Musculoskeletal discomfort (Side Effect) and Musculoskeletal discomfort (Side Effect) is caused by Gatifloxacin (Compound) Betamethasone may cause a moderate interaction that could exacerbate diseases when taken with Cisplatin and Cisplatin may cause a minor interaction that can limit clinical effects when taken with Gatifloxacin Betamethasone may cause a moderate interaction that could exacerbate diseases when taken with Aldesleukin and Aldesleukin may cause a minor interaction that can limit clinical effects when taken with Gatifloxacin
DB04908
DB06335
1,671
761
[ "DDInter741", "DDInter1646" ]
Flibanserin
Saxagliptin
Flibanserin is the first drug to be approved for hypoactive sexual desire disorder (HSDD) in premenopausal women by the FDA in August 2015. It was originally developed as an antidepressant medication by Boehringer Ingelheim, but showed lack of efficacy in trials and was further developed as a hypoactive sexual disorder drug by Sprout Pharmaceuticals. Flibanserin's mechanism of action is attributed to its high affinity for 5-HTA1 and 5-HTA2 receptors, displaying agonist activity on 5-HTA1 and antagonist on 5-HTA2, resulting in lowering of serotonin in the brain as well as an effect on increasing norepinephrine and dopamine neurotransmitters.
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.
Moderate
1
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[ [ [ "Flibanserin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Saxagliptin" ] ], [ [ "Flibanserin", "{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}", "Saxagliptin" ] ], [ [ "Flibanserin", "{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}", "Saxagliptin" ] ], [ [ "Flibanserin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ticagrelor" ], [ "Ticagrelor", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Saxagliptin" ] ], [ [ "Flibanserin", "{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}", "Saxagliptin" ] ], [ [ "Flibanserin", "{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}", "Saxagliptin" ] ], [ [ "Flibanserin", "{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}", "Saxagliptin" ] ], [ [ "Flibanserin", "{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}", "Hydroflumethiazide" ], [ "Hydroflumethiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Saxagliptin" ] ], [ [ "Flibanserin", "{u} may lead to a major life threatening interaction when taken with {v}", "Fedratinib" ], [ "Fedratinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Modafinil" ], [ "Modafinil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Saxagliptin" ] ], [ [ "Flibanserin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ticagrelor" ], [ "Ticagrelor", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Saxagliptin" ] ] ]
Flibanserin 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 Saxagliptin Flibanserin 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 Saxagliptin Flibanserin may cause a moderate interaction that could exacerbate diseases when taken with Ticagrelor and Ticagrelor may cause a moderate interaction that could exacerbate diseases when taken with Saxagliptin Flibanserin 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 Saxagliptin Flibanserin 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 Saxagliptin Flibanserin 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 Saxagliptin Flibanserin 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 Hydroflumethiazide and Hydroflumethiazide may cause a moderate interaction that could exacerbate diseases when taken with Saxagliptin Flibanserin may lead to a major life threatening interaction when taken with Fedratinib and Fedratinib may lead to a major life threatening interaction when taken with Modafinil and Modafinil may cause a minor interaction that can limit clinical effects when taken with Saxagliptin Flibanserin may cause a moderate interaction that could exacerbate diseases when taken with Ticagrelor and Ticagrelor (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Saxagliptin (Compound)
DB00364
DB00451
417
542
[ "DDInter1717", "DDInter1064" ]
Sucralfate
Levothyroxine
Sucralfate is a medication that is widely used to prevent and treat a number of diseases in the gastrointestinal tract such as duodenal ulcers [FDA label], gastro-esophageal reflux disease (GERD), gastritis, peptic ulcer disease, stress ulcer, in addition to dyspepsia. It is considered a _cytoprotective agent_, protecting cells in the gastrointestinal tract from damage caused by agents such as gastric acid, bile salts, alcohol, and acetylsalicylic acid (aspirin), among other substances [A177655, F4519]. Sucralfate has been shown to be a well-tolerated and safe drug. It is sold under many brands and is available in both tablet and suspension forms. It was approved by the FDA 1982 in tablet form, and in 1994 for the suspension form [L6073, L6076].
Levothyroxine is a synthetically produced form of thyroxine, a major endogenous hormone secreted by the thyroid gland. Also known as L-thyroxine or the brand name product Synthroid, levothyroxine is used primarily to treat hypothyroidism, a condition where the thyroid gland is no longer able to produce sufficient quantities of the thyroid hormones T<sub>4</sub> (tetraiodothyronine or thyroxine) and T<sub>3</sub> (triiodothyronine or ), resulting in diminished down-stream effects of these hormones. Without sufficient quantities of circulating thyroid hormones, symptoms of hypothyroidism begin to develop such as fatigue, increased heart rate, depression, dry skin and hair, muscle cramps, constipation, weight gain, memory impairment, and poor tolerance to cold temperatures.[F4636,A35722] In response to Thyroid Stimulating Hormone (TSH) release by the pituitary gland, a normally functioning thyroid gland will produce and secrete T<sub>4</sub>, which is then converted through deiodination (by type I or type II 5′-deiodinases) into its active metabolite T<sub>3</sub>. While T<sub>4</sub> is the major product secreted by the thyroid gland, T<sub>3</sub> exerts the majority of the physiological effects of the thyroid hormones; T<sub>4</sub> and T<sub>3</sub> have a relative potency of ~1:4 (T4:T3). T<sub>4</sub> and T<sub>3</sub> act on nearly every cell of the body, but have a particularly strong effect on the cardiac system. As a result, many cardiac functions including heart rate, cardiac output, and systemic vascular resistance are closely linked to thyroid status. Prior to the development of levothyroxine, or desiccated thyroid, used to be the mainstay of treatment for hypothyroidism. However, this is no longer recommended for the majority of patients due to several clinical concerns including limited controlled trials supporting its use. Desiccated thyroid products contain a ratio of T4 to T3 of 4.2:1, which is significantly lower than the 14:1 ratio of secretion by the human thyroid gland. This higher proportion of T3 in desiccated thyroid products can lead to supraphysiologic levels of T3 which may put patients at risk of thyrotoxicosis if thyroid extract therapy is not adjusted according to the serum TSH.[A35722, F4636]
Minor
0
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[ [ [ "Sucralfate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Levothyroxine" ] ], [ [ "Sucralfate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Liotrix" ], [ "Liotrix", "{u} (Compound) resembles {v} (Compound)", "Levothyroxine" ] ], [ [ "Sucralfate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Liothyronine" ], [ "Liothyronine", "{u} (Compound) resembles {v} (Compound)", "Levothyroxine" ] ], [ [ "Sucralfate", "{u} (Compound) binds {v} (Gene)", "ALB" ], [ "ALB", "{u} (Gene) is bound by {v} (Compound)", "Levothyroxine" ] ], [ [ "Sucralfate", "{u} (Compound) causes {v} (Side Effect)", "Body temperature increased" ], [ "Body temperature increased", "{u} (Side Effect) is caused by {v} (Compound)", "Levothyroxine" ] ], [ [ "Sucralfate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metoprolol" ], [ "Metoprolol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Levothyroxine" ] ], [ [ "Sucralfate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Penbutolol" ], [ "Penbutolol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Levothyroxine" ] ], [ [ "Sucralfate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Timolol" ], [ "Timolol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Levothyroxine" ] ], [ [ "Sucralfate", "{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}", "Levothyroxine" ] ], [ [ "Sucralfate", "{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}", "Levothyroxine" ] ] ]
Sucralfate may cause a minor interaction that can limit clinical effects when taken with Liotrix and Liotrix (Compound) resembles Levothyroxine (Compound) Sucralfate may cause a minor interaction that can limit clinical effects when taken with Liothyronine and Liothyronine (Compound) resembles Levothyroxine (Compound) Sucralfate (Compound) binds ALB (Gene) and ALB (Gene) is bound by Levothyroxine (Compound) Sucralfate (Compound) causes Body temperature increased (Side Effect) and Body temperature increased (Side Effect) is caused by Levothyroxine (Compound) Sucralfate may cause a minor interaction that can limit clinical effects when taken with Metoprolol and Metoprolol may cause a minor interaction that can limit clinical effects when taken with Levothyroxine Sucralfate may cause a minor interaction that can limit clinical effects when taken with Penbutolol and Penbutolol may cause a minor interaction that can limit clinical effects when taken with Levothyroxine Sucralfate may cause a minor interaction that can limit clinical effects when taken with Timolol and Timolol may cause a minor interaction that can limit clinical effects when taken with Levothyroxine Sucralfate 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 Levothyroxine Sucralfate 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 Levothyroxine
DB01229
DB06448
973
171
[ "DDInter1377", "DDInter1087" ]
Paclitaxel
Lonafarnib
Paclitaxel is a chemotherapeutic agent marketed under the brand name Taxol among others. Used as a treatment for various cancers, paclitaxel is a mitotic inhibitor that was first isolated in 1971 from the bark of the Pacific yew tree which contains endophytic fungi that synthesize paclitaxel. It is available as an intravenous solution for injection and the newer formulation contains albumin-bound paclitaxel marketed under the brand name Abraxane.
Hutchinson-Gilford progeria syndrome (HGPS) is a rare autosomal dominant disorder estimated to affect approximately one in 20 million individuals resulting in adverse symptoms associated with premature ageing: skeletal dysplasia, joint contractures, atherosclerosis, myocardial fibrosis/dysfunction, scleroderma-like cutaneous effects, lipoatrophy, alopecia, and a severe failure to thrive; HGPS is uniformly fatal.[A224379, A224384, A224389, A224394, A224399] Mechanistically, HGPS is underpinned by a single heterozygous C-to-T mutation at position 1824 of the _LMNA_ gene, which results in the accumulation of an aberrant farnesylated form of lamin A called progerin in the inner nuclear membrane.[A224379, A224394] Lonafarnib is a farnesyl transferase (FTase) inhibitor (FTI), which reduces the farnesylation of numerous cellular proteins, including progerin; as progerin farnesylation is important for localization to the nuclear membrane, lonafarnib inhibits progerin accumulation and improves symptoms in HGPS patients.[A224379, A224414, A224419, L23414] Merck originally developed Lonafarnib and subsequently licensed it to Eiger Biopharmaceuticals Inc., which currently markets it under the trademark ZOKINVY™.[L23414, L23544] Lonafarnib was granted FDA approval on November 20, 2020, and is the first FDA-approved treatment for HGPS and other related progeroid laminopathies.[L23414, L23549]
Moderate
1
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[ [ [ "Paclitaxel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lonafarnib" ] ], [ [ "Paclitaxel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Teniposide" ], [ "Teniposide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lonafarnib" ] ], [ [ "Paclitaxel", "{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}", "Lonafarnib" ] ], [ [ "Paclitaxel", "{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}", "Lonafarnib" ] ], [ [ "Paclitaxel", "{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}", "Lonafarnib" ] ], [ [ "Paclitaxel", "{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}", "Lonafarnib" ] ], [ [ "Paclitaxel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aprepitant" ], [ "Aprepitant", "{u} may lead to a major life threatening interaction when taken with {v}", "Lonafarnib" ] ], [ [ "Paclitaxel", "{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}", "Lonafarnib" ] ], [ [ "Paclitaxel", "{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}", "Lonafarnib" ] ], [ [ "Paclitaxel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Teniposide" ], [ "Teniposide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lonafarnib" ] ] ]
Paclitaxel may cause a moderate interaction that could exacerbate diseases when taken with Teniposide and Teniposide may cause a moderate interaction that could exacerbate diseases when taken with Lonafarnib Paclitaxel 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 Lonafarnib Paclitaxel 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 Lonafarnib Paclitaxel 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 Lonafarnib Paclitaxel 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 Lonafarnib Paclitaxel may cause a moderate interaction that could exacerbate diseases when taken with Aprepitant and Aprepitant may lead to a major life threatening interaction when taken with Lonafarnib Paclitaxel 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 Lonafarnib Paclitaxel 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 Lonafarnib Paclitaxel may cause a moderate interaction that could exacerbate diseases when taken with Teniposide and Teniposide may cause a moderate interaction that could exacerbate diseases when taken with Metronidazole and Metronidazole may cause a moderate interaction that could exacerbate diseases when taken with Lonafarnib
DB00719
DB06204
1,219
768
[ "DDInter149", "DDInter1746" ]
Azatadine
Tapentadol
Antihistamines such as azatadine appear to compete with histamine for histamine H1- receptor sites on effector cells. The antihistamines antagonize those pharmacological effects of histamine which are mediated through activation of H1- receptor sites and thereby reduce the intensity of allergic reactions and tissue injury response involving histamine release.
Tapentadol is a centrally-acting synthetic analgesic with a dual mechanism of action. It is a mu-opioid receptor agonist that also inhibits norepinephrine reuptake.[A260721, A36596] Tapentadol was first approved by the FDA on November 20, 2008. The extended-release formulation of tapentadol was also approved by the FDA on August 26, 2011. Used in the management of pain, tapentadol is typically reserved for patients who have limited alternative treatment options.
Moderate
1
[ [ [ 1219, 24, 768 ] ], [ [ 1219, 24, 1123 ], [ 1123, 24, 768 ] ], [ [ 1219, 63, 717 ], [ 717, 24, 768 ] ], [ [ 1219, 40, 830 ], [ 830, 24, 768 ] ], [ [ 1219, 24, 849 ], [ 849, 63, 768 ] ], [ [ 1219, 24, 1053 ], [ 1053, 25, 768 ] ], [ [ 1219, 63, 506 ], [ 506, 25, 768 ] ], [ [ 1219, 24, 1123 ], [ 1123, 24, 61 ], [ 61, 1, 768 ] ], [ [ 1219, 63, 717 ], [ 717, 21, 28921 ], [ 28921, 60, 768 ] ], [ [ 1219, 24, 100 ], [ 100, 6, 10215 ], [ 10215, 45, 768 ] ] ]
[ [ [ "Azatadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tapentadol" ] ], [ [ "Azatadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Propantheline" ], [ "Propantheline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tapentadol" ] ], [ [ "Azatadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trimethobenzamide" ], [ "Trimethobenzamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tapentadol" ] ], [ [ "Azatadine", "{u} (Compound) resembles {v} (Compound)", "Phenindamine" ], [ "Phenindamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tapentadol" ] ], [ [ "Azatadine", "{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}", "Tapentadol" ] ], [ [ "Azatadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Procarbazine" ], [ "Procarbazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Tapentadol" ] ], [ [ "Azatadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dextromethorphan" ], [ "Dextromethorphan", "{u} may lead to a major life threatening interaction when taken with {v}", "Tapentadol" ] ], [ [ "Azatadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Propantheline" ], [ "Propantheline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Edrophonium" ], [ "Edrophonium", "{u} (Compound) resembles {v} (Compound)", "Tapentadol" ] ], [ [ "Azatadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trimethobenzamide" ], [ "Trimethobenzamide", "{u} (Compound) causes {v} (Side Effect)", "Dizziness" ], [ "Dizziness", "{u} (Side Effect) is caused by {v} (Compound)", "Tapentadol" ] ], [ [ "Azatadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brompheniramine" ], [ "Brompheniramine", "{u} (Compound) binds {v} (Gene)", "CYP2C19" ], [ "CYP2C19", "{u} (Gene) is bound by {v} (Compound)", "Tapentadol" ] ] ]
Azatadine may cause a moderate interaction that could exacerbate diseases when taken with Propantheline and Propantheline may cause a moderate interaction that could exacerbate diseases when taken with Tapentadol Azatadine may cause a moderate interaction that could exacerbate diseases when taken with Trimethobenzamide and Trimethobenzamide may cause a moderate interaction that could exacerbate diseases when taken with Tapentadol Azatadine (Compound) resembles Phenindamine (Compound) and Phenindamine may cause a moderate interaction that could exacerbate diseases when taken with Tapentadol Azatadine 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 Tapentadol Azatadine may cause a moderate interaction that could exacerbate diseases when taken with Procarbazine and Procarbazine may lead to a major life threatening interaction when taken with Tapentadol Azatadine may cause a moderate interaction that could exacerbate diseases when taken with Dextromethorphan and Dextromethorphan may lead to a major life threatening interaction when taken with Tapentadol Azatadine may cause a moderate interaction that could exacerbate diseases when taken with Propantheline and Propantheline may cause a moderate interaction that could exacerbate diseases when taken with Edrophonium and Edrophonium (Compound) resembles Tapentadol (Compound) Azatadine may cause a moderate interaction that could exacerbate diseases when taken with Trimethobenzamide and Trimethobenzamide (Compound) causes Dizziness (Side Effect) and Dizziness (Side Effect) is caused by Tapentadol (Compound) Azatadine may cause a moderate interaction that could exacerbate diseases when taken with Brompheniramine and Brompheniramine (Compound) binds CYP2C19 (Gene) and CYP2C19 (Gene) is bound by Tapentadol (Compound)
DB00584
DB06203
610
1,002
[ "DDInter638", "DDInter51" ]
Enalapril
Alogliptin
Enalapril is a prodrug belonging to the angiotensin-converting enzyme (ACE) inhibitor drug class that works on the renin-angiotensin-aldosterone system, which is responsible for the regulation of blood pressure and fluid and electrolyte homeostasis. Enalapril is an orally-active and long-acting nonsulphydryl antihypertensive agent that suppresses the renin-angiotensin-aldosterone system to lower blood pressure. It was developed from a targeted research programmed using molecular modelling. Being a prodrug, enalapril is rapidly biotransformed into its active metabolite, [enalaprilat], which is responsible for the pharmacological actions of enalapril. The active metabolite of enalapril competitively inhibits the ACE to hinder the production of angiotensin II, a key component of the renin-angiotensin-aldosterone system that promotes v
Alogliptin is a selective, orally-bioavailable inhibitor of enzymatic activity of dipeptidyl peptidase-4 (DPP-4). Chemically, alogliptin is prepared as a benzoate salt and exists predominantly as the R-enantiomer (>99%). It undergoes little or no chiral conversion in vivo to the (S)-enantiomer. FDA approved January 25, 2013.
Moderate
1
[ [ [ 610, 24, 1002 ] ], [ [ 610, 24, 1281 ], [ 1281, 40, 1002 ] ], [ [ 610, 6, 8374 ], [ 8374, 45, 1002 ] ], [ [ 610, 21, 28873 ], [ 28873, 60, 1002 ] ], [ [ 610, 24, 401 ], [ 401, 24, 1002 ] ], [ [ 610, 63, 176 ], [ 176, 24, 1002 ] ], [ [ 610, 40, 743 ], [ 743, 24, 1002 ] ], [ [ 610, 24, 1019 ], [ 1019, 63, 1002 ] ], [ [ 610, 1, 1603 ], [ 1603, 24, 1002 ] ], [ [ 610, 24, 1281 ], [ 1281, 6, 4405 ], [ 4405, 45, 1002 ] ] ]
[ [ [ "Enalapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alogliptin" ] ], [ [ "Enalapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Linagliptin" ], [ "Linagliptin", "{u} (Compound) resembles {v} (Compound)", "Alogliptin" ] ], [ [ "Enalapril", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Alogliptin" ] ], [ [ "Enalapril", "{u} (Compound) causes {v} (Side Effect)", "Pancreatitis" ], [ "Pancreatitis", "{u} (Side Effect) is caused by {v} (Compound)", "Alogliptin" ] ], [ [ "Enalapril", "{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}", "Alogliptin" ] ], [ [ "Enalapril", "{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}", "Alogliptin" ] ], [ [ "Enalapril", "{u} (Compound) resembles {v} (Compound)", "Lisinopril" ], [ "Lisinopril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alogliptin" ] ], [ [ "Enalapril", "{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}", "Alogliptin" ] ], [ [ "Enalapril", "{u} (Compound) resembles {v} (Compound)", "Captopril" ], [ "Captopril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alogliptin" ] ], [ [ "Enalapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Linagliptin" ], [ "Linagliptin", "{u} (Compound) binds {v} (Gene)", "DPP4" ], [ "DPP4", "{u} (Gene) is bound by {v} (Compound)", "Alogliptin" ] ] ]
Enalapril may cause a moderate interaction that could exacerbate diseases when taken with Linagliptin and Linagliptin (Compound) resembles Alogliptin (Compound) Enalapril (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Alogliptin (Compound) Enalapril (Compound) causes Pancreatitis (Side Effect) and Pancreatitis (Side Effect) is caused by Alogliptin (Compound) Enalapril 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 Alogliptin Enalapril 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 Alogliptin Enalapril (Compound) resembles Lisinopril (Compound) and Lisinopril may cause a moderate interaction that could exacerbate diseases when taken with Alogliptin Enalapril 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 Alogliptin Enalapril (Compound) resembles Captopril (Compound) and Captopril may cause a moderate interaction that could exacerbate diseases when taken with Alogliptin Enalapril may cause a moderate interaction that could exacerbate diseases when taken with Linagliptin and Linagliptin (Compound) binds DPP4 (Gene) and DPP4 (Gene) is bound by Alogliptin (Compound)
DB00286
DB08899
380
129
[ "DDInter439", "DDInter649" ]
Conjugated estrogens
Enzalutamide
The conjugated estrogens are noncrystalline mixtures of purified female sex hormones obtained either by its isolation from the urine of pregnant mares or by synthetic generation from vegetal material. Both of these products are later conjugated to natrium sulfate by ester bonds in order to make them more water soluble.[L5605, T475] The conjugated estrogen product contains a mix of estrogen from which about 50% is represented by estrone sulfate followed by 25% of equilin sulfate, 15% of 17-alpha-dehydroequilenin sulfate, 3% of equilenin sulfate, 5% of 17-alpha and 17-beta-dihydroequilenin sulfate, 2% of 17-alpha-estradiolsulfate and 3% of 17-beta-estradiolsulfate. It also presents a large number of unidentified molecules with weak estrogenic activity as well as non-human molecules when it is obtained
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
[ [ [ 380, 24, 129 ] ], [ [ 380, 6, 8374 ], [ 8374, 45, 129 ] ], [ [ 380, 21, 29377 ], [ 29377, 60, 129 ] ], [ [ 380, 24, 1320 ], [ 1320, 63, 129 ] ], [ [ 380, 24, 959 ], [ 959, 24, 129 ] ], [ [ 380, 40, 1438 ], [ 1438, 24, 129 ] ], [ [ 380, 23, 1264 ], [ 1264, 24, 129 ] ], [ [ 380, 63, 600 ], [ 600, 24, 129 ] ], [ [ 380, 25, 1668 ], [ 1668, 24, 129 ] ], [ [ 380, 1, 35 ], [ 35, 24, 129 ] ] ]
[ [ [ "Conjugated estrogens", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enzalutamide" ] ], [ [ "Conjugated estrogens", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Enzalutamide" ] ], [ [ "Conjugated estrogens", "{u} (Compound) causes {v} (Side Effect)", "Musculoskeletal pain" ], [ "Musculoskeletal pain", "{u} (Side Effect) is caused by {v} (Compound)", "Enzalutamide" ] ], [ [ "Conjugated estrogens", "{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" ] ], [ [ "Conjugated estrogens", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glipizide" ], [ "Glipizide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enzalutamide" ] ], [ [ "Conjugated estrogens", "{u} (Compound) resembles {v} (Compound)", "Estradiol" ], [ "Estradiol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enzalutamide" ] ], [ [ "Conjugated estrogens", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Doxepin" ], [ "Doxepin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enzalutamide" ] ], [ [ "Conjugated estrogens", "{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}", "Enzalutamide" ] ], [ [ "Conjugated estrogens", "{u} may lead to a major life threatening interaction when taken with {v}", "Lenalidomide" ], [ "Lenalidomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enzalutamide" ] ], [ [ "Conjugated estrogens", "{u} (Compound) resembles {v} (Compound)", "Quinestrol" ], [ "Quinestrol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enzalutamide" ] ] ]
Conjugated estrogens (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Enzalutamide (Compound) Conjugated estrogens (Compound) causes Musculoskeletal pain (Side Effect) and Musculoskeletal pain (Side Effect) is caused by Enzalutamide (Compound) Conjugated estrogens 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 Conjugated estrogens may cause a moderate interaction that could exacerbate diseases when taken with Glipizide and Glipizide may cause a moderate interaction that could exacerbate diseases when taken with Enzalutamide Conjugated estrogens (Compound) resembles Estradiol (Compound) and Estradiol may cause a moderate interaction that could exacerbate diseases when taken with Enzalutamide Conjugated estrogens may cause a minor interaction that can limit clinical effects when taken with Doxepin and Doxepin may cause a moderate interaction that could exacerbate diseases when taken with Enzalutamide Conjugated estrogens 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 Enzalutamide Conjugated estrogens may lead to a major life threatening interaction when taken with Lenalidomide and Lenalidomide may cause a moderate interaction that could exacerbate diseases when taken with Enzalutamide Conjugated estrogens (Compound) resembles Quinestrol (Compound) and Quinestrol may cause a moderate interaction that could exacerbate diseases when taken with Enzalutamide
DB00261
DB00502
702
1,300
[ "DDInter93", "DDInter853" ]
Anagrelide
Haloperidol
Anagrelide is a platelet-reducing agent used to lower dangerously elevated platelet levels (i.e. to treat thrombocythemia) in patients with myeloproliferative neoplasms. It is an oral imidazoquinazoline that was first approved for use in the US in 1997. It appears to carry a better response rate than other thrombocythemia treatments (e.g. [busulfan], [hydroxyurea]) and may be better tolerated.
Haloperidol is a high potency first-generation (typical) antipsychotic and one of the most frequently used antipsychotic medications used worldwide. While haloperidol has demonstrated pharmacologic activity at a number of receptors in the brain, it exerts its antipsychotic effect through its strong antagonism of the dopamine receptor (mainly D2), particularly within the mesolimbic and mesocortical systems of the brain. Haloperidol is indicated for the treatment of the manifestations of several psychotic disorders including schizophrenia, acute psychosis, Tourette syndrome, and other severe behavioural states. It is also used off-label for the management of chorea associated with Huntington's disease and for the treatment of intractable hiccups as it is a potent antiemetic. Dopamine-antagonizing medications such as haloperidol are though to improve psychotic symptoms and states that are caused by an over-production of dopamine, such as schizophrenia, which is theorized to be caused by a hyperdopaminergic state within the limbic system of the brain. Use of the first-generation antipsychotics (including haloperidol) is considered highly effective for the management of the "positive" symptoms of schizophrenia including hallucinations, hearing voices, aggression/hostility, disorganized speech, and psychomotor agitation. However, this class of drugs is also limited by the development of movement disorders induced by dopamine-blockade such as drug-induced parkinsonism, akathisia, dystonia, tardive dyskinesia, as well as other side effects including sedation, weight gain, and prolactin changes. While there are limited high-quality studies comparing haloperidol to lower-potency first-generation antipsychotics such as , , , and , haloperidol typically demonstrates the least amount of side effects within this class, but demonstrates a stronger disposition for causing extrapyramidal symptoms (EPS).[A180613, A180616, A180625] These other low‐potency antipsychotics are limited by their lower affinity for dopamine receptors, which requires a higher dose to effectively treat symptoms of schizophrenia. In addition, they block many receptors other than the primary target (dopamine receptors), such as cholinergic or histaminergic receptors, resulting in a higher incidence of side effects such as sedation, weight gain, and hypotension. Interestingly, in vivo pharmacogenetic studies have demonstrated that the metabolism of haloperidol may be modulated by genetically determined polymorphic _CYP2D6_ activity. However, these findings contradict the findings from studies in vitro with human liver microsomes and from drug interaction studies in vivo. Inter-ethnic and pharmacogenetic differences in haloperidol metabolism may possibly explain these observations. First-generation antipsychotic drugs have largely been replaced with second- and third-generation (atypical) antipsychotics such as , , , , , and . However, haloperidol use remains widespread and is considered the benchmark for comparison in trials of the newer generation antipsychotics. The efficacy of haloperidol was first established in controlled trials in the 1960s.
Major
2
[ [ [ 702, 25, 1300 ] ], [ [ 702, 25, 78 ], [ 78, 1, 1300 ] ], [ [ 702, 24, 543 ], [ 543, 63, 1300 ] ], [ [ 702, 6, 7950 ], [ 7950, 45, 1300 ] ], [ [ 702, 18, 3769 ], [ 3769, 45, 1300 ] ], [ [ 702, 18, 2183 ], [ 2183, 57, 1300 ] ], [ [ 702, 21, 28779 ], [ 28779, 60, 1300 ] ], [ [ 702, 23, 112 ], [ 112, 62, 1300 ] ], [ [ 702, 25, 1425 ], [ 1425, 64, 1300 ] ], [ [ 702, 64, 600 ], [ 600, 25, 1300 ] ] ]
[ [ [ "Anagrelide", "{u} may lead to a major life threatening interaction when taken with {v}", "Haloperidol" ] ], [ [ "Anagrelide", "{u} may lead to a major life threatening interaction when taken with {v}", "Droperidol" ], [ "Droperidol", "{u} (Compound) resembles {v} (Compound)", "Haloperidol" ] ], [ [ "Anagrelide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Loperamide" ], [ "Loperamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Haloperidol" ] ], [ [ "Anagrelide", "{u} (Compound) binds {v} (Gene)", "CYP1A2" ], [ "CYP1A2", "{u} (Gene) is bound by {v} (Compound)", "Haloperidol" ] ], [ [ "Anagrelide", "{u} (Compound) downregulates {v} (Gene)", "EBP" ], [ "EBP", "{u} (Gene) is bound by {v} (Compound)", "Haloperidol" ] ], [ [ "Anagrelide", "{u} (Compound) downregulates {v} (Gene)", "CDC20" ], [ "CDC20", "{u} (Gene) is downregulated by {v} (Compound)", "Haloperidol" ] ], [ [ "Anagrelide", "{u} (Compound) causes {v} (Side Effect)", "Dry mouth" ], [ "Dry mouth", "{u} (Side Effect) is caused by {v} (Compound)", "Haloperidol" ] ], [ [ "Anagrelide", "{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}", "Haloperidol" ] ], [ [ "Anagrelide", "{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}", "Haloperidol" ] ], [ [ "Anagrelide", "{u} may lead to a major life threatening interaction when taken with {v}", "Fluconazole" ], [ "Fluconazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Haloperidol" ] ] ]
Anagrelide may lead to a major life threatening interaction when taken with Droperidol and Droperidol (Compound) resembles Haloperidol (Compound) Anagrelide may cause a moderate interaction that could exacerbate diseases when taken with Loperamide and Loperamide may cause a moderate interaction that could exacerbate diseases when taken with Haloperidol Anagrelide (Compound) binds CYP1A2 (Gene) and CYP1A2 (Gene) is bound by Haloperidol (Compound) Anagrelide (Compound) downregulates EBP (Gene) and EBP (Gene) is bound by Haloperidol (Compound) Anagrelide (Compound) downregulates CDC20 (Gene) and CDC20 (Gene) is downregulated by Haloperidol (Compound) Anagrelide (Compound) causes Dry mouth (Side Effect) and Dry mouth (Side Effect) is caused by Haloperidol (Compound) Anagrelide 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 Haloperidol Anagrelide 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 Haloperidol Anagrelide may lead to a major life threatening interaction when taken with Fluconazole and Fluconazole may lead to a major life threatening interaction when taken with Haloperidol
DB00446
DB01174
597
697
[ "DDInter351", "DDInter1442" ]
Chloramphenicol
Phenobarbital
An antibiotic first isolated from cultures of _Streptomyces venezuelae_ in 1947 but now produced synthetically. It has a relatively simple structure and was the first broad-spectrum antibiotic to be discovered. It acts by interfering with bacterial protein synthesis and is mainly bacteriostatic. (From Martindale, The Extra Pharmacopoeia, 29th ed, p106) The FDA has withdrawn all oral drug products containing chloramphenicol, due to the high risk of fatal aplastic anemia associated with this specific route of administration.[L43942,L44022]
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
[ [ [ 597, 24, 697 ] ], [ [ 597, 24, 759 ], [ 759, 1, 697 ] ], [ [ 597, 63, 362 ], [ 362, 1, 697 ] ], [ [ 597, 63, 536 ], [ 536, 40, 697 ] ], [ [ 597, 6, 6017 ], [ 6017, 45, 697 ] ], [ [ 597, 21, 28787 ], [ 28787, 60, 697 ] ], [ [ 597, 24, 37 ], [ 37, 62, 697 ] ], [ [ 597, 23, 450 ], [ 450, 23, 697 ] ], [ [ 597, 62, 1101 ], [ 1101, 23, 697 ] ], [ [ 597, 24, 309 ], [ 309, 63, 697 ] ] ]
[ [ [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenobarbital" ] ], [ [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Primidone" ], [ "Primidone", "{u} (Compound) resembles {v} (Compound)", "Phenobarbital" ] ], [ [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenytoin" ], [ "Phenytoin", "{u} (Compound) resembles {v} (Compound)", "Phenobarbital" ] ], [ [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Secobarbital" ], [ "Secobarbital", "{u} (Compound) resembles {v} (Compound)", "Phenobarbital" ] ], [ [ "Chloramphenicol", "{u} (Compound) binds {v} (Gene)", "CYP2C9" ], [ "CYP2C9", "{u} (Gene) is bound by {v} (Compound)", "Phenobarbital" ] ], [ [ "Chloramphenicol", "{u} (Compound) causes {v} (Side Effect)", "Dermatitis" ], [ "Dermatitis", "{u} (Side Effect) is caused by {v} (Compound)", "Phenobarbital" ] ], [ [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lomustine" ], [ "Lomustine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Phenobarbital" ] ], [ [ "Chloramphenicol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cyclophosphamide" ], [ "Cyclophosphamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Phenobarbital" ] ], [ [ "Chloramphenicol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Phenobarbital" ] ], [ [ "Chloramphenicol", "{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}", "Phenobarbital" ] ] ]
Chloramphenicol may cause a moderate interaction that could exacerbate diseases when taken with Primidone and Primidone (Compound) resembles Phenobarbital (Compound) Chloramphenicol may cause a moderate interaction that could exacerbate diseases when taken with Phenytoin and Phenytoin (Compound) resembles Phenobarbital (Compound) Chloramphenicol may cause a moderate interaction that could exacerbate diseases when taken with Secobarbital and Secobarbital (Compound) resembles Phenobarbital (Compound) Chloramphenicol (Compound) binds CYP2C9 (Gene) and CYP2C9 (Gene) is bound by Phenobarbital (Compound) Chloramphenicol (Compound) causes Dermatitis (Side Effect) and Dermatitis (Side Effect) is caused by Phenobarbital (Compound) Chloramphenicol may cause a moderate interaction that could exacerbate diseases when taken with Lomustine and Lomustine may cause a minor interaction that can limit clinical effects when taken with Phenobarbital Chloramphenicol may cause a minor interaction that can limit clinical effects when taken with Cyclophosphamide and Cyclophosphamide may cause a minor interaction that can limit clinical effects when taken with Phenobarbital Chloramphenicol may cause a minor interaction that can limit clinical effects when taken with Bexarotene and Bexarotene may cause a minor interaction that can limit clinical effects when taken with Phenobarbital Chloramphenicol 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 Phenobarbital
DB00250
DB00359
10
161
[ "DDInter475", "DDInter1721" ]
Dapsone
Sulfadiazine
A sulfone active against a wide range of bacteria but mainly employed for its actions against mycobacterium leprae. Its mechanism of action is probably similar to that of the sulfonamides which involves inhibition of folic acid synthesis in susceptible organisms. It is also used with pyrimethamine in the treatment of malaria. (From Martindale, The Extra Pharmacopoeia, 30th ed, p157-8)
One of the short-acting sulfonamides used in combination with pyrimethamine to treat toxoplasmosis in patients with acquired immunodeficiency syndrome and in newborns with congenital infections.
Moderate
1
[ [ [ 10, 35, 161 ] ], [ [ 10, 1, 11492 ], [ 11492, 40, 161 ] ], [ [ 10, 1, 11344 ], [ 11344, 1, 161 ] ], [ [ 10, 40, 656 ], [ 656, 1, 161 ] ], [ [ 10, 35, 1029 ], [ 1029, 40, 161 ] ], [ [ 10, 5, 11571 ], [ 11571, 44, 161 ] ], [ [ 10, 6, 6017 ], [ 6017, 45, 161 ] ], [ [ 10, 21, 29554 ], [ 29554, 60, 161 ] ], [ [ 10, 24, 1074 ], [ 1074, 63, 161 ] ], [ [ 10, 25, 1455 ], [ 1455, 64, 161 ] ] ]
[ [ [ "Dapsone", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sulfadiazine" ] ], [ [ "Dapsone", "{u} (Compound) resembles {v} (Compound)", "Sulfamoxole" ], [ "Sulfamoxole", "{u} (Compound) resembles {v} (Compound)", "Sulfadiazine" ] ], [ [ "Dapsone", "{u} (Compound) resembles {v} (Compound)", "Sulfanilamide" ], [ "Sulfanilamide", "{u} (Compound) resembles {v} (Compound)", "Sulfadiazine" ] ], [ [ "Dapsone", "{u} (Compound) resembles {v} (Compound)", "Sulfamethizole" ], [ "Sulfamethizole", "{u} (Compound) resembles {v} (Compound)", "Sulfadiazine" ] ], [ [ "Dapsone", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sulfisoxazole" ], [ "Sulfisoxazole", "{u} (Compound) resembles {v} (Compound)", "Sulfadiazine" ] ], [ [ "Dapsone", "{u} (Compound) treats {v} (Disease)", "malaria" ], [ "malaria", "{u} (Disease) is treated by {v} (Compound)", "Sulfadiazine" ] ], [ [ "Dapsone", "{u} (Compound) binds {v} (Gene)", "CYP2C9" ], [ "CYP2C9", "{u} (Gene) is bound by {v} (Compound)", "Sulfadiazine" ] ], [ [ "Dapsone", "{u} (Compound) causes {v} (Side Effect)", "Nephrotic syndrome" ], [ "Nephrotic syndrome", "{u} (Side Effect) is caused by {v} (Compound)", "Sulfadiazine" ] ], [ [ "Dapsone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-123" ], [ "Iodide I-123", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sulfadiazine" ] ], [ [ "Dapsone", "{u} may lead to a major life threatening interaction when taken with {v}", "Nitrous acid" ], [ "Nitrous acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Sulfadiazine" ] ] ]
Dapsone (Compound) resembles Sulfadiazine (Compound) and Dapsone (Compound) resembles Sulfamoxole (Compound) and Sulfamoxole (Compound) resembles Sulfadiazine (Compound) Dapsone (Compound) resembles Sulfanilamide (Compound) and Sulfanilamide (Compound) resembles Sulfadiazine (Compound) Dapsone (Compound) resembles Sulfamethizole (Compound) and Sulfamethizole (Compound) resembles Sulfadiazine (Compound) Dapsone (Compound) resembles Sulfisoxazole (Compound) and Dapsone may cause a moderate interaction that could exacerbate diseases when taken with Sulfisoxazole and Sulfisoxazole (Compound) resembles Sulfadiazine (Compound) Dapsone (Compound) treats malaria (Disease) and malaria (Disease) is treated by Sulfadiazine (Compound) Dapsone (Compound) binds CYP2C9 (Gene) and CYP2C9 (Gene) is bound by Sulfadiazine (Compound) Dapsone (Compound) causes Nephrotic syndrome (Side Effect) and Nephrotic syndrome (Side Effect) is caused by Sulfadiazine (Compound) Dapsone may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-123 and Iodide I-123 may cause a moderate interaction that could exacerbate diseases when taken with Sulfadiazine Dapsone may lead to a major life threatening interaction when taken with Nitrous acid and Nitrous acid may lead to a major life threatening interaction when taken with Sulfadiazine
DB00087
DB01229
599
973
[ "DDInter41", "DDInter1377" ]
Alemtuzumab
Paclitaxel
Alemtuzumab is a humanized monoclonal antibody specific to lymphocyte antigens. It is a recombinant DNA-derived humanized monoclonal antibody (Campath-1H) that is directed against the 21-28 kD cell surface glycoprotein, CD52. The Campath-1H antibody is an IgG1 kappa with the human variable framework and constant regions, and complementarity-determining regions from a murine (rat) monoclonal antibody (Campath-1G). Alemtuzumab is produced in mammalian cell (Chinese hamster ovary) suspension culture in a medium containing neomycin. Alemtuzumab was approved by the FDA in 2001. It is marketed as LEMTRADA for multiple sclerosis (MS) treatment and CAMPTAH for B-cell chronic lymphocytic leukemia (B-CLL). The dose of alemtuzumab used for B-CLL is
Paclitaxel is a chemotherapeutic agent marketed under the brand name Taxol among others. Used as a treatment for various cancers, paclitaxel is a mitotic inhibitor that was first isolated in 1971 from the bark of the Pacific yew tree which contains endophytic fungi that synthesize paclitaxel. It is available as an intravenous solution for injection and the newer formulation contains albumin-bound paclitaxel marketed under the brand name Abraxane.
Moderate
1
[ [ [ 599, 24, 973 ] ], [ [ 599, 24, 310 ], [ 310, 63, 973 ] ], [ [ 599, 24, 134 ], [ 134, 24, 973 ] ], [ [ 599, 63, 491 ], [ 491, 24, 973 ] ], [ [ 599, 25, 1011 ], [ 1011, 64, 973 ] ], [ [ 599, 63, 581 ], [ 581, 25, 973 ] ], [ [ 599, 25, 1066 ], [ 1066, 25, 973 ] ], [ [ 599, 24, 770 ], [ 770, 25, 973 ] ], [ [ 599, 24, 908 ], [ 908, 64, 973 ] ], [ [ 599, 24, 310 ], [ 310, 1, 301 ], [ 301, 1, 973 ] ] ]
[ [ [ "Alemtuzumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paclitaxel" ] ], [ [ "Alemtuzumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cabazitaxel" ], [ "Cabazitaxel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paclitaxel" ] ], [ [ "Alemtuzumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vinorelbine" ], [ "Vinorelbine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paclitaxel" ] ], [ [ "Alemtuzumab", "{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}", "Paclitaxel" ] ], [ [ "Alemtuzumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Fingolimod" ], [ "Fingolimod", "{u} may lead to a major life threatening interaction when taken with {v}", "Paclitaxel" ] ], [ [ "Alemtuzumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Infliximab" ], [ "Infliximab", "{u} may lead to a major life threatening interaction when taken with {v}", "Paclitaxel" ] ], [ [ "Alemtuzumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Natalizumab" ], [ "Natalizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Paclitaxel" ] ], [ [ "Alemtuzumab", "{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}", "Paclitaxel" ] ], [ [ "Alemtuzumab", "{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}", "Paclitaxel" ] ], [ [ "Alemtuzumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cabazitaxel" ], [ "Cabazitaxel", "{u} (Compound) resembles {v} (Compound)", "Docetaxel" ], [ "Docetaxel", "{u} (Compound) resembles {v} (Compound)", "Paclitaxel" ] ] ]
Alemtuzumab may cause a moderate interaction that could exacerbate diseases when taken with Cabazitaxel and Cabazitaxel may cause a moderate interaction that could exacerbate diseases when taken with Paclitaxel Alemtuzumab may cause a moderate interaction that could exacerbate diseases when taken with Vinorelbine and Vinorelbine may cause a moderate interaction that could exacerbate diseases when taken with Paclitaxel Alemtuzumab 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 Paclitaxel Alemtuzumab may lead to a major life threatening interaction when taken with Fingolimod and Fingolimod may lead to a major life threatening interaction when taken with Paclitaxel Alemtuzumab may cause a moderate interaction that could exacerbate diseases when taken with Infliximab and Infliximab may lead to a major life threatening interaction when taken with Paclitaxel Alemtuzumab may lead to a major life threatening interaction when taken with Natalizumab and Natalizumab may lead to a major life threatening interaction when taken with Paclitaxel Alemtuzumab 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 Paclitaxel Alemtuzumab 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 Paclitaxel Alemtuzumab may cause a moderate interaction that could exacerbate diseases when taken with Cabazitaxel and Cabazitaxel (Compound) resembles Docetaxel (Compound) and Docetaxel (Compound) resembles Paclitaxel (Compound)
DB00222
DB00609
245
595
[ "DDInter825", "DDInter694" ]
Glimepiride
Ethionamide
First introduced in 1995, glimepiride is a member of the second-generation sulfonylurea (SU) drug class used for the management of type 2 diabetes mellitus (T2DM) to improve glycemic control. Type 2 diabetes is a metabolic disorder with increasing prevalences worldwide; it is characterized by insulin resistance in accordance with progressive β cell failure and long-term microvascular and macrovascular complications that lead to co-morbidities and mortalities. Sulfonylureas are one of the insulin secretagogues widely used for the management of type 2 diabetes to lower blood glucose levels. The main effect of SUs is thought to be effective when residual pancreatic β-cells are present, as they work by stimulating the release of insulin from the pancreatic beta cells and they are also thought to exert extra-pancreatic effects, such as increasing the insulin-mediated peripheral glucose uptake. Glimepiride works by stimulating the secretion of insulin granules from
A second-line antitubercular agent that inhibits mycolic acid synthesis. It also may be used for treatment of leprosy. (From Smith and Reynard, Textbook of Pharmacology, 1992, p868)
Moderate
1
[ [ [ 245, 24, 595 ] ], [ [ 245, 21, 28787 ], [ 28787, 60, 595 ] ], [ [ 245, 63, 176 ], [ 176, 24, 595 ] ], [ [ 245, 24, 1254 ], [ 1254, 63, 595 ] ], [ [ 245, 24, 597 ], [ 597, 24, 595 ] ], [ [ 245, 40, 959 ], [ 959, 63, 595 ] ], [ [ 245, 24, 1377 ], [ 1377, 64, 595 ] ], [ [ 245, 21, 28787 ], [ 28787, 60, 372 ], [ 372, 63, 595 ] ], [ [ 245, 63, 176 ], [ 176, 24, 1487 ], [ 1487, 63, 595 ] ], [ [ 245, 24, 1254 ], [ 1254, 24, 1487 ], [ 1487, 63, 595 ] ] ]
[ [ [ "Glimepiride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ethionamide" ] ], [ [ "Glimepiride", "{u} (Compound) causes {v} (Side Effect)", "Dermatitis" ], [ "Dermatitis", "{u} (Side Effect) is caused by {v} (Compound)", "Ethionamide" ] ], [ [ "Glimepiride", "{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}", "Ethionamide" ] ], [ [ "Glimepiride", "{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}", "Ethionamide" ] ], [ [ "Glimepiride", "{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}", "Ethionamide" ] ], [ [ "Glimepiride", "{u} (Compound) resembles {v} (Compound)", "Glipizide" ], [ "Glipizide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ethionamide" ] ], [ [ "Glimepiride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Leflunomide" ], [ "Leflunomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Ethionamide" ] ], [ [ "Glimepiride", "{u} (Compound) causes {v} (Side Effect)", "Dermatitis" ], [ "Dermatitis", "{u} (Side Effect) is caused by {v} (Compound)", "Clofarabine" ], [ "Clofarabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ethionamide" ] ], [ [ "Glimepiride", "{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}", "Hydroxychloroquine" ], [ "Hydroxychloroquine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ethionamide" ] ], [ [ "Glimepiride", "{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}", "Hydroxychloroquine" ], [ "Hydroxychloroquine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ethionamide" ] ] ]
Glimepiride (Compound) causes Dermatitis (Side Effect) and Dermatitis (Side Effect) is caused by Ethionamide (Compound) Glimepiride 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 Ethionamide Glimepiride 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 Ethionamide Glimepiride 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 Ethionamide Glimepiride (Compound) resembles Glipizide (Compound) and Glipizide may cause a moderate interaction that could exacerbate diseases when taken with Ethionamide Glimepiride may cause a moderate interaction that could exacerbate diseases when taken with Leflunomide and Leflunomide may lead to a major life threatening interaction when taken with Ethionamide Glimepiride (Compound) causes Dermatitis (Side Effect) and Dermatitis (Side Effect) is caused by Clofarabine (Compound) and Clofarabine may cause a moderate interaction that could exacerbate diseases when taken with Ethionamide Glimepiride 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 Hydroxychloroquine and Hydroxychloroquine may cause a moderate interaction that could exacerbate diseases when taken with Ethionamide Glimepiride 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 Hydroxychloroquine and Hydroxychloroquine may cause a moderate interaction that could exacerbate diseases when taken with Ethionamide
DB00448
DB00619
1,215
1,419
[ "DDInter1022", "DDInter909" ]
Lansoprazole
Imatinib
Lansoprazole marketed under the brand Prevacid, is a proton pump inhibitor (PPI) and is structurally classified as a substituted benzimidazole. It reduces gastric acid secretion by targeting gastric H,K-ATPase pumps and is thus effective at promoting healing in ulcerative diseases, and treating gastroesophageal reflux disease (GERD) along with other pathologies caused by excessive acid secretion.
Imatinib is a small molecule kinase inhibitor that revolutionized the treatment of cancer, particularly chronic myeloid leukemia, in 2001. It was deemed a "miracle drug" due to its clinical success, as oncologist Dr. Brian noted that "complete hematologic responses were observed in 53 of 54 patients with CML treated with a daily dosage of 300 mg or more and typically occurred in the first four weeks of therapy".. The discovery of imatinib also established a new group of therapy called "targeted therapy", since treatment can be tailored specifically to the unique cancer genetics of each patient. Imatinib was approved on February 1st ,2001 by the FDA and November 7th, 2001 by the EMA; however, its European approval has been withdrawn in October 2023.[A263036,L49746,L49751]
Moderate
1
[ [ [ 1215, 24, 1419 ] ], [ [ 1215, 6, 4973 ], [ 4973, 45, 1419 ] ], [ [ 1215, 21, 28847 ], [ 28847, 60, 1419 ] ], [ [ 1215, 64, 1230 ], [ 1230, 23, 1419 ] ], [ [ 1215, 24, 318 ], [ 318, 62, 1419 ] ], [ [ 1215, 23, 1627 ], [ 1627, 62, 1419 ] ], [ [ 1215, 24, 283 ], [ 283, 63, 1419 ] ], [ [ 1215, 25, 1250 ], [ 1250, 63, 1419 ] ], [ [ 1215, 24, 1622 ], [ 1622, 24, 1419 ] ], [ [ 1215, 63, 902 ], [ 902, 24, 1419 ] ] ]
[ [ [ "Lansoprazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Imatinib" ] ], [ [ "Lansoprazole", "{u} (Compound) binds {v} (Gene)", "ABCB1" ], [ "ABCB1", "{u} (Gene) is bound by {v} (Compound)", "Imatinib" ] ], [ [ "Lansoprazole", "{u} (Compound) causes {v} (Side Effect)", "Eye disorder" ], [ "Eye disorder", "{u} (Side Effect) is caused by {v} (Compound)", "Imatinib" ] ], [ [ "Lansoprazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Citalopram" ], [ "Citalopram", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Imatinib" ] ], [ [ "Lansoprazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Escitalopram" ], [ "Escitalopram", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Imatinib" ] ], [ [ "Lansoprazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cannabidiol" ], [ "Cannabidiol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Imatinib" ] ], [ [ "Lansoprazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ], [ "Fedratinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Imatinib" ] ], [ [ "Lansoprazole", "{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}", "Imatinib" ] ], [ [ "Lansoprazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Voriconazole" ], [ "Voriconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Imatinib" ] ], [ [ "Lansoprazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clobazam" ], [ "Clobazam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Imatinib" ] ] ]
Lansoprazole (Compound) binds ABCB1 (Gene) and ABCB1 (Gene) is bound by Imatinib (Compound) Lansoprazole (Compound) causes Eye disorder (Side Effect) and Eye disorder (Side Effect) is caused by Imatinib (Compound) Lansoprazole may lead to a major life threatening interaction when taken with Citalopram and Citalopram may cause a minor interaction that can limit clinical effects when taken with Imatinib Lansoprazole may cause a moderate interaction that could exacerbate diseases when taken with Escitalopram and Escitalopram may cause a minor interaction that can limit clinical effects when taken with Imatinib Lansoprazole may cause a minor interaction that can limit clinical effects when taken with Cannabidiol and Cannabidiol may cause a minor interaction that can limit clinical effects when taken with Imatinib Lansoprazole may cause a moderate interaction that could exacerbate diseases when taken with Fedratinib and Fedratinib may cause a moderate interaction that could exacerbate diseases when taken with Imatinib Lansoprazole 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 Imatinib Lansoprazole may cause a moderate interaction that could exacerbate diseases when taken with Voriconazole and Voriconazole may cause a moderate interaction that could exacerbate diseases when taken with Imatinib Lansoprazole may cause a moderate interaction that could exacerbate diseases when taken with Clobazam and Clobazam may cause a moderate interaction that could exacerbate diseases when taken with Imatinib
DB00370
DB00553
1,251
92
[ "DDInter1230", "DDInter1177" ]
Mirtazapine
Methoxsalen
Mirtazapine is a tetracyclic _piperazino-azepine_ antidepressant agent that was initially approved for the treatment of major depressive disorder (MDD) in the Netherlands in 1994. This drug was first manufactured by Organon Inc., and received FDA approval in 1997 for the treatment of major depressive disorder.[T595, L6157] The effects of this drug may be observed as early as 1 week after beginning therapy.[A178144,L6160] In addition to its beneficial effects in depression, mirtazapine has been reported to be efficacious in the off-label management of various other conditions. It may improve the symptoms of neurological disorders, reverse weight loss caused by medical conditions, improve sleep, and prevent nausea and vomiting after surgery.
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
[ [ [ 1251, 24, 92 ] ], [ [ 1251, 6, 8374 ], [ 8374, 45, 92 ] ], [ [ 1251, 21, 28680 ], [ 28680, 60, 92 ] ], [ [ 1251, 24, 401 ], [ 401, 63, 92 ] ], [ [ 1251, 1, 104 ], [ 104, 63, 92 ] ], [ [ 1251, 25, 1069 ], [ 1069, 63, 92 ] ], [ [ 1251, 24, 353 ], [ 353, 24, 92 ] ], [ [ 1251, 63, 1101 ], [ 1101, 24, 92 ] ], [ [ 1251, 6, 8374 ], [ 8374, 52, 2602 ], [ 2602, 46, 92 ] ], [ [ 1251, 6, 7950 ], [ 7950, 45, 739 ], [ 739, 63, 92 ] ] ]
[ [ [ "Mirtazapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methoxsalen" ] ], [ [ "Mirtazapine", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Methoxsalen" ] ], [ [ "Mirtazapine", "{u} (Compound) causes {v} (Side Effect)", "Rash" ], [ "Rash", "{u} (Side Effect) is caused by {v} (Compound)", "Methoxsalen" ] ], [ [ "Mirtazapine", "{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}", "Methoxsalen" ] ], [ [ "Mirtazapine", "{u} (Compound) resembles {v} (Compound)", "Methdilazine" ], [ "Methdilazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methoxsalen" ] ], [ [ "Mirtazapine", "{u} may lead to a major life threatening interaction when taken with {v}", "Vandetanib" ], [ "Vandetanib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methoxsalen" ] ], [ [ "Mirtazapine", "{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}", "Methoxsalen" ] ], [ [ "Mirtazapine", "{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}", "Methoxsalen" ] ], [ [ "Mirtazapine", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) covaries with {v} (Gene)", "PTK2B" ], [ "PTK2B", "{u} (Gene) is upregulated by {v} (Compound)", "Methoxsalen" ] ], [ [ "Mirtazapine", "{u} (Compound) binds {v} (Gene)", "CYP1A2" ], [ "CYP1A2", "{u} (Gene) is bound by {v} (Compound)", "Lomefloxacin" ], [ "Lomefloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methoxsalen" ] ] ]
Mirtazapine (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Methoxsalen (Compound) Mirtazapine (Compound) causes Rash (Side Effect) and Rash (Side Effect) is caused by Methoxsalen (Compound) Mirtazapine 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 Methoxsalen Mirtazapine (Compound) resembles Methdilazine (Compound) and Methdilazine may cause a moderate interaction that could exacerbate diseases when taken with Methoxsalen Mirtazapine may lead to a major life threatening interaction when taken with Vandetanib and Vandetanib may cause a moderate interaction that could exacerbate diseases when taken with Methoxsalen Mirtazapine 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 Methoxsalen Mirtazapine 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 Methoxsalen Mirtazapine (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) covaries with PTK2B (Gene) and PTK2B (Gene) is upregulated by Methoxsalen (Compound) Mirtazapine (Compound) binds CYP1A2 (Gene) and CYP1A2 (Gene) is bound by Lomefloxacin (Compound) and Lomefloxacin may cause a moderate interaction that could exacerbate diseases when taken with Methoxsalen
DB11627
DB11817
1,367
1,259
[ "DDInter860", "DDInter165" ]
Hepatitis B Vaccine (Recombinant)
Baricitinib
Hepatitis B Vaccine is an ingredient in the EMA-withdrawn product Quintanrix. It is marketed in Canada as Engerix B. It is also a part of Twinrix (Hep A/Hep B vaccine) available also in Canada. The hepatitis B virus induces a severe form of viral hepatitis. Other causative agents are hepatitis A virus, and the non-A, non-B hepatitis viruses. Hepatitis D virus, a defective virus requiring the “keeper function” of the hepatitis B virus, occurs either as a co-infection or super-infection in a HBsAg carrier. Transmission of the virus occurs through percutaneous contact with contaminated blood, serum or plasma. Infection may also occur by the exposure of mucous surfaces, or intact or damaged skin to other body fluids such as saliva, mucosal secretions and semen. There is no specific treatment for hepatitis. The incubation period may be as long as 6 months, followed by a very complex
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.
Moderate
1
[ [ [ 1367, 24, 1259 ] ], [ [ 1367, 63, 384 ], [ 384, 25, 1259 ] ], [ [ 1367, 24, 1619 ], [ 1619, 64, 1259 ] ], [ [ 1367, 24, 351 ], [ 351, 25, 1259 ] ], [ [ 1367, 63, 384 ], [ 384, 63, 1274 ], [ 1274, 24, 1259 ] ], [ [ 1367, 24, 1619 ], [ 1619, 63, 1274 ], [ 1274, 24, 1259 ] ], [ [ 1367, 63, 36 ], [ 36, 63, 1461 ], [ 1461, 23, 1259 ] ], [ [ 1367, 63, 1011 ], [ 1011, 24, 949 ], [ 949, 24, 1259 ] ], [ [ 1367, 63, 1220 ], [ 1220, 23, 1193 ], [ 1193, 23, 1259 ] ], [ [ 1367, 24, 1316 ], [ 1316, 62, 1193 ], [ 1193, 23, 1259 ] ] ]
[ [ [ "Hepatitis B Vaccine (Recombinant)", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Baricitinib" ] ], [ [ "Hepatitis B Vaccine (Recombinant)", "{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}", "Baricitinib" ] ], [ [ "Hepatitis B Vaccine (Recombinant)", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rucaparib" ], [ "Rucaparib", "{u} may lead to a major life threatening interaction when taken with {v}", "Baricitinib" ] ], [ [ "Hepatitis B Vaccine (Recombinant)", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ribociclib" ], [ "Ribociclib", "{u} may lead to a major life threatening interaction when taken with {v}", "Baricitinib" ] ], [ [ "Hepatitis B Vaccine (Recombinant)", "{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}", "Flurbiprofen" ], [ "Flurbiprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Baricitinib" ] ], [ [ "Hepatitis B Vaccine (Recombinant)", "{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}", "Flurbiprofen" ], [ "Flurbiprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Baricitinib" ] ], [ [ "Hepatitis B Vaccine (Recombinant)", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eribulin" ], [ "Eribulin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vitamin E" ], [ "Vitamin E", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Baricitinib" ] ], [ [ "Hepatitis B Vaccine (Recombinant)", "{u} may cause a moderate interaction that could exacerbate diseases 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" ] ], [ [ "Hepatitis B Vaccine (Recombinant)", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexamethasone" ], [ "Dexamethasone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Zinc gluconate" ], [ "Zinc gluconate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Baricitinib" ] ], [ [ "Hepatitis B Vaccine (Recombinant)", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Durvalumab" ], [ "Durvalumab", "{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" ] ] ]
Hepatitis B Vaccine (Recombinant) 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 Baricitinib Hepatitis B Vaccine (Recombinant) may cause a moderate interaction that could exacerbate diseases when taken with Rucaparib and Rucaparib may lead to a major life threatening interaction when taken with Baricitinib Hepatitis B Vaccine (Recombinant) may cause a moderate interaction that could exacerbate diseases when taken with Ribociclib and Ribociclib may lead to a major life threatening interaction when taken with Baricitinib Hepatitis B Vaccine (Recombinant) 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 Flurbiprofen and Flurbiprofen may cause a moderate interaction that could exacerbate diseases when taken with Baricitinib Hepatitis B Vaccine (Recombinant) 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 Flurbiprofen and Flurbiprofen may cause a moderate interaction that could exacerbate diseases when taken with Baricitinib Hepatitis B Vaccine (Recombinant) may cause a moderate interaction that could exacerbate diseases when taken with Eribulin and Eribulin may cause a moderate interaction that could exacerbate diseases when taken with Vitamin E and Vitamin E may cause a minor interaction that can limit clinical effects when taken with Baricitinib Hepatitis B Vaccine (Recombinant) may cause a moderate interaction that could exacerbate diseases 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 Hepatitis B Vaccine (Recombinant) may cause a moderate interaction that could exacerbate diseases when taken with Dexamethasone and Dexamethasone may cause a minor interaction that can limit clinical effects when taken with Zinc gluconate and Zinc gluconate may cause a minor interaction that can limit clinical effects when taken with Baricitinib Hepatitis B Vaccine (Recombinant) may cause a moderate interaction that could exacerbate diseases when taken with Durvalumab and Durvalumab 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
DB00188
DB00976
168
1,056
[ "DDInter222", "DDInter1758" ]
Bortezomib
Telithromycin
Bortezomib is a dipeptide boronic acid derivative and proteasome inhibitor used to treat multiple myeloma and mantle cell lymphoma. The 26S proteasome is a protein complex that degrades ubiquitinated proteins in the ubiquitin-proteasome pathway: reversible inhibition of the 26S proteasome, leading to cell cycle arrest and apoptosis of cancer cells, is thought to be the main mechanism of action of bortezomib. However, multiple mechanisms may be involved in the anticancer activity of bortezomib. Bortezomib was first synthesized in 1995. In May 2003, bortezomib became the first anticancer proteasome inhibitor that was approved by the FDA under the trade name VELCADE. Phase I, II, III, and IV clinical trials are undergoing to investigate the therapeutic efficacy of bortezomib in leukemia, myasthenia gravis, systemic
Telithromycin, a semi-synthetic erythromycin derivative, belongs to a new chemical class of antibiotics called ketolides. Ketolides have been recently added to the macrolide-lincosamide-streptogramin class of antibiotics. Similar to the macrolide antibiotics, telithromycin prevents bacterial growth by interfering with bacterial protein synthesis. Telithromycin binds to the 50S subunit of the 70S bacterial ribosome and blocks further peptide elongation. Binding occurs simultaneously at to two domains of 23S RNA of the 50S ribosomal subunit, domain II and V, where older macrolides bind only to one. It is used to treat mild to moderate respiratory infections.
Moderate
1
[ [ [ 168, 24, 1056 ] ], [ [ 168, 6, 7950 ], [ 7950, 45, 1056 ] ], [ [ 168, 21, 28681 ], [ 28681, 60, 1056 ] ], [ [ 168, 24, 112 ], [ 112, 23, 1056 ] ], [ [ 168, 23, 1220 ], [ 1220, 63, 1056 ] ], [ [ 168, 24, 663 ], [ 663, 24, 1056 ] ], [ [ 168, 23, 1051 ], [ 1051, 24, 1056 ] ], [ [ 168, 24, 36 ], [ 36, 63, 1056 ] ], [ [ 168, 63, 305 ], [ 305, 24, 1056 ] ], [ [ 168, 25, 1377 ], [ 1377, 64, 1056 ] ] ]
[ [ [ "Bortezomib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Telithromycin" ] ], [ [ "Bortezomib", "{u} (Compound) binds {v} (Gene)", "CYP1A2" ], [ "CYP1A2", "{u} (Gene) is bound by {v} (Compound)", "Telithromycin" ] ], [ [ "Bortezomib", "{u} (Compound) causes {v} (Side Effect)", "Hypersensitivity" ], [ "Hypersensitivity", "{u} (Side Effect) is caused by {v} (Compound)", "Telithromycin" ] ], [ [ "Bortezomib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Telithromycin" ] ], [ [ "Bortezomib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Dexamethasone" ], [ "Dexamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Telithromycin" ] ], [ [ "Bortezomib", "{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}", "Telithromycin" ] ], [ [ "Bortezomib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Aminoglutethimide" ], [ "Aminoglutethimide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Telithromycin" ] ], [ [ "Bortezomib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eribulin" ], [ "Eribulin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Telithromycin" ] ], [ [ "Bortezomib", "{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}", "Telithromycin" ] ], [ [ "Bortezomib", "{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}", "Telithromycin" ] ] ]
Bortezomib (Compound) binds CYP1A2 (Gene) and CYP1A2 (Gene) is bound by Telithromycin (Compound) Bortezomib (Compound) causes Hypersensitivity (Side Effect) and Hypersensitivity (Side Effect) is caused by Telithromycin (Compound) Bortezomib may cause a moderate interaction that could exacerbate diseases when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Telithromycin Bortezomib may cause a minor interaction that can limit clinical effects when taken with Dexamethasone and Dexamethasone may cause a moderate interaction that could exacerbate diseases when taken with Telithromycin Bortezomib 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 Telithromycin Bortezomib may cause a minor interaction that can limit clinical effects when taken with Aminoglutethimide and Aminoglutethimide may cause a moderate interaction that could exacerbate diseases when taken with Telithromycin Bortezomib may cause a moderate interaction that could exacerbate diseases when taken with Eribulin and Eribulin may cause a moderate interaction that could exacerbate diseases when taken with Telithromycin Bortezomib 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 Telithromycin Bortezomib 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 Telithromycin
DB00574
DB01579
121
341
[ "DDInter717", "DDInter1439" ]
Fenfluramine
Phendimetrazine
Dravet syndrome is a pediatric encephalopathy that typically manifests within the first year of life following exposure to elevated temperatures. It is characterized by recurrent pharmacoresistant seizures, which increase in frequency and severity with disease progression. Concomitantly with these seizures, patients typically display delayed development and neurocognitive impairment.[A214694, A214709, A214712, A214715] Fenfluramine is a serotonergic phenethylamine originally used as an appetite suppressant until concerns regarding cardiotoxicity in obese patients lead to its withdrawal from the market in 1997.[A214694, A214718, A11906] Through its ability to modulate neurotransmission, fenfluramine has reemerged as an effective therapy against pharmacoresistant seizures, such as those involved in Dravet syndrome.[A214688, A214691, A214700] Fenfluramine was granted initial FDA approval in 1973 prior to its withdrawal
Phendimetrazine is a weight loss medication. Phendimetrazine is chemically related to amphetamines and is a Schedule III drug under the Convention on Psychotropic Substances and in the US since 1970.
Major
2
[ [ [ 121, 25, 341 ] ], [ [ 121, 24, 959 ], [ 959, 24, 341 ] ], [ [ 121, 24, 1281 ], [ 1281, 63, 341 ] ], [ [ 121, 63, 127 ], [ 127, 24, 341 ] ], [ [ 121, 25, 1053 ], [ 1053, 25, 341 ] ], [ [ 121, 64, 73 ], [ 73, 25, 341 ] ], [ [ 121, 25, 1629 ], [ 1629, 64, 341 ] ], [ [ 121, 24, 959 ], [ 959, 21, 28662 ], [ 28662, 60, 341 ] ], [ [ 121, 24, 135 ], [ 135, 63, 959 ], [ 959, 24, 341 ] ], [ [ 121, 63, 127 ], [ 127, 21, 28722 ], [ 28722, 60, 341 ] ] ]
[ [ [ "Fenfluramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Phendimetrazine" ] ], [ [ "Fenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glipizide" ], [ "Glipizide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phendimetrazine" ] ], [ [ "Fenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Linagliptin" ], [ "Linagliptin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phendimetrazine" ] ], [ [ "Fenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Miglitol" ], [ "Miglitol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phendimetrazine" ] ], [ [ "Fenfluramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Procarbazine" ], [ "Procarbazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Phendimetrazine" ] ], [ [ "Fenfluramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Phentermine" ], [ "Phentermine", "{u} may lead to a major life threatening interaction when taken with {v}", "Phendimetrazine" ] ], [ [ "Fenfluramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Methylene blue" ], [ "Methylene blue", "{u} may lead to a major life threatening interaction when taken with {v}", "Phendimetrazine" ] ], [ [ "Fenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glipizide" ], [ "Glipizide", "{u} (Compound) causes {v} (Side Effect)", "Tremor" ], [ "Tremor", "{u} (Side Effect) is caused by {v} (Compound)", "Phendimetrazine" ] ], [ [ "Fenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Albiglutide" ], [ "Albiglutide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glipizide" ], [ "Glipizide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phendimetrazine" ] ], [ [ "Fenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Miglitol" ], [ "Miglitol", "{u} (Compound) causes {v} (Side Effect)", "Nausea" ], [ "Nausea", "{u} (Side Effect) is caused by {v} (Compound)", "Phendimetrazine" ] ] ]
Fenfluramine may cause a moderate interaction that could exacerbate diseases when taken with Glipizide and Glipizide may cause a moderate interaction that could exacerbate diseases when taken with Phendimetrazine Fenfluramine may cause a moderate interaction that could exacerbate diseases when taken with Linagliptin and Linagliptin may cause a moderate interaction that could exacerbate diseases when taken with Phendimetrazine Fenfluramine may cause a moderate interaction that could exacerbate diseases when taken with Miglitol and Miglitol may cause a moderate interaction that could exacerbate diseases when taken with Phendimetrazine Fenfluramine may lead to a major life threatening interaction when taken with Procarbazine and Procarbazine may lead to a major life threatening interaction when taken with Phendimetrazine Fenfluramine may lead to a major life threatening interaction when taken with Phentermine and Phentermine may lead to a major life threatening interaction when taken with Phendimetrazine Fenfluramine may lead to a major life threatening interaction when taken with Methylene blue and Methylene blue may lead to a major life threatening interaction when taken with Phendimetrazine Fenfluramine may cause a moderate interaction that could exacerbate diseases when taken with Glipizide and Glipizide (Compound) causes Tremor (Side Effect) and Tremor (Side Effect) is caused by Phendimetrazine (Compound) Fenfluramine may cause a moderate interaction that could exacerbate diseases when taken with Albiglutide and Albiglutide may cause a moderate interaction that could exacerbate diseases when taken with Glipizide and Glipizide may cause a moderate interaction that could exacerbate diseases when taken with Phendimetrazine Fenfluramine may cause a moderate interaction that could exacerbate diseases when taken with Miglitol and Miglitol (Compound) causes Nausea (Side Effect) and Nausea (Side Effect) is caused by Phendimetrazine (Compound)
DB12001
DB13179
564
68
[ "DDInter7", "DDInter1882" ]
Abemaciclib
Troleandomycin
Abemaciclib is an antitumor agent and dual inhibitor of cyclin-dependent kinases 4 (CDK4) and 6 (CDK6) that are involved in the cell cycle and promotion of cancer cell growth in case of unregulated activity. On September 28, 2017, FDA granted approval of abemaciclib treatment under the market name Verzenio for the treatment of HR-positive and HER2-negative advanced or metastatic breast cancer that has progressed after unsuccessful endocrine therapy. It is either given alone in patients who has undergone endocrine therapy and chemotherapy after the metastasis of cancer, or in combination with. Following oral treatment in patients with HR-positive, HER2-negative breast cancer, abemaciclib demonstrated increased progression-free survival rates and objective response rates. Abemaciclib has been used in trials studying the treatment of melanoma, lymphoma, neoplasm, solid tumor, and glioblastoma.
A macrolide antibiotic that is similar to erythromycin.
Major
2
[ [ [ 564, 25, 68 ] ], [ [ 564, 63, 1101 ], [ 1101, 23, 68 ] ], [ [ 564, 63, 267 ], [ 267, 24, 68 ] ], [ [ 564, 64, 760 ], [ 760, 24, 68 ] ], [ [ 564, 63, 1593 ], [ 1593, 25, 68 ] ], [ [ 564, 64, 976 ], [ 976, 25, 68 ] ], [ [ 564, 24, 159 ], [ 159, 64, 68 ] ], [ [ 564, 24, 1017 ], [ 1017, 25, 68 ] ], [ [ 564, 25, 676 ], [ 676, 64, 68 ] ], [ [ 564, 63, 1101 ], [ 1101, 24, 466 ], [ 466, 23, 68 ] ] ]
[ [ [ "Abemaciclib", "{u} may lead to a major life threatening interaction when taken with {v}", "Troleandomycin" ] ], [ [ "Abemaciclib", "{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" ] ], [ [ "Abemaciclib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Naltrexone" ], [ "Naltrexone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Troleandomycin" ] ], [ [ "Abemaciclib", "{u} may lead to a major life threatening interaction when taken with {v}", "Cobicistat" ], [ "Cobicistat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Troleandomycin" ] ], [ [ "Abemaciclib", "{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" ] ], [ [ "Abemaciclib", "{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" ] ], [ [ "Abemaciclib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Larotrectinib" ], [ "Larotrectinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Troleandomycin" ] ], [ [ "Abemaciclib", "{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}", "Troleandomycin" ] ], [ [ "Abemaciclib", "{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" ] ], [ [ "Abemaciclib", "{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}", "Darolutamide" ], [ "Darolutamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Troleandomycin" ] ] ]
Abemaciclib 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 Abemaciclib may cause a moderate interaction that could exacerbate diseases when taken with Naltrexone and Naltrexone may cause a moderate interaction that could exacerbate diseases when taken with Troleandomycin Abemaciclib may lead to a major life threatening interaction when taken with Cobicistat and Cobicistat may cause a moderate interaction that could exacerbate diseases when taken with Troleandomycin Abemaciclib 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 Abemaciclib 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 Abemaciclib may cause a moderate interaction that could exacerbate diseases when taken with Larotrectinib and Larotrectinib may lead to a major life threatening interaction when taken with Troleandomycin Abemaciclib 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 Troleandomycin Abemaciclib 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 Abemaciclib 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 Darolutamide and Darolutamide may cause a minor interaction that can limit clinical effects when taken with Troleandomycin
DB00850
DB00902
1,630
104
[ "DDInter1432", "DDInter1168" ]
Perphenazine
Methdilazine
An antipsychotic phenothiazine derivative with actions and uses similar to those of chlorpromazine.
Methdilazine is a phenothiazine compound with antihistaminic activity. It is used in the treatment of various dermatoses to relieve pruritus.
Moderate
1
[ [ [ 1630, 35, 104 ] ], [ [ 1630, 40, 11224 ], [ 11224, 1, 104 ] ], [ [ 1630, 1, 11237 ], [ 11237, 1, 104 ] ], [ [ 1630, 63, 13 ], [ 13, 24, 104 ] ], [ [ 1630, 1, 638 ], [ 638, 40, 104 ] ], [ [ 1630, 35, 820 ], [ 820, 1, 104 ] ], [ [ 1630, 24, 537 ], [ 537, 40, 104 ] ], [ [ 1630, 35, 401 ], [ 401, 63, 104 ] ], [ [ 1630, 6, 10104 ], [ 10104, 45, 104 ] ], [ [ 1630, 24, 286 ], [ 286, 62, 104 ] ] ]
[ [ [ "Perphenazine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methdilazine" ] ], [ [ "Perphenazine", "{u} (Compound) resembles {v} (Compound)", "Thioproperazine" ], [ "Thioproperazine", "{u} (Compound) resembles {v} (Compound)", "Methdilazine" ] ], [ [ "Perphenazine", "{u} (Compound) resembles {v} (Compound)", "Acetophenazine" ], [ "Acetophenazine", "{u} (Compound) resembles {v} (Compound)", "Methdilazine" ] ], [ [ "Perphenazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyproheptadine" ], [ "Cyproheptadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methdilazine" ] ], [ [ "Perphenazine", "{u} (Compound) resembles {v} (Compound)", "Triflupromazine" ], [ "Triflupromazine", "{u} (Compound) resembles {v} (Compound)", "Methdilazine" ] ], [ [ "Perphenazine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alimemazine" ], [ "Alimemazine", "{u} (Compound) resembles {v} (Compound)", "Methdilazine" ] ], [ [ "Perphenazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyclizine" ], [ "Cyclizine", "{u} (Compound) resembles {v} (Compound)", "Methdilazine" ] ], [ [ "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 cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methdilazine" ] ], [ [ "Perphenazine", "{u} (Compound) binds {v} (Gene)", "HRH1" ], [ "HRH1", "{u} (Gene) is bound by {v} (Compound)", "Methdilazine" ] ], [ [ "Perphenazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium hydroxide" ], [ "Magnesium hydroxide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Methdilazine" ] ] ]
Perphenazine (Compound) resembles Methdilazine (Compound) and Perphenazine (Compound) resembles Thioproperazine (Compound) and Thioproperazine (Compound) resembles Methdilazine (Compound) Perphenazine (Compound) resembles Acetophenazine (Compound) and Acetophenazine (Compound) resembles Methdilazine (Compound) Perphenazine may cause a moderate interaction that could exacerbate diseases when taken with Cyproheptadine and Cyproheptadine may cause a moderate interaction that could exacerbate diseases when taken with Methdilazine Perphenazine (Compound) resembles Triflupromazine (Compound) and Triflupromazine (Compound) resembles Methdilazine (Compound) Perphenazine (Compound) resembles Alimemazine (Compound) and Perphenazine may cause a moderate interaction that could exacerbate diseases when taken with Alimemazine and Alimemazine (Compound) resembles Methdilazine (Compound) Perphenazine may cause a moderate interaction that could exacerbate diseases when taken with Cyclizine and Cyclizine (Compound) resembles Methdilazine (Compound) Perphenazine (Compound) resembles Promethazine (Compound) and Perphenazine may cause a moderate interaction that could exacerbate diseases when taken with Promethazine and Promethazine may cause a moderate interaction that could exacerbate diseases when taken with Methdilazine Perphenazine (Compound) binds HRH1 (Gene) and HRH1 (Gene) is bound by Methdilazine (Compound) Perphenazine may cause a moderate interaction that could exacerbate diseases when taken with Magnesium hydroxide and Magnesium hydroxide may cause a minor interaction that can limit clinical effects when taken with Methdilazine
DB01255
DB01259
633
392
[ "DDInter1078", "DDInter1024" ]
Lisdexamfetamine
Lapatinib
Lisdexamfetamine is a prodrug of [dextroamphetamine], a central nervous system stimulant known as d-amphetamine, covalently attached to the naturally occurring amino acid L-lysine. Lisdexamfetamine is the first chemically formulated prodrug stimulant and was first approved by the FDA in April 2008. It was also approved by Health Canada in February 2009. Lisdexamfetamine works to treat attention deficit hyperactivity disorder and binge eating disorder by blocking dopamine and norepinephrine reuptake and increasing their levels in the extraneuronal space.
Lapatinib is an anti-cancer drug developed by GlaxoSmithKline (GSK) as a treatment for solid tumours such as breast and lung cancer. It was approved by the FDA on March 13, 2007, for use in patients with advanced metastatic breast cancer in conjunction with the chemotherapy drug capecitabine. Lapatinib is a human epidermal growth factor receptor type 2 (HER2/ERBB2) and epidermal growth factor receptor (HER1/EGFR/ERBB1) tyrosine kinases inhibitor. It binds to the intracellular phosphorylation domain to prevent receptor autophosphorylation upon ligand binding.
Moderate
1
[ [ [ 633, 24, 392 ] ], [ [ 633, 21, 28883 ], [ 28883, 60, 392 ] ], [ [ 633, 62, 112 ], [ 112, 23, 392 ] ], [ [ 633, 63, 918 ], [ 918, 24, 392 ] ], [ [ 633, 24, 603 ], [ 603, 63, 392 ] ], [ [ 633, 64, 222 ], [ 222, 24, 392 ] ], [ [ 633, 25, 877 ], [ 877, 64, 392 ] ], [ [ 633, 24, 1250 ], [ 1250, 64, 392 ] ], [ [ 633, 64, 11 ], [ 11, 25, 392 ] ], [ [ 633, 63, 543 ], [ 543, 25, 392 ] ] ]
[ [ [ "Lisdexamfetamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lapatinib" ] ], [ [ "Lisdexamfetamine", "{u} (Compound) causes {v} (Side Effect)", "Skin disorder" ], [ "Skin disorder", "{u} (Side Effect) is caused by {v} (Compound)", "Lapatinib" ] ], [ [ "Lisdexamfetamine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Lapatinib" ] ], [ [ "Lisdexamfetamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bicalutamide" ], [ "Bicalutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lapatinib" ] ], [ [ "Lisdexamfetamine", "{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}", "Lapatinib" ] ], [ [ "Lisdexamfetamine", "{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}", "Lapatinib" ] ], [ [ "Lisdexamfetamine", "{u} may lead to a major life threatening interaction when taken with {v}", "Macimorelin" ], [ "Macimorelin", "{u} may lead to a major life threatening interaction when taken with {v}", "Lapatinib" ] ], [ [ "Lisdexamfetamine", "{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}", "Lapatinib" ] ], [ [ "Lisdexamfetamine", "{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}", "Lapatinib" ] ], [ [ "Lisdexamfetamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Loperamide" ], [ "Loperamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Lapatinib" ] ] ]
Lisdexamfetamine (Compound) causes Skin disorder (Side Effect) and Skin disorder (Side Effect) is caused by Lapatinib (Compound) Lisdexamfetamine may cause a minor interaction that can limit clinical effects when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Lapatinib Lisdexamfetamine may cause a moderate interaction that could exacerbate diseases when taken with Bicalutamide and Bicalutamide may cause a moderate interaction that could exacerbate diseases when taken with Lapatinib Lisdexamfetamine 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 Lapatinib Lisdexamfetamine 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 Lapatinib Lisdexamfetamine may lead to a major life threatening interaction when taken with Macimorelin and Macimorelin may lead to a major life threatening interaction when taken with Lapatinib Lisdexamfetamine 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 Lapatinib Lisdexamfetamine 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 Lapatinib Lisdexamfetamine may cause a moderate interaction that could exacerbate diseases when taken with Loperamide and Loperamide may lead to a major life threatening interaction when taken with Lapatinib
DB00519
DB06779
1,638
365
[ "DDInter1843", "DDInter470" ]
Trandolapril
Dalteparin
Trandolapril is a non-sulhydryl prodrug that belongs to the angiotensin-converting enzyme (ACE) inhibitor class of medications. It is metabolized to its biologically active diacid form, trandolaprilat, in the liver. Trandolaprilat inhibits ACE, the enzyme responsible for the conversion of angiotensin I (ATI) to angiotensin II (ATII). ATII regulates blood pressure and is a key component of the renin-angiotensin-aldosterone system (RAAS). Trandolapril may be used to treat mild to moderate hypertension, to improve survival following myocardial infarction in clinically stable patients with left ventricular dysfunction, as an adjunct treatment for congestive heart failure, and to slow the rate of progression of renal disease in hypertensive individuals with diabetes mellitus and microalbuminuria or overt nephropathy.
Dalteparin, a low molecular weight heparin (LMWH) prepared by nitrous acid degradation of unfractionated heparin of porcine intestinal mucosa origin, is an anticoagulant. It is composed of strongly acidic sulphated polysaccharide chains with an average molecular weight of 5000 and about 90% of the material within the range of 2000-9000. LMWHs have a more predictable response, a greater bioavailability, and a longer anti-Xa half life than unfractionated heparin. Dalteparin can also be safely used in most pregnant women. Low molecular weight heparins are less effective at inactivating factor IIa due to their shorter length compared to unfractionated heparin.
Moderate
1
[ [ [ 1638, 24, 365 ] ], [ [ 1638, 1, 954 ], [ 954, 24, 365 ] ], [ [ 1638, 63, 305 ], [ 305, 24, 365 ] ], [ [ 1638, 24, 1274 ], [ 1274, 25, 365 ] ], [ [ 1638, 63, 582 ], [ 582, 25, 365 ] ], [ [ 1638, 24, 802 ], [ 802, 64, 365 ] ], [ [ 1638, 1, 954 ], [ 954, 63, 305 ], [ 305, 24, 365 ] ], [ [ 1638, 63, 305 ], [ 305, 24, 954 ], [ 954, 24, 365 ] ], [ [ 1638, 1, 610 ], [ 610, 1, 954 ], [ 954, 24, 365 ] ], [ [ 1638, 24, 1274 ], [ 1274, 23, 297 ], [ 297, 62, 365 ] ] ]
[ [ [ "Trandolapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dalteparin" ] ], [ [ "Trandolapril", "{u} (Compound) resembles {v} (Compound)", "Quinapril" ], [ "Quinapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dalteparin" ] ], [ [ "Trandolapril", "{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}", "Dalteparin" ] ], [ [ "Trandolapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Flurbiprofen" ], [ "Flurbiprofen", "{u} may lead to a major life threatening interaction when taken with {v}", "Dalteparin" ] ], [ [ "Trandolapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Reteplase" ], [ "Reteplase", "{u} may lead to a major life threatening interaction when taken with {v}", "Dalteparin" ] ], [ [ "Trandolapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tinzaparin" ], [ "Tinzaparin", "{u} may lead to a major life threatening interaction when taken with {v}", "Dalteparin" ] ], [ [ "Trandolapril", "{u} (Compound) resembles {v} (Compound)", "Quinapril" ], [ "Quinapril", "{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}", "Dalteparin" ] ], [ [ "Trandolapril", "{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}", "Quinapril" ], [ "Quinapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dalteparin" ] ], [ [ "Trandolapril", "{u} (Compound) resembles {v} (Compound)", "Enalapril" ], [ "Enalapril", "{u} (Compound) resembles {v} (Compound)", "Quinapril" ], [ "Quinapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dalteparin" ] ], [ [ "Trandolapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Flurbiprofen" ], [ "Flurbiprofen", "{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}", "Dalteparin" ] ] ]
Trandolapril (Compound) resembles Quinapril (Compound) and Quinapril may cause a moderate interaction that could exacerbate diseases when taken with Dalteparin Trandolapril 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 Dalteparin Trandolapril may cause a moderate interaction that could exacerbate diseases when taken with Flurbiprofen and Flurbiprofen may lead to a major life threatening interaction when taken with Dalteparin Trandolapril may cause a moderate interaction that could exacerbate diseases when taken with Reteplase and Reteplase may lead to a major life threatening interaction when taken with Dalteparin Trandolapril may cause a moderate interaction that could exacerbate diseases when taken with Tinzaparin and Tinzaparin may lead to a major life threatening interaction when taken with Dalteparin Trandolapril (Compound) resembles Quinapril (Compound) and Quinapril 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 Dalteparin Trandolapril 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 Quinapril and Quinapril may cause a moderate interaction that could exacerbate diseases when taken with Dalteparin Trandolapril (Compound) resembles Enalapril (Compound) and Enalapril (Compound) resembles Quinapril (Compound) and Quinapril may cause a moderate interaction that could exacerbate diseases when taken with Dalteparin Trandolapril may cause a moderate interaction that could exacerbate diseases when taken with Flurbiprofen and Flurbiprofen 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 Dalteparin
DB12267
DB14444
1,476
151
[ "DDInter233", "DDInter924" ]
Brigatinib
Influenza A virus A/California/7/2009 (H1N1)-like antigen (propiolactone inactivated)
Brigatinib, originally named AP26113, is a reversible dual inhibitor of anaplastic lymphoma kinase (ALK) and epidermal growth factor receptor (EGFR). It presents selectivity against the mutant forms of EGFR compared to the wild-type. It also exhibits selectivity against 9 different Crizotinib-resistant mutants of the EML4-ALK fusion gene, which is a pivotal player in the transformation of susceptible lung parenchyma. Brigatinib was developed by Ariad Pharmaceuticals, a subsidiary of Takeda Pharmaceutical Company Limited, and FDA-approved on April 28, 2017.
A seasonally-specific component of the influenza vaccine. The influenza vaccine, also known as the "flu shot", is a vaccine that protects against infection from the influenza viruses. Vaccines provide protection from influenza by exposing the immune system to the virus (or parts of the virus) which stimulates an immunological defence against future exposure to the virus, or "antigen". This defence includes the production of humoral immunity through the development of antibodies (through memory B cells) and of cell-mediated immunity through the production of T-lymphocytes. Upon re-exposure to infectious influenza virus, the immune system is prepared to identify and destroy the virus as there are circulating antibodies that recognize that particular component of the virus that it was previously exposed to. There are two basic types of vaccines available: inactivated influenza vaccine (IIV) and live attenuated influenza vaccine (LAIV). Inactivated vaccines contain a virus particle that has been grown in media and then subsequently killed, or inactivated, through exposure to heat or chemicals such as formaldehyde 3. Inactivated virus cannot replicate, and therefore cannot cause disease from infection, even in immunocompromised individuals. In contrast, live vaccines are produced from "wild-type" or disease-causing viruses that have been attenuated, or weakened, through various laboratory techniques. Live vaccines maintain their replicative ability.
Moderate
1
[ [ [ 1476, 24, 151 ] ], [ [ 1476, 63, 66 ], [ 66, 24, 151 ] ], [ [ 1476, 24, 1619 ], [ 1619, 24, 151 ] ], [ [ 1476, 64, 375 ], [ 375, 24, 151 ] ], [ [ 1476, 62, 168 ], [ 168, 24, 151 ] ], [ [ 1476, 25, 676 ], [ 676, 63, 151 ] ], [ [ 1476, 63, 66 ], [ 66, 24, 134 ], [ 134, 24, 151 ] ], [ [ 1476, 63, 134 ], [ 134, 63, 66 ], [ 66, 24, 151 ] ], [ [ 1476, 24, 1619 ], [ 1619, 63, 66 ], [ 66, 24, 151 ] ], [ [ 1476, 64, 375 ], [ 375, 63, 66 ], [ 66, 24, 151 ] ] ]
[ [ [ "Brigatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Influenza A virus A/California/7/2009 (H1N1)-like antigen (propiolactone inactivated)" ] ], [ [ "Brigatinib", "{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}", "Influenza A virus A/California/7/2009 (H1N1)-like antigen (propiolactone inactivated)" ] ], [ [ "Brigatinib", "{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}", "Influenza A virus A/California/7/2009 (H1N1)-like antigen (propiolactone inactivated)" ] ], [ [ "Brigatinib", "{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}", "Influenza A virus A/California/7/2009 (H1N1)-like antigen (propiolactone inactivated)" ] ], [ [ "Brigatinib", "{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}", "Influenza A virus A/California/7/2009 (H1N1)-like antigen (propiolactone inactivated)" ] ], [ [ "Brigatinib", "{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}", "Influenza A virus A/California/7/2009 (H1N1)-like antigen (propiolactone inactivated)" ] ], [ [ "Brigatinib", "{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}", "Vinorelbine" ], [ "Vinorelbine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Influenza A virus A/California/7/2009 (H1N1)-like antigen (propiolactone inactivated)" ] ], [ [ "Brigatinib", "{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}", "Efalizumab" ], [ "Efalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Influenza A virus A/California/7/2009 (H1N1)-like antigen (propiolactone inactivated)" ] ], [ [ "Brigatinib", "{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}", "Efalizumab" ], [ "Efalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Influenza A virus A/California/7/2009 (H1N1)-like antigen (propiolactone inactivated)" ] ], [ [ "Brigatinib", "{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}", "Efalizumab" ], [ "Efalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Influenza A virus A/California/7/2009 (H1N1)-like antigen (propiolactone inactivated)" ] ] ]
Brigatinib 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 Influenza A virus A/California/7/2009 (H1N1)-like antigen (propiolactone inactivated) Brigatinib 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 Influenza A virus A/California/7/2009 (H1N1)-like antigen (propiolactone inactivated) Brigatinib 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 Influenza A virus A/California/7/2009 (H1N1)-like antigen (propiolactone inactivated) Brigatinib 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 Influenza A virus A/California/7/2009 (H1N1)-like antigen (propiolactone inactivated) Brigatinib 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 Influenza A virus A/California/7/2009 (H1N1)-like antigen (propiolactone inactivated) Brigatinib 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 Vinorelbine and Vinorelbine may cause a moderate interaction that could exacerbate diseases when taken with Influenza A virus A/California/7/2009 (H1N1)-like antigen (propiolactone inactivated) Brigatinib 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 Efalizumab and Efalizumab may cause a moderate interaction that could exacerbate diseases when taken with Influenza A virus A/California/7/2009 (H1N1)-like antigen (propiolactone inactivated) Brigatinib 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 Efalizumab and Efalizumab may cause a moderate interaction that could exacerbate diseases when taken with Influenza A virus A/California/7/2009 (H1N1)-like antigen (propiolactone inactivated) Brigatinib 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 Efalizumab and Efalizumab may cause a moderate interaction that could exacerbate diseases when taken with Influenza A virus A/California/7/2009 (H1N1)-like antigen (propiolactone inactivated)
DB00641
DB01432
467
857
[ "DDInter1675", "DDInter368" ]
Simvastatin
Cholestyramine
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
Cholestyramine or colestyramine is a bile acid sequestrant. Bile acid sequestrants are polymeric compounds which serve as ion exchange resins. Cholestyramine resin is quite hydrophilic, but insoluble in water.
Moderate
1
[ [ [ 467, 24, 857 ] ], [ [ 467, 24, 112 ], [ 112, 24, 857 ] ], [ [ 467, 23, 126 ], [ 126, 24, 857 ] ], [ [ 467, 25, 1377 ], [ 1377, 24, 857 ] ], [ [ 467, 62, 1152 ], [ 1152, 24, 857 ] ], [ [ 467, 63, 1324 ], [ 1324, 24, 857 ] ], [ [ 467, 25, 1510 ], [ 1510, 64, 857 ] ], [ [ 467, 24, 112 ], [ 112, 23, 1264 ], [ 1264, 23, 857 ] ], [ [ 467, 23, 126 ], [ 126, 64, 1512 ], [ 1512, 23, 857 ] ], [ [ 467, 24, 458 ], [ 458, 40, 112 ], [ 112, 24, 857 ] ] ]
[ [ [ "Simvastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cholestyramine" ] ], [ [ "Simvastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cholestyramine" ] ], [ [ "Simvastatin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Warfarin" ], [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cholestyramine" ] ], [ [ "Simvastatin", "{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}", "Cholestyramine" ] ], [ [ "Simvastatin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Liothyronine" ], [ "Liothyronine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cholestyramine" ] ], [ [ "Simvastatin", "{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}", "Cholestyramine" ] ], [ [ "Simvastatin", "{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}", "Cholestyramine" ] ], [ [ "Simvastatin", "{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}", "Doxepin" ], [ "Doxepin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cholestyramine" ] ], [ [ "Simvastatin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Warfarin" ], [ "Warfarin", "{u} may lead to a major life threatening interaction when taken with {v}", "Diclofenac" ], [ "Diclofenac", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cholestyramine" ] ], [ [ "Simvastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tinidazole" ], [ "Tinidazole", "{u} (Compound) resembles {v} (Compound)", "Metronidazole" ], [ "Metronidazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cholestyramine" ] ] ]
Simvastatin may cause a moderate interaction that could exacerbate diseases when taken with Metronidazole and Metronidazole may cause a moderate interaction that could exacerbate diseases when taken with Cholestyramine Simvastatin may cause a minor interaction that can limit clinical effects when taken with Warfarin and Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Cholestyramine Simvastatin 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 Cholestyramine Simvastatin may cause a minor interaction that can limit clinical effects when taken with Liothyronine and Liothyronine may cause a moderate interaction that could exacerbate diseases when taken with Cholestyramine Simvastatin 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 Cholestyramine Simvastatin 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 Cholestyramine Simvastatin 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 Doxepin and Doxepin may cause a minor interaction that can limit clinical effects when taken with Cholestyramine Simvastatin may cause a minor interaction that can limit clinical effects when taken with Warfarin and Warfarin may lead to a major life threatening interaction when taken with Diclofenac and Diclofenac may cause a minor interaction that can limit clinical effects when taken with Cholestyramine Simvastatin may cause a moderate interaction that could exacerbate diseases when taken with Tinidazole and Tinidazole (Compound) resembles Metronidazole (Compound) and Metronidazole may cause a moderate interaction that could exacerbate diseases when taken with Cholestyramine
DB00969
DB09272
2
412
[ "DDInter52", "DDInter632" ]
Alosetron
Eluxadoline
Alosetron is a 5-HT3 antagonist used only for the management of severe diarrhoea-predominant irritable bowel syndrome (IBS) in women. Alosetron has an antagonist action on the 5-HT3 receptors and thus may modulate serotonin-sensitive gastrointestinal (GI) processes. Alosetron was voluntarily withdrawn from the US market in November 2000 by the manufacturer due to numerous reports of severe adverse effects including ischemic colitis, severely obstructed or ruptured bowel, and death. In June 2002, the FDA approved a supplemental new drug application allowing the remarketing of the drug under restricted conditions of use.
Eluxadoline is a mixed mu-opioid receptor agonist, kappa-opioid receptor agonist, and a-delta opioid receptor antagonist indicated for use in diarrhea-predominant irritable bowel syndrome (IBS-D). The mu-, kappa-, and delta-opioid receptors mediate endogenous and exogenous opioid response in the central nervous system and peripherally in the gastrointestinal system. Agonism of peripheral mu-opioid receptors results in reduced colonic motility, while antagonism of central delta-opioid receptors results in improved analgesia, making eluxadoline usable for the symptoms of both pain and diarrhea characteristic of IBS-D. Marketed under the tradename Viberzi (FDA), eluxadoline is an antimotility agent that decreases bowel contractions, inhibits colonic transit, and reduces fluid/ion secretion resulting in improved symptoms of abdominal pain and reductions in the Bristol Stool Scale.
Moderate
1
[ [ [ 2, 24, 412 ] ], [ [ 2, 63, 441 ], [ 441, 24, 412 ] ], [ [ 2, 23, 1401 ], [ 1401, 24, 412 ] ], [ [ 2, 24, 68 ], [ 68, 63, 412 ] ], [ [ 2, 24, 851 ], [ 851, 24, 412 ] ], [ [ 2, 64, 529 ], [ 529, 24, 412 ] ], [ [ 2, 24, 915 ], [ 915, 25, 412 ] ], [ [ 2, 63, 441 ], [ 441, 25, 543 ], [ 543, 24, 412 ] ], [ [ 2, 23, 1401 ], [ 1401, 40, 824 ], [ 824, 23, 412 ] ], [ [ 2, 24, 68 ], [ 68, 64, 543 ], [ 543, 24, 412 ] ] ]
[ [ [ "Alosetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eluxadoline" ] ], [ [ "Alosetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Delavirdine" ], [ "Delavirdine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eluxadoline" ] ], [ [ "Alosetron", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Procainamide" ], [ "Procainamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eluxadoline" ] ], [ [ "Alosetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Troleandomycin" ], [ "Troleandomycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eluxadoline" ] ], [ [ "Alosetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nefazodone" ], [ "Nefazodone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eluxadoline" ] ], [ [ "Alosetron", "{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}", "Eluxadoline" ] ], [ [ "Alosetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Atazanavir" ], [ "Atazanavir", "{u} may lead to a major life threatening interaction when taken with {v}", "Eluxadoline" ] ], [ [ "Alosetron", "{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}", "Loperamide" ], [ "Loperamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eluxadoline" ] ], [ [ "Alosetron", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Procainamide" ], [ "Procainamide", "{u} (Compound) resembles {v} (Compound)", "Probenecid" ], [ "Probenecid", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Eluxadoline" ] ], [ [ "Alosetron", "{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}", "Loperamide" ], [ "Loperamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eluxadoline" ] ] ]
Alosetron may cause a moderate interaction that could exacerbate diseases when taken with Delavirdine and Delavirdine may cause a moderate interaction that could exacerbate diseases when taken with Eluxadoline Alosetron may cause a minor interaction that can limit clinical effects when taken with Procainamide and Procainamide may cause a moderate interaction that could exacerbate diseases when taken with Eluxadoline Alosetron may cause a moderate interaction that could exacerbate diseases when taken with Troleandomycin and Troleandomycin may cause a moderate interaction that could exacerbate diseases when taken with Eluxadoline Alosetron may cause a moderate interaction that could exacerbate diseases when taken with Nefazodone and Nefazodone may cause a moderate interaction that could exacerbate diseases when taken with Eluxadoline Alosetron 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 Eluxadoline Alosetron may cause a moderate interaction that could exacerbate diseases when taken with Atazanavir and Atazanavir may lead to a major life threatening interaction when taken with Eluxadoline Alosetron 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 Loperamide and Loperamide may cause a moderate interaction that could exacerbate diseases when taken with Eluxadoline Alosetron may cause a minor interaction that can limit clinical effects when taken with Procainamide and Procainamide (Compound) resembles Probenecid (Compound) and Probenecid may cause a minor interaction that can limit clinical effects when taken with Eluxadoline Alosetron 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 Loperamide and Loperamide may cause a moderate interaction that could exacerbate diseases when taken with Eluxadoline
DB06605
DB09068
1,409
1,427
[ "DDInter108", "DDInter1948" ]
Apixaban
Vortioxetine
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.
Vortioxetine is an antidepressant medication indicated for the treatment of major depressive disorder (MDD). It is classified as a serotonin modulator and stimulator (SMS) as it has a multimodal mechanism of action towards the serotonin neurotransmitter system whereby it simultaneously modulates one or more serotonin receptors and inhibits the reuptake of serotonin. More specifically, vortioxetine acts via the following biological mechanisms: as a serotonin reuptake inhibitor (SRI) through inhibition of the serotonin transporter, as a partial agonist of the 5-HT1B receptor, an agonist of 5-HT1A, and an antagonist of the 5-HT3, 5-HT1D, and 5-HT7 receptors. SMSs were developed because there are many different subtypes of serotonin receptors, however, not all of these receptors appear to be involved in the antidepressant effects of SRIs. Some serotonin receptors seem to play a relatively neutral or insignificant role in the regulation of mood, but others, such as 5-HT1A autoreceptors and 5-HT7 receptors, appear to play an oppositional role in the efficacy of SRIs in treating depression.
Moderate
1
[ [ [ 1409, 24, 1427 ] ], [ [ 1409, 24, 1320 ], [ 1320, 63, 1427 ] ], [ [ 1409, 64, 25 ], [ 25, 24, 1427 ] ], [ [ 1409, 25, 802 ], [ 802, 24, 1427 ] ], [ [ 1409, 25, 1604 ], [ 1604, 63, 1427 ] ], [ [ 1409, 63, 1220 ], [ 1220, 24, 1427 ] ], [ [ 1409, 24, 1670 ], [ 1670, 24, 1427 ] ], [ [ 1409, 63, 1039 ], [ 1039, 25, 1427 ] ], [ [ 1409, 64, 39 ], [ 39, 25, 1427 ] ], [ [ 1409, 24, 1320 ], [ 1320, 24, 1017 ], [ 1017, 63, 1427 ] ] ]
[ [ [ "Apixaban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vortioxetine" ] ], [ [ "Apixaban", "{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}", "Vortioxetine" ] ], [ [ "Apixaban", "{u} may lead to a major life threatening interaction when taken with {v}", "Anistreplase" ], [ "Anistreplase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vortioxetine" ] ], [ [ "Apixaban", "{u} may lead to a major life threatening interaction when taken with {v}", "Tinzaparin" ], [ "Tinzaparin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vortioxetine" ] ], [ [ "Apixaban", "{u} may lead to a major life threatening interaction when taken with {v}", "Lumacaftor" ], [ "Lumacaftor", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vortioxetine" ] ], [ [ "Apixaban", "{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}", "Vortioxetine" ] ], [ [ "Apixaban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eliglustat" ], [ "Eliglustat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vortioxetine" ] ], [ [ "Apixaban", "{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}", "Vortioxetine" ] ], [ [ "Apixaban", "{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}", "Vortioxetine" ] ], [ [ "Apixaban", "{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}", "Lorlatinib" ], [ "Lorlatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vortioxetine" ] ] ]
Apixaban 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 Vortioxetine Apixaban may lead to a major life threatening interaction when taken with Anistreplase and Anistreplase may cause a moderate interaction that could exacerbate diseases when taken with Vortioxetine Apixaban may lead to a major life threatening interaction when taken with Tinzaparin and Tinzaparin may cause a moderate interaction that could exacerbate diseases when taken with Vortioxetine Apixaban may lead to a major life threatening interaction when taken with Lumacaftor and Lumacaftor may cause a moderate interaction that could exacerbate diseases when taken with Vortioxetine Apixaban 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 Vortioxetine Apixaban may cause a moderate interaction that could exacerbate diseases when taken with Eliglustat and Eliglustat may cause a moderate interaction that could exacerbate diseases when taken with Vortioxetine Apixaban 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 Vortioxetine Apixaban 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 Vortioxetine Apixaban 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 Lorlatinib and Lorlatinib may cause a moderate interaction that could exacerbate diseases when taken with Vortioxetine
DB00451
DB13142
542
841
[ "DDInter1064", "DDInter274" ]
Levothyroxine
Calcium glubionate anhydrous
Levothyroxine is a synthetically produced form of thyroxine, a major endogenous hormone secreted by the thyroid gland. Also known as L-thyroxine or the brand name product Synthroid, levothyroxine is used primarily to treat hypothyroidism, a condition where the thyroid gland is no longer able to produce sufficient quantities of the thyroid hormones T<sub>4</sub> (tetraiodothyronine or thyroxine) and T<sub>3</sub> (triiodothyronine or ), resulting in diminished down-stream effects of these hormones. Without sufficient quantities of circulating thyroid hormones, symptoms of hypothyroidism begin to develop such as fatigue, increased heart rate, depression, dry skin and hair, muscle cramps, constipation, weight gain, memory impairment, and poor tolerance to cold temperatures.[F4636,A35722] In response to Thyroid Stimulating Hormone (TSH) release by
Calcium glubionate (or glubionate calcium) is a mineral supplement to prevent or treat low blood calcium levels in people who do not get enough calcium from their diets.
Moderate
1
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[ [ [ "Levothyroxine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium glubionate anhydrous" ] ], [ [ "Levothyroxine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Patiromer" ], [ "Patiromer", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium glubionate anhydrous" ] ], [ [ "Levothyroxine", "{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}", "Calcium glubionate anhydrous" ] ], [ [ "Levothyroxine", "{u} (Compound) resembles {v} (Compound)", "Liotrix" ], [ "Liotrix", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium glubionate anhydrous" ] ], [ [ "Levothyroxine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Pindolol" ], [ "Pindolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium glubionate anhydrous" ] ], [ [ "Levothyroxine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metoprolol" ], [ "Metoprolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium glubionate anhydrous" ] ], [ [ "Levothyroxine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Patiromer" ], [ "Patiromer", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Liothyronine" ], [ "Liothyronine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium glubionate anhydrous" ] ], [ [ "Levothyroxine", "{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}", "Minocycline" ], [ "Minocycline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium glubionate anhydrous" ] ], [ [ "Levothyroxine", "{u} (Compound) resembles {v} (Compound)", "Liotrix" ], [ "Liotrix", "{u} (Compound) resembles {v} (Compound)", "Liothyronine" ], [ "Liothyronine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium glubionate anhydrous" ] ], [ [ "Levothyroxine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Pindolol" ], [ "Pindolol", "{u} (Compound) resembles {v} (Compound)", "Metoprolol" ], [ "Metoprolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium glubionate anhydrous" ] ] ]
Levothyroxine may cause a moderate interaction that could exacerbate diseases when taken with Patiromer and Patiromer may cause a moderate interaction that could exacerbate diseases when taken with Calcium glubionate anhydrous Levothyroxine 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 Calcium glubionate anhydrous Levothyroxine (Compound) resembles Liotrix (Compound) and Liotrix may cause a moderate interaction that could exacerbate diseases when taken with Calcium glubionate anhydrous Levothyroxine may cause a minor interaction that can limit clinical effects when taken with Pindolol and Pindolol may cause a moderate interaction that could exacerbate diseases when taken with Calcium glubionate anhydrous Levothyroxine may cause a minor interaction that can limit clinical effects when taken with Metoprolol and Metoprolol may cause a moderate interaction that could exacerbate diseases when taken with Calcium glubionate anhydrous Levothyroxine may cause a moderate interaction that could exacerbate diseases when taken with Patiromer and Patiromer may cause a moderate interaction that could exacerbate diseases when taken with Liothyronine and Liothyronine may cause a moderate interaction that could exacerbate diseases when taken with Calcium glubionate anhydrous Levothyroxine 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 Minocycline and Minocycline may cause a moderate interaction that could exacerbate diseases when taken with Calcium glubionate anhydrous Levothyroxine (Compound) resembles Liotrix (Compound) and Liotrix (Compound) resembles Liothyronine (Compound) and Liothyronine may cause a moderate interaction that could exacerbate diseases when taken with Calcium glubionate anhydrous Levothyroxine may cause a minor interaction that can limit clinical effects when taken with Pindolol and Pindolol (Compound) resembles Metoprolol (Compound) and Metoprolol may cause a moderate interaction that could exacerbate diseases when taken with Calcium glubionate anhydrous
DB00813
DB11817
704
1,259
[ "DDInter722", "DDInter165" ]
Fentanyl
Baricitinib
Fentanyl, a potent opioid agonist, was developed in the 1950s to fill a need for strong and rapid analgesia. Because of these characteristics, fentanyl is commonly used to treat chronic cancer pain or in anesthesia.[Label,L6598,L6601,L6604,L6607,L922,L6610,L6613] Fentanyl is related to other opioids like [morphine] and [oxycodone]. Fentanyl's high potency has also made it a common adulterant in illicit drugs, especially heroin. In 2017, 47600 overdose deaths in the United States involved some opioid (over 2/3 of all overdose deaths). Opioid overdoses kill an average of 11 Canadians daily. Fentanyl was FDA approved in 1968.[Label,L6598,L6601,L6604,L6607,L922,L6610,L6613]
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.
Moderate
1
[ [ [ 704, 24, 1259 ] ], [ [ 704, 24, 927 ], [ 927, 24, 1259 ] ], [ [ 704, 1, 411 ], [ 411, 24, 1259 ] ], [ [ 704, 40, 576 ], [ 576, 24, 1259 ] ], [ [ 704, 64, 475 ], [ 475, 24, 1259 ] ], [ [ 704, 25, 384 ], [ 384, 25, 1259 ] ], [ [ 704, 24, 1619 ], [ 1619, 64, 1259 ] ], [ [ 704, 63, 581 ], [ 581, 25, 1259 ] ], [ [ 704, 24, 259 ], [ 259, 25, 1259 ] ], [ [ 704, 64, 1419 ], [ 1419, 25, 1259 ] ] ]
[ [ [ "Fentanyl", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Baricitinib" ] ], [ [ "Fentanyl", "{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}", "Baricitinib" ] ], [ [ "Fentanyl", "{u} (Compound) resembles {v} (Compound)", "Remifentanil" ], [ "Remifentanil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Baricitinib" ] ], [ [ "Fentanyl", "{u} (Compound) resembles {v} (Compound)", "Methadone" ], [ "Methadone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Baricitinib" ] ], [ [ "Fentanyl", "{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}", "Baricitinib" ] ], [ [ "Fentanyl", "{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" ] ], [ [ "Fentanyl", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rucaparib" ], [ "Rucaparib", "{u} may lead to a major life threatening interaction when taken with {v}", "Baricitinib" ] ], [ [ "Fentanyl", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Infliximab" ], [ "Infliximab", "{u} may lead to a major life threatening interaction when taken with {v}", "Baricitinib" ] ], [ [ "Fentanyl", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rilonacept" ], [ "Rilonacept", "{u} may lead to a major life threatening interaction when taken with {v}", "Baricitinib" ] ], [ [ "Fentanyl", "{u} may lead to a major life threatening interaction when taken with {v}", "Imatinib" ], [ "Imatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Baricitinib" ] ] ]
Fentanyl 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 Baricitinib Fentanyl (Compound) resembles Remifentanil (Compound) and Remifentanil may cause a moderate interaction that could exacerbate diseases when taken with Baricitinib Fentanyl (Compound) resembles Methadone (Compound) and Methadone may cause a moderate interaction that could exacerbate diseases when taken with Baricitinib Fentanyl 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 Baricitinib Fentanyl 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 Fentanyl may cause a moderate interaction that could exacerbate diseases when taken with Rucaparib and Rucaparib may lead to a major life threatening interaction when taken with Baricitinib Fentanyl may cause a moderate interaction that could exacerbate diseases when taken with Infliximab and Infliximab may lead to a major life threatening interaction when taken with Baricitinib Fentanyl may cause a moderate interaction that could exacerbate diseases when taken with Rilonacept and Rilonacept may lead to a major life threatening interaction when taken with Baricitinib Fentanyl may lead to a major life threatening interaction when taken with Imatinib and Imatinib may lead to a major life threatening interaction when taken with Baricitinib
DB00344
DB06704
1,302
247
[ "DDInter1543", "DDInter952" ]
Protriptyline
Iobenguane (I-131)
Protriptyline hydrochloride is a dibenzocycloheptene-derivative tricyclic antidepressant (TCA). TCAs are structurally similar to phenothiazines. They contain a tricyclic ring system with an alkyl amine substituent on the central ring. In non-depressed individuals, protriptyline does not affect mood or arousal, but may cause sedation. In depressed individuals, protriptyline exerts a positive effect on mood. TCAs are potent inhibitors of serotonin and norepinephrine reuptake. In addition, TCAs down-regulate cerebral cortical &beta;-adrenergic receptors and sensitize post-synaptic serotonergic receptors with chronic use. The antidepressant effects of TCAs are thought to be due to an overall increase in serotonergic neurotransmission. TCAs also block histamine H<sub>1</sub> receptors, alpha<sub>1</sub
2-[(3-iodophenyl)methyl]guanidine is an organoiodine compound.
Major
2
[ [ [ 1302, 37, 247 ] ], [ [ 1302, 6, 7390 ], [ 7390, 45, 247 ] ], [ [ 1302, 18, 7359 ], [ 7359, 57, 247 ] ], [ [ 1302, 21, 28787 ], [ 28787, 60, 247 ] ], [ [ 1302, 24, 820 ], [ 820, 24, 247 ] ], [ [ 1302, 25, 1629 ], [ 1629, 64, 247 ] ], [ [ 1302, 25, 497 ], [ 497, 25, 247 ] ], [ [ 1302, 24, 31 ], [ 31, 25, 247 ] ], [ [ 1302, 1, 109 ], [ 109, 37, 247 ] ], [ [ 1302, 25, 290 ], [ 290, 37, 247 ] ] ]
[ [ [ "Protriptyline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v} and {u} may lead to a major life threatening interaction when taken with {v}", "Iobenguane" ] ], [ [ "Protriptyline", "{u} (Compound) binds {v} (Gene)", "SLC6A2" ], [ "SLC6A2", "{u} (Gene) is bound by {v} (Compound)", "Iobenguane" ] ], [ [ "Protriptyline", "{u} (Compound) downregulates {v} (Gene)", "TXNDC9" ], [ "TXNDC9", "{u} (Gene) is downregulated by {v} (Compound)", "Iobenguane" ] ], [ [ "Protriptyline", "{u} (Compound) causes {v} (Side Effect)", "Dermatitis" ], [ "Dermatitis", "{u} (Side Effect) is caused by {v} (Compound)", "Iobenguane" ] ], [ [ "Protriptyline", "{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}", "Iobenguane" ] ], [ [ "Protriptyline", "{u} may lead to a major life threatening interaction when taken with {v}", "Methylene blue" ], [ "Methylene blue", "{u} may lead to a major life threatening interaction when taken with {v}", "Iobenguane" ] ], [ [ "Protriptyline", "{u} may lead to a major life threatening interaction when taken with {v}", "Iohexol" ], [ "Iohexol", "{u} may lead to a major life threatening interaction when taken with {v}", "Iobenguane" ] ], [ [ "Protriptyline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Xylometazoline" ], [ "Xylometazoline", "{u} may lead to a major life threatening interaction when taken with {v}", "Iobenguane" ] ], [ [ "Protriptyline", "{u} (Compound) resembles {v} (Compound)", "Duloxetine" ], [ "Duloxetine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v} and {u} may lead to a major life threatening interaction when taken with {v}", "Iobenguane" ] ], [ [ "Protriptyline", "{u} may lead to a major life threatening interaction when taken with {v}", "Cocaine" ], [ "Cocaine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v} and {u} may lead to a major life threatening interaction when taken with {v}", "Iobenguane" ] ] ]
Protriptyline may cause a moderate interaction that could exacerbate diseases when taken with Iobenguane and Protriptyline may lead to a major life threatening interaction when taken with Iobenguane Protriptyline (Compound) binds SLC6A2 (Gene) and SLC6A2 (Gene) is bound by Iobenguane (Compound) Protriptyline (Compound) downregulates TXNDC9 (Gene) and TXNDC9 (Gene) is downregulated by Iobenguane (Compound) Protriptyline (Compound) causes Dermatitis (Side Effect) and Dermatitis (Side Effect) is caused by Iobenguane (Compound) Protriptyline 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 Iobenguane Protriptyline may lead to a major life threatening interaction when taken with Methylene blue and Methylene blue may lead to a major life threatening interaction when taken with Iobenguane Protriptyline may lead to a major life threatening interaction when taken with Iohexol and Iohexol may lead to a major life threatening interaction when taken with Iobenguane Protriptyline may cause a moderate interaction that could exacerbate diseases when taken with Xylometazoline and Xylometazoline may lead to a major life threatening interaction when taken with Iobenguane Protriptyline (Compound) resembles Duloxetine (Compound) and Duloxetine may cause a moderate interaction that could exacerbate diseases when taken with Iobenguane and Duloxetine may lead to a major life threatening interaction when taken with Iobenguane Protriptyline may lead to a major life threatening interaction when taken with Cocaine and Cocaine may cause a moderate interaction that could exacerbate diseases when taken with Iobenguane and Cocaine may lead to a major life threatening interaction when taken with Iobenguane