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DB00530
DB01377
1,195
1,283
[ "DDInter667", "DDInter1119" ]
Erlotinib
Magnesium oxide
Erlotinib is an inhibitor of the epidermal growth factor receptor (EGFR) tyrosine kinase that is used in the treatment of non-small cell lung cancer, pancreatic cancer and several other types of cancer. It is typically marketed under the trade name Tarceva. Erlotinib binds to the epidermal growth factor receptor (EGFR) tyrosine kinase in a reversible fashion at the adenosine triphosphate (ATP) binding site of the receptor. Recent studies demonstrate that erlotinib is also a potent inhibitor of JAK2V617F, which is a mutant form of tyrosine kinase JAK2 found in most patients with polycythemia vera (PV) and a substantial proportion of patients with idiopathic myelofibrosis or essential thrombocythemia. This finding introduces the potential use of erlotinib in the treatment of JAK2V617F-positive PV and other myeloprolifer
Magnesium oxide is an inorganic compound that occurs in nature as the mineral periclase. In aqueous media combines quickly with water to form magnesium hydroxide. It is used as an antacid and mild laxative and has many nonmedicinal uses.
Moderate
1
[ [ [ 1195, 24, 1283 ] ], [ [ 1195, 24, 1468 ], [ 1468, 62, 1283 ] ], [ [ 1195, 24, 1194 ], [ 1194, 23, 1283 ] ], [ [ 1195, 63, 752 ], [ 752, 23, 1283 ] ], [ [ 1195, 24, 1091 ], [ 1091, 24, 1283 ] ], [ [ 1195, 24, 286 ], [ 286, 63, 1283 ] ], [ [ 1195, 63, 839 ], [ 839, 24, 1283 ] ], [ [ 1195, 24, 241 ], [ 241, 64, 1283 ] ], [ [ 1195, 24, 1468 ], [ 1468, 64, 831 ], [ 831, 23, 1283 ] ], [ [ 1195, 24, 1194 ], [ 1194, 62, 831 ], [ 831, 23, 1283 ] ] ]
[ [ [ "Erlotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium oxide" ] ], [ [ "Erlotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ponatinib" ], [ "Ponatinib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Magnesium oxide" ] ], [ [ "Erlotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ranitidine" ], [ "Ranitidine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Magnesium oxide" ] ], [ [ "Erlotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cimetidine" ], [ "Cimetidine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Magnesium oxide" ] ], [ [ "Erlotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amprenavir" ], [ "Amprenavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium oxide" ] ], [ [ "Erlotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium hydroxide" ], [ "Magnesium hydroxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium oxide" ] ], [ [ "Erlotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Grepafloxacin" ], [ "Grepafloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium oxide" ] ], [ [ "Erlotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Erdafitinib" ], [ "Erdafitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Magnesium oxide" ] ], [ [ "Erlotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ponatinib" ], [ "Ponatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Indomethacin" ], [ "Indomethacin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Magnesium oxide" ] ], [ [ "Erlotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ranitidine" ], [ "Ranitidine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Indomethacin" ], [ "Indomethacin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Magnesium oxide" ] ] ]
Erlotinib may cause a moderate interaction that could exacerbate diseases when taken with Ponatinib and Ponatinib may cause a minor interaction that can limit clinical effects when taken with Magnesium oxide Erlotinib may cause a moderate interaction that could exacerbate diseases when taken with Ranitidine and Ranitidine may cause a minor interaction that can limit clinical effects when taken with Magnesium oxide Erlotinib may cause a moderate interaction that could exacerbate diseases when taken with Cimetidine and Cimetidine may cause a minor interaction that can limit clinical effects when taken with Magnesium oxide Erlotinib may cause a moderate interaction that could exacerbate diseases when taken with Amprenavir and Amprenavir may cause a moderate interaction that could exacerbate diseases when taken with Magnesium oxide Erlotinib may cause a moderate interaction that could exacerbate diseases when taken with Magnesium hydroxide and Magnesium hydroxide may cause a moderate interaction that could exacerbate diseases when taken with Magnesium oxide Erlotinib may cause a moderate interaction that could exacerbate diseases when taken with Grepafloxacin and Grepafloxacin may cause a moderate interaction that could exacerbate diseases when taken with Magnesium oxide Erlotinib may cause a moderate interaction that could exacerbate diseases when taken with Erdafitinib and Erdafitinib may lead to a major life threatening interaction when taken with Magnesium oxide Erlotinib may cause a moderate interaction that could exacerbate diseases when taken with Ponatinib and Ponatinib may lead to a major life threatening interaction when taken with Indomethacin and Indomethacin may cause a minor interaction that can limit clinical effects when taken with Magnesium oxide Erlotinib may cause a moderate interaction that could exacerbate diseases when taken with Ranitidine and Ranitidine may cause a minor interaction that can limit clinical effects when taken with Indomethacin and Indomethacin may cause a minor interaction that can limit clinical effects when taken with Magnesium oxide
DB00431
DB00934
1,503
413
[ "DDInter1072", "DDInter1124" ]
Lindane
Maprotiline
An organochlorine insecticide that has been used as a pediculicide and a scabicide. Lindane has been banned in California, United Kingdom, Australia, and many western countries due to concerns about neurotoxicity and adverse effects on the environment. In Canada, Lindane is not recommmended as a first-line therapy due to reports of resistance, neurotoxicity, and bone marrow suppression, but has been approved by the FDA as a second-line therapy for topical treatment of pediculosis capitis (head lice), pediculosis pubis (pubic lice), or scabies in patients greater than two years of age who cannot tolerate or have failed first-line treatment. Lindane is still allowed for pharmaceutical use until 2015.
Maprotiline is a tetracyclic antidepressant with similar pharmacological properties to tricyclic antidepressants (TCAs). Similar to TCAs, maprotiline inhibits neuronal norepinephrine reuptake, possesses some anticholinergic activity, and does not affect monoamine oxidase activity. It differs from TCAs in that it does not appear to block serotonin reuptake. Maprotiline may be used to treat depressive affective disorders, including dysthymic disorder (depressive neurosis) and major depressive disorder. Maprotiline is effective at reducing symptoms of anxiety associated with depression.
Moderate
1
[ [ [ 1503, 24, 413 ] ], [ [ 1503, 63, 1302 ], [ 1302, 40, 413 ] ], [ [ 1503, 21, 28762 ], [ 28762, 60, 413 ] ], [ [ 1503, 24, 22 ], [ 22, 62, 413 ] ], [ [ 1503, 24, 1264 ], [ 1264, 63, 413 ] ], [ [ 1503, 63, 999 ], [ 999, 24, 413 ] ], [ [ 1503, 24, 104 ], [ 104, 24, 413 ] ], [ [ 1503, 24, 1039 ], [ 1039, 64, 413 ] ], [ [ 1503, 24, 121 ], [ 121, 25, 413 ] ], [ [ 1503, 25, 593 ], [ 593, 64, 413 ] ] ]
[ [ [ "Lindane", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Maprotiline" ] ], [ [ "Lindane", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Protriptyline" ], [ "Protriptyline", "{u} (Compound) resembles {v} (Compound)", "Maprotiline" ] ], [ [ "Lindane", "{u} (Compound) causes {v} (Side Effect)", "Headache" ], [ "Headache", "{u} (Side Effect) is caused by {v} (Compound)", "Maprotiline" ] ], [ [ "Lindane", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ephedrine" ], [ "Ephedrine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Maprotiline" ] ], [ [ "Lindane", "{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}", "Maprotiline" ] ], [ [ "Lindane", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Thiethylperazine" ], [ "Thiethylperazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Maprotiline" ] ], [ [ "Lindane", "{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}", "Maprotiline" ] ], [ [ "Lindane", "{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}", "Maprotiline" ] ], [ [ "Lindane", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fenfluramine" ], [ "Fenfluramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Maprotiline" ] ], [ [ "Lindane", "{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}", "Maprotiline" ] ] ]
Lindane may cause a moderate interaction that could exacerbate diseases when taken with Protriptyline and Protriptyline (Compound) resembles Maprotiline (Compound) Lindane (Compound) causes Headache (Side Effect) and Headache (Side Effect) is caused by Maprotiline (Compound) Lindane may cause a moderate interaction that could exacerbate diseases when taken with Ephedrine and Ephedrine may cause a minor interaction that can limit clinical effects when taken with Maprotiline Lindane 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 Maprotiline Lindane may cause a moderate interaction that could exacerbate diseases when taken with Thiethylperazine and Thiethylperazine may cause a moderate interaction that could exacerbate diseases when taken with Maprotiline Lindane 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 Maprotiline Lindane 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 Maprotiline Lindane may cause a moderate interaction that could exacerbate diseases when taken with Fenfluramine and Fenfluramine may lead to a major life threatening interaction when taken with Maprotiline Lindane 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 Maprotiline
DB00976
DB01229
1,056
973
[ "DDInter1758", "DDInter1377" ]
Telithromycin
Paclitaxel
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.
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
[ [ [ 1056, 24, 973 ] ], [ [ 1056, 24, 310 ], [ 310, 63, 973 ] ], [ [ 1056, 6, 7524 ], [ 7524, 45, 973 ] ], [ [ 1056, 21, 28779 ], [ 28779, 60, 973 ] ], [ [ 1056, 25, 214 ], [ 214, 63, 973 ] ], [ [ 1056, 64, 134 ], [ 134, 24, 973 ] ], [ [ 1056, 63, 1555 ], [ 1555, 24, 973 ] ], [ [ 1056, 62, 112 ], [ 112, 24, 973 ] ], [ [ 1056, 1, 1570 ], [ 1570, 24, 973 ] ], [ [ 1056, 35, 609 ], [ 609, 24, 973 ] ] ]
[ [ [ "Telithromycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paclitaxel" ] ], [ [ "Telithromycin", "{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" ] ], [ [ "Telithromycin", "{u} (Compound) binds {v} (Gene)", "CYP3A5" ], [ "CYP3A5", "{u} (Gene) is bound by {v} (Compound)", "Paclitaxel" ] ], [ [ "Telithromycin", "{u} (Compound) causes {v} (Side Effect)", "Dry mouth" ], [ "Dry mouth", "{u} (Side Effect) is caused by {v} (Compound)", "Paclitaxel" ] ], [ [ "Telithromycin", "{u} may lead to a major life threatening interaction when taken with {v}", "Fostamatinib" ], [ "Fostamatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paclitaxel" ] ], [ [ "Telithromycin", "{u} may lead to a major life threatening interaction when taken with {v}", "Vinorelbine" ], [ "Vinorelbine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paclitaxel" ] ], [ [ "Telithromycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxaliplatin" ], [ "Oxaliplatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paclitaxel" ] ], [ [ "Telithromycin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paclitaxel" ] ], [ [ "Telithromycin", "{u} (Compound) resembles {v} (Compound)", "Azithromycin" ], [ "Azithromycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paclitaxel" ] ], [ [ "Telithromycin", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clarithromycin" ], [ "Clarithromycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paclitaxel" ] ] ]
Telithromycin 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 Telithromycin (Compound) binds CYP3A5 (Gene) and CYP3A5 (Gene) is bound by Paclitaxel (Compound) Telithromycin (Compound) causes Dry mouth (Side Effect) and Dry mouth (Side Effect) is caused by Paclitaxel (Compound) Telithromycin may lead to a major life threatening interaction when taken with Fostamatinib and Fostamatinib may cause a moderate interaction that could exacerbate diseases when taken with Paclitaxel Telithromycin may lead to a major life threatening interaction when taken with Vinorelbine and Vinorelbine may cause a moderate interaction that could exacerbate diseases when taken with Paclitaxel Telithromycin may cause a moderate interaction that could exacerbate diseases when taken with Oxaliplatin and Oxaliplatin may cause a moderate interaction that could exacerbate diseases when taken with Paclitaxel Telithromycin may cause a minor interaction that can limit clinical effects when taken with Metronidazole and Metronidazole may cause a moderate interaction that could exacerbate diseases when taken with Paclitaxel Telithromycin (Compound) resembles Azithromycin (Compound) and Azithromycin may cause a moderate interaction that could exacerbate diseases when taken with Paclitaxel Telithromycin (Compound) resembles Clarithromycin (Compound) and Telithromycin may cause a moderate interaction that could exacerbate diseases when taken with Clarithromycin and Clarithromycin may cause a moderate interaction that could exacerbate diseases when taken with Paclitaxel
DB00014
DB04844
521
843
[ "DDInter839", "DDInter1778" ]
Goserelin
Tetrabenazine
Goserelin is a synthetic hormone. In men, it stops the production of the hormone testosterone, which may stimulate the growth of cancer cells. In women, goserelin decreases the production of the hormone estradiol (which may stimulate the growth of cancer cells) to levels similar to a postmenopausal state. When the medication is stopped, hormone levels return to normal.
A drug formerly used as an antipsychotic but now used primarily in the symptomatic treatment of various hyperkinetic disorders. It is a monoamine depletor and used as symptomatic treatment of chorea associated with Huntington's disease. FDA approved on August 15, 2008.
Moderate
1
[ [ [ 521, 24, 843 ] ], [ [ 521, 24, 479 ], [ 479, 40, 843 ] ], [ [ 521, 21, 28698 ], [ 28698, 60, 843 ] ], [ [ 521, 23, 112 ], [ 112, 23, 843 ] ], [ [ 521, 24, 1555 ], [ 1555, 24, 843 ] ], [ [ 521, 24, 286 ], [ 286, 63, 843 ] ], [ [ 521, 1, 774 ], [ 774, 63, 843 ] ], [ [ 521, 25, 351 ], [ 351, 63, 843 ] ], [ [ 521, 25, 985 ], [ 985, 64, 843 ] ], [ [ 521, 24, 401 ], [ 401, 25, 843 ] ] ]
[ [ [ "Goserelin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetrabenazine" ] ], [ [ "Goserelin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Donepezil" ], [ "Donepezil", "{u} (Compound) resembles {v} (Compound)", "Tetrabenazine" ] ], [ [ "Goserelin", "{u} (Compound) causes {v} (Side Effect)", "Insomnia" ], [ "Insomnia", "{u} (Side Effect) is caused by {v} (Compound)", "Tetrabenazine" ] ], [ [ "Goserelin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Tetrabenazine" ] ], [ [ "Goserelin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxaliplatin" ], [ "Oxaliplatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetrabenazine" ] ], [ [ "Goserelin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium hydroxide" ], [ "Magnesium hydroxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetrabenazine" ] ], [ [ "Goserelin", "{u} (Compound) resembles {v} (Compound)", "Degarelix" ], [ "Degarelix", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetrabenazine" ] ], [ [ "Goserelin", "{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}", "Tetrabenazine" ] ], [ [ "Goserelin", "{u} may lead to a major life threatening interaction when taken with {v}", "Osimertinib" ], [ "Osimertinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Tetrabenazine" ] ], [ [ "Goserelin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promethazine" ], [ "Promethazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Tetrabenazine" ] ] ]
Goserelin may cause a moderate interaction that could exacerbate diseases when taken with Donepezil and Donepezil (Compound) resembles Tetrabenazine (Compound) Goserelin (Compound) causes Insomnia (Side Effect) and Insomnia (Side Effect) is caused by Tetrabenazine (Compound) Goserelin may cause a minor interaction that can limit clinical effects when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Tetrabenazine Goserelin may cause a moderate interaction that could exacerbate diseases when taken with Oxaliplatin and Oxaliplatin may cause a moderate interaction that could exacerbate diseases when taken with Tetrabenazine Goserelin may cause a moderate interaction that could exacerbate diseases when taken with Magnesium hydroxide and Magnesium hydroxide may cause a moderate interaction that could exacerbate diseases when taken with Tetrabenazine Goserelin (Compound) resembles Degarelix (Compound) and Degarelix may cause a moderate interaction that could exacerbate diseases when taken with Tetrabenazine Goserelin 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 Tetrabenazine Goserelin may lead to a major life threatening interaction when taken with Osimertinib and Osimertinib may lead to a major life threatening interaction when taken with Tetrabenazine Goserelin may cause a moderate interaction that could exacerbate diseases when taken with Promethazine and Promethazine may lead to a major life threatening interaction when taken with Tetrabenazine
DB00841
DB01001
532
688
[ "DDInter577", "DDInter1632" ]
Dobutamine
Salbutamol
A beta-1 agonist catecholamine that has cardiac stimulant action without evoking vasoconstriction or tachycardia. It is proposed as a cardiotonic after myocardial infarction or open heart surgery.
Salbutamol is a short-acting, selective beta2-adrenergic receptor agonist used in the treatment of asthma and COPD. It is 29 times more selective for beta2 receptors than beta1 receptors giving it higher specificity for pulmonary beta receptors versus beta1-adrenergic receptors located in the heart. Salbutamol is formulated as a racemic mixture of the R- and S-isomers. The R-isomer has 150 times greater affinity for the beta2-receptor than the S-isomer and the S-isomer has been associated with toxicity. This lead to the development of levalbuterol, the single R-isomer of salbutamol. However, the high cost of levalbuterol compared to salbutamol has deterred wide-spread use of this enantiomerically pure version of the drug. Salbutamol is generally used for acute episodes of bronchospasm caused by bronchial asthma, chronic bronchitis and other chronic bronchopulmonary disorders such as chronic obstructive pulmonary disorder (COPD). It is also used prophylactically for exercise-induced asthma.[Label,A174379,A174400]
Moderate
1
[ [ [ 532, 24, 688 ] ], [ [ 532, 24, 455 ], [ 455, 24, 688 ] ], [ [ 532, 24, 1148 ], [ 1148, 63, 688 ] ], [ [ 532, 6, 1704 ], [ 1704, 45, 688 ] ], [ [ 532, 21, 29118 ], [ 29118, 60, 688 ] ], [ [ 532, 63, 176 ], [ 176, 24, 688 ] ], [ [ 532, 25, 1264 ], [ 1264, 63, 688 ] ], [ [ 532, 35, 480 ], [ 480, 24, 688 ] ], [ [ 532, 40, 1052 ], [ 1052, 24, 688 ] ], [ [ 532, 1, 817 ], [ 817, 24, 688 ] ] ]
[ [ [ "Dobutamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Salbutamol" ] ], [ [ "Dobutamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Salmeterol" ], [ "Salmeterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Salbutamol" ] ], [ [ "Dobutamine", "{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}", "Salbutamol" ] ], [ [ "Dobutamine", "{u} (Compound) binds {v} (Gene)", "ADRB1" ], [ "ADRB1", "{u} (Gene) is bound by {v} (Compound)", "Salbutamol" ] ], [ [ "Dobutamine", "{u} (Compound) causes {v} (Side Effect)", "Tachycardia" ], [ "Tachycardia", "{u} (Side Effect) is caused by {v} (Compound)", "Salbutamol" ] ], [ [ "Dobutamine", "{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}", "Salbutamol" ] ], [ [ "Dobutamine", "{u} may lead to a major life threatening interaction when taken with {v}", "Doxepin" ], [ "Doxepin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Salbutamol" ] ], [ [ "Dobutamine", "{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 moderate interaction that could exacerbate diseases when taken with {v}", "Salbutamol" ] ], [ [ "Dobutamine", "{u} (Compound) resembles {v} (Compound)", "Ritodrine" ], [ "Ritodrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Salbutamol" ] ], [ [ "Dobutamine", "{u} (Compound) resembles {v} (Compound)", "Dopamine" ], [ "Dopamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Salbutamol" ] ] ]
Dobutamine may cause a moderate interaction that could exacerbate diseases when taken with Salmeterol and Salmeterol may cause a moderate interaction that could exacerbate diseases when taken with Salbutamol Dobutamine 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 Salbutamol Dobutamine (Compound) binds ADRB1 (Gene) and ADRB1 (Gene) is bound by Salbutamol (Compound) Dobutamine (Compound) causes Tachycardia (Side Effect) and Tachycardia (Side Effect) is caused by Salbutamol (Compound) Dobutamine 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 Salbutamol Dobutamine may lead to a major life threatening interaction when taken with Doxepin and Doxepin may cause a moderate interaction that could exacerbate diseases when taken with Salbutamol Dobutamine (Compound) resembles Formoterol (Compound) and Dobutamine may cause a moderate interaction that could exacerbate diseases when taken with Formoterol and Formoterol may cause a moderate interaction that could exacerbate diseases when taken with Salbutamol Dobutamine (Compound) resembles Ritodrine (Compound) and Ritodrine may cause a moderate interaction that could exacerbate diseases when taken with Salbutamol Dobutamine (Compound) resembles Dopamine (Compound) and Dopamine may cause a moderate interaction that could exacerbate diseases when taken with Salbutamol
DB00553
DB00759
92
1,620
[ "DDInter1177", "DDInter1783" ]
Methoxsalen
Tetracycline
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.
Tetracycline is a broad spectrum polyketide antibiotic produced by the Streptomyces genus of Actinobacteria. It exerts a bacteriostatic effect on bacteria by binding reversible to the bacterial 30S ribosomal subunit and blocking incoming aminoacyl tRNA from binding to the ribosome acceptor site. It also binds to some extent to the bacterial 50S ribosomal subunit and may alter the cytoplasmic membrane causing intracellular components to leak from bacterial cells. The FDA withdrew its approval for the use of all liquid oral drug products formulated for pediatric use containing tetracycline in a concentration greater than 25 mg/ml. Other formulations of tetracycline continue to be used.
Moderate
1
[ [ [ 92, 24, 1620 ] ], [ [ 92, 24, 1572 ], [ 1572, 40, 1620 ] ], [ [ 92, 63, 964 ], [ 964, 40, 1620 ] ], [ [ 92, 6, 8374 ], [ 8374, 45, 1620 ] ], [ [ 92, 24, 359 ], [ 359, 62, 1620 ] ], [ [ 92, 63, 811 ], [ 811, 23, 1620 ] ], [ [ 92, 24, 1014 ], [ 1014, 23, 1620 ] ], [ [ 92, 63, 612 ], [ 612, 24, 1620 ] ], [ [ 92, 24, 663 ], [ 663, 24, 1620 ] ], [ [ 92, 25, 213 ], [ 213, 64, 1620 ] ] ]
[ [ [ "Methoxsalen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetracycline" ] ], [ [ "Methoxsalen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Demeclocycline" ], [ "Demeclocycline", "{u} (Compound) resembles {v} (Compound)", "Tetracycline" ] ], [ [ "Methoxsalen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxycycline" ], [ "Doxycycline", "{u} (Compound) resembles {v} (Compound)", "Tetracycline" ] ], [ [ "Methoxsalen", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Tetracycline" ] ], [ [ "Methoxsalen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorothiazide" ], [ "Chlorothiazide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Tetracycline" ] ], [ [ "Methoxsalen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metolazone" ], [ "Metolazone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Tetracycline" ] ], [ [ "Methoxsalen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Benzthiazide" ], [ "Benzthiazide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Tetracycline" ] ], [ [ "Methoxsalen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Verteporfin" ], [ "Verteporfin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetracycline" ] ], [ [ "Methoxsalen", "{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}", "Tetracycline" ] ], [ [ "Methoxsalen", "{u} may lead to a major life threatening interaction when taken with {v}", "Aminolevulinic acid" ], [ "Aminolevulinic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Tetracycline" ] ] ]
Methoxsalen may cause a moderate interaction that could exacerbate diseases when taken with Demeclocycline and Demeclocycline (Compound) resembles Tetracycline (Compound) Methoxsalen may cause a moderate interaction that could exacerbate diseases when taken with Doxycycline and Doxycycline (Compound) resembles Tetracycline (Compound) Methoxsalen (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Tetracycline (Compound) Methoxsalen may cause a moderate interaction that could exacerbate diseases when taken with Chlorothiazide and Chlorothiazide may cause a minor interaction that can limit clinical effects when taken with Tetracycline Methoxsalen may cause a moderate interaction that could exacerbate diseases when taken with Metolazone and Metolazone may cause a minor interaction that can limit clinical effects when taken with Tetracycline Methoxsalen may cause a moderate interaction that could exacerbate diseases when taken with Benzthiazide and Benzthiazide may cause a minor interaction that can limit clinical effects when taken with Tetracycline Methoxsalen may cause a moderate interaction that could exacerbate diseases when taken with Verteporfin and Verteporfin may cause a moderate interaction that could exacerbate diseases when taken with Tetracycline Methoxsalen 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 Tetracycline Methoxsalen may lead to a major life threatening interaction when taken with Aminolevulinic acid and Aminolevulinic acid may lead to a major life threatening interaction when taken with Tetracycline
DB01073
DB12240
1,488
110
[ "DDInter745", "DDInter1485" ]
Fludarabine
Polatuzumab vedotin
Fludarabine is a chemotherapeutic agent used in the treatment of hematological malignancies. It is commonly marketed under the brand name Fludara.
Polatuzumab vedotin is a CD79b-directed antibody-drug conjugate that delivers monomethyl auristatin E (MMAE), an anti-mitotic agent, to cancer cells. The drug consists of three components - a humanized immunoglobulin G1 (IgG1) monoclonal antibody specific for human CD79b (polatuzumab), MMAE, and protease-cleavable linker called maleimidocaproyl-valine-citrulline-p-aminobenzyloxycarbonyl (mc-vc-PAB) that covalently attaches MMAE to polatuzumab. Polatuzumab vedotin was granted accelerated FDA approval on June 10, 2019 and was approved by Health Canada on July 9, 2020.
Moderate
1
[ [ [ 1488, 24, 110 ] ], [ [ 1488, 63, 467 ], [ 467, 24, 110 ] ], [ [ 1488, 40, 372 ], [ 372, 24, 110 ] ], [ [ 1488, 24, 980 ], [ 980, 24, 110 ] ], [ [ 1488, 64, 770 ], [ 770, 24, 110 ] ], [ [ 1488, 24, 148 ], [ 148, 63, 110 ] ], [ [ 1488, 25, 507 ], [ 507, 25, 110 ] ], [ [ 1488, 64, 1066 ], [ 1066, 25, 110 ] ], [ [ 1488, 75, 1064 ], [ 1064, 25, 110 ] ], [ [ 1488, 25, 676 ], [ 676, 64, 110 ] ] ]
[ [ [ "Fludarabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Polatuzumab vedotin" ] ], [ [ "Fludarabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Simvastatin" ], [ "Simvastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Polatuzumab vedotin" ] ], [ [ "Fludarabine", "{u} (Compound) resembles {v} (Compound)", "Clofarabine" ], [ "Clofarabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Polatuzumab vedotin" ] ], [ [ "Fludarabine", "{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}", "Polatuzumab vedotin" ] ], [ [ "Fludarabine", "{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}", "Polatuzumab vedotin" ] ], [ [ "Fludarabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Secnidazole" ], [ "Secnidazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Polatuzumab vedotin" ] ], [ [ "Fludarabine", "{u} may lead to a major life threatening interaction when taken with {v}", "Samarium (153Sm) lexidronam" ], [ "Samarium (153Sm) lexidronam", "{u} may lead to a major life threatening interaction when taken with {v}", "Polatuzumab vedotin" ] ], [ [ "Fludarabine", "{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}", "Polatuzumab vedotin" ] ], [ [ "Fludarabine", "{u} (Compound) resembles {v} (Compound) and {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}", "Polatuzumab vedotin" ] ], [ [ "Fludarabine", "{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}", "Polatuzumab vedotin" ] ] ]
Fludarabine may cause a moderate interaction that could exacerbate diseases when taken with Simvastatin and Simvastatin may cause a moderate interaction that could exacerbate diseases when taken with Polatuzumab vedotin Fludarabine (Compound) resembles Clofarabine (Compound) and Clofarabine may cause a moderate interaction that could exacerbate diseases when taken with Polatuzumab vedotin Fludarabine 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 Polatuzumab vedotin Fludarabine 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 Polatuzumab vedotin Fludarabine may cause a moderate interaction that could exacerbate diseases when taken with Secnidazole and Secnidazole may cause a moderate interaction that could exacerbate diseases when taken with Polatuzumab vedotin Fludarabine may lead to a major life threatening interaction when taken with Samarium (153Sm) lexidronam and Samarium (153Sm) lexidronam may lead to a major life threatening interaction when taken with Polatuzumab vedotin Fludarabine 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 Polatuzumab vedotin Fludarabine (Compound) resembles Cladribine (Compound) and Fludarabine 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 Polatuzumab vedotin Fludarabine 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 Polatuzumab vedotin
DB00398
DB08865
79
1,593
[ "DDInter1702", "DDInter448" ]
Sorafenib
Crizotinib
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.
Crizotinib is a tyrosine kinase receptor inhibitor used for the treatment of anaplastic lymphoma kinase (ALK) or ROS1-positive non-small cell lung cancer (NSCLC) tumors, as well as ALK-positive anaplastic large cell lymphoma (ALCL) and inflammatory myofibroblastic tumor (IMT). By targeting the echinoderm microtubule-associated protein-like 4 (EML4)-ALK fusion protein, crizotinib offers robust effectiveness in treating NSCLC in patients with this type of rearrangement. Crizotinib was the first-in-class drug used to treat ALK-positive tumors. Second- and third-generation ALK-tyrosine kinase-inhibitors have overcome many of the pharmacodynamic and genetic resistance mechanisms crizotinib is prone to. Crizotinib was approved by the FDA in 2011, and its use is accompanied by FDA-approved tests used to detect ALK and ROS1 rearrangements.
Major
2
[ [ [ 79, 25, 1593 ] ], [ [ 79, 6, 8374 ], [ 8374, 45, 1593 ] ], [ [ 79, 7, 2900 ], [ 2900, 46, 1593 ] ], [ [ 79, 18, 5335 ], [ 5335, 46, 1593 ] ], [ [ 79, 6, 2692 ], [ 2692, 46, 1593 ] ], [ [ 79, 18, 17859 ], [ 17859, 57, 1593 ] ], [ [ 79, 7, 8386 ], [ 8386, 57, 1593 ] ], [ [ 79, 21, 29093 ], [ 29093, 60, 1593 ] ], [ [ 79, 24, 307 ], [ 307, 23, 1593 ] ], [ [ 79, 23, 1247 ], [ 1247, 23, 1593 ] ] ]
[ [ [ "Sorafenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Crizotinib" ] ], [ [ "Sorafenib", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Crizotinib" ] ], [ [ "Sorafenib", "{u} (Compound) upregulates {v} (Gene)", "NFKBIA" ], [ "NFKBIA", "{u} (Gene) is upregulated by {v} (Compound)", "Crizotinib" ] ], [ [ "Sorafenib", "{u} (Compound) downregulates {v} (Gene)", "LDLR" ], [ "LDLR", "{u} (Gene) is upregulated by {v} (Compound)", "Crizotinib" ] ], [ [ "Sorafenib", "{u} (Compound) binds {v} (Gene)", "KIT" ], [ "KIT", "{u} (Gene) is upregulated by {v} (Compound)", "Crizotinib" ] ], [ [ "Sorafenib", "{u} (Compound) downregulates {v} (Gene)", "KIF18B" ], [ "KIF18B", "{u} (Gene) is downregulated by {v} (Compound)", "Crizotinib" ] ], [ [ "Sorafenib", "{u} (Compound) upregulates {v} (Gene)", "MTHFD2" ], [ "MTHFD2", "{u} (Gene) is downregulated by {v} (Compound)", "Crizotinib" ] ], [ [ "Sorafenib", "{u} (Compound) causes {v} (Side Effect)", "Fatigue" ], [ "Fatigue", "{u} (Side Effect) is caused by {v} (Compound)", "Crizotinib" ] ], [ [ "Sorafenib", "{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}", "Crizotinib" ] ], [ [ "Sorafenib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sulfamethoxazole" ], [ "Sulfamethoxazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Crizotinib" ] ] ]
Sorafenib (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Crizotinib (Compound) Sorafenib (Compound) upregulates NFKBIA (Gene) and NFKBIA (Gene) is upregulated by Crizotinib (Compound) Sorafenib (Compound) downregulates LDLR (Gene) and LDLR (Gene) is upregulated by Crizotinib (Compound) Sorafenib (Compound) binds KIT (Gene) and KIT (Gene) is upregulated by Crizotinib (Compound) Sorafenib (Compound) downregulates KIF18B (Gene) and KIF18B (Gene) is downregulated by Crizotinib (Compound) Sorafenib (Compound) upregulates MTHFD2 (Gene) and MTHFD2 (Gene) is downregulated by Crizotinib (Compound) Sorafenib (Compound) causes Fatigue (Side Effect) and Fatigue (Side Effect) is caused by Crizotinib (Compound) Sorafenib 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 Crizotinib Sorafenib may cause a minor interaction that can limit clinical effects when taken with Sulfamethoxazole and Sulfamethoxazole may cause a minor interaction that can limit clinical effects when taken with Crizotinib
DB00783
DB01284
1,438
1,042
[ "DDInter679", "DDInter1782" ]
Estradiol
Tetracosactide
Estradiol is a naturally occurring hormone circulating endogenously in females. It is commercially available in several hormone therapy products for managing conditions associated with reduced estrogen, such as vulvovaginal atrophy and hot flashes. Some available forms of estradiol include oral tablets, injections, vaginal rings, transdermal patches, sprays, gels, and creams.[L11485,L11488,L11491, L11494,L11497,L11500,L11503] When used for oral or IM administration, estradiol is commonly synthesized as a pro-drug ester (such as,,,, and ). Because it has a low oral bioavailability on its own, estradiol is commonly formulated with an ester side-chain. (EE) is a synthetic form of estradiol commonly used as the estrogenic component of most combination oral contraceptive pills (OCPs). Ethinyl estradiol is different from estradiol due to its higher
Tetracosactide (also known as Cosyntropin) is a synthetic peptide that is identical to the 24-amino acid segment (sequence: SYSMEHFRWGKPVGKKRRPVKVYP) at the N-terminal of adrenocorticotropic hormone. ACTH (1-24), a segment similar in all species, contains the biological activity that stimulates production of corticosteroids in the adrenal cortex. Tetracosactide exhibits the same activity as natural ACTH with regard to all its biological activities. The complex results in a product whose absorption in man is effected over a longer period of time as compared to corticotropin. Therefore, therapy may be maintained with less frequent administration.
Moderate
1
[ [ [ 1438, 24, 1042 ] ], [ [ 1438, 23, 771 ], [ 771, 62, 1042 ] ], [ [ 1438, 24, 761 ], [ 761, 63, 1042 ] ], [ [ 1438, 1, 1561 ], [ 1561, 24, 1042 ] ], [ [ 1438, 63, 1144 ], [ 1144, 24, 1042 ] ], [ [ 1438, 1, 35 ], [ 35, 63, 1042 ] ], [ [ 1438, 24, 1021 ], [ 1021, 24, 1042 ] ], [ [ 1438, 23, 771 ], [ 771, 62, 559 ], [ 559, 24, 1042 ] ], [ [ 1438, 24, 761 ], [ 761, 63, 455 ], [ 455, 23, 1042 ] ], [ [ 1438, 1, 1561 ], [ 1561, 40, 559 ], [ 559, 24, 1042 ] ] ]
[ [ [ "Estradiol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetracosactide" ] ], [ [ "Estradiol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Hyaluronidase" ], [ "Hyaluronidase", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Tetracosactide" ] ], [ [ "Estradiol", "{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}", "Tetracosactide" ] ], [ [ "Estradiol", "{u} (Compound) resembles {v} (Compound)", "Testosterone" ], [ "Testosterone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetracosactide" ] ], [ [ "Estradiol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nateglinide" ], [ "Nateglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetracosactide" ] ], [ [ "Estradiol", "{u} (Compound) resembles {v} (Compound)", "Quinestrol" ], [ "Quinestrol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetracosactide" ] ], [ [ "Estradiol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pramlintide" ], [ "Pramlintide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetracosactide" ] ], [ [ "Estradiol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Hyaluronidase" ], [ "Hyaluronidase", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Estrone" ], [ "Estrone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetracosactide" ] ], [ [ "Estradiol", "{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}", "Salmeterol" ], [ "Salmeterol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Tetracosactide" ] ], [ [ "Estradiol", "{u} (Compound) resembles {v} (Compound)", "Testosterone" ], [ "Testosterone", "{u} (Compound) resembles {v} (Compound)", "Estrone" ], [ "Estrone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetracosactide" ] ] ]
Estradiol may cause a minor interaction that can limit clinical effects when taken with Hyaluronidase and Hyaluronidase may cause a minor interaction that can limit clinical effects when taken with Tetracosactide Estradiol 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 Tetracosactide Estradiol (Compound) resembles Testosterone (Compound) and Testosterone may cause a moderate interaction that could exacerbate diseases when taken with Tetracosactide Estradiol may cause a moderate interaction that could exacerbate diseases when taken with Nateglinide and Nateglinide may cause a moderate interaction that could exacerbate diseases when taken with Tetracosactide Estradiol (Compound) resembles Quinestrol (Compound) and Quinestrol may cause a moderate interaction that could exacerbate diseases when taken with Tetracosactide Estradiol may cause a moderate interaction that could exacerbate diseases when taken with Pramlintide and Pramlintide may cause a moderate interaction that could exacerbate diseases when taken with Tetracosactide Estradiol may cause a minor interaction that can limit clinical effects when taken with Hyaluronidase and Hyaluronidase may cause a minor interaction that can limit clinical effects when taken with Estrone and Estrone may cause a moderate interaction that could exacerbate diseases when taken with Tetracosactide Estradiol 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 Salmeterol and Salmeterol may cause a minor interaction that can limit clinical effects when taken with Tetracosactide Estradiol (Compound) resembles Testosterone (Compound) and Testosterone (Compound) resembles Estrone (Compound) and Estrone may cause a moderate interaction that could exacerbate diseases when taken with Tetracosactide
DB01238
DB09280
673
1,604
[ "DDInter118", "DDInter1101" ]
Aripiprazole
Lumacaftor
Aripiprazole is an atypical antipsychotic orally indicated for the treatment of schizophrenia, bipolar I, major depressive disorder, irritability associated with autism, and Tourette's. It is also indicated as an injection for agitation associated with schizophrenia or bipolar mania. Aripiprazole exerts its effects through agonism of dopaminergic and 5-HT1A receptors and antagonism of alpha-adrenergic and 5-HT2A receptors.[L45859,A4393] Aripiprazole was given FDA approval on November 15, 2002.
Lumacaftor is a drug used in combination with as the fixed dose combination product Orkambi for the management of Cystic Fibrosis (CF) in patients aged 6 years and older. Cystic Fibrosis is an autosomal recessive disorder caused by one of several different mutations in the gene for the Cystic Fibrosis Transmembrane Conductance Regulator (CFTR) protein, a transmembrane ion channel involved in the transport of chloride and sodium ions across cell membranes of the lungs, pancreas, and other organs. Mutations in the CFTR gene result in altered production, misfolding, or function of the CFTR protein and consequently abnormal fluid and ion transport across cell membranes.[A20298, A20299] As a result, CF patients produce thick, sticky mucus that clogs the ducts of organs where it is produced making patients more susceptible to infections, lung damage, pancreatic insufficiency, and malnutrition. Lumacaftor improves CF symptoms and underlying disease pathology by aiding the conformational stability of F508del-mutated CFTR proteins, preventing misfolding and resulting in increased processing and trafficking of mature protein to the cell surface. Results from clinical trials indicated that treatment with Orkambi (lumacaftor/ivacaftor) results in improved lung function, reduced chance of experiencing a pulmonary exacerbation, increased weight gain, and improvements in CF symptoms.[FDA Label] This data has been heavily scrutinized, however, with clinical trials showing only modest improvements despite a hefty yearly cost of $259,000 for Orkambi. Improvements in lung function (ppFEV1) were found to be statistically significant, but minimal, with only a 2.6-3.0% change from baseline with more than 70% of patients failing to achieve an absolute improvement of at least 5%.[A20343, L936] A wide variety of CFTR mutations correlate to the Cystic Fibrosis phenotype and are associated with differing levels of disease severity. The most common mutation, affecting approximately 70% of patients with CF worldwide, is known as F508del-CFTR, or delta-F508 (ΔF508), in which a deletion in the amino acid phenylalanine at position 508 results in impaired production of the CFTR protein, thereby causing a significant reduction in the amount of ion transporter present on cell membranes. When used in combination with as the fixed dose combination product Orkambi, lumacaftor is specific for the management of CF in patients with delta-F508 mutations as it acts as a protein-folding chaperone, aiding the conformational stability of the mutated CFTR protein. Consequently, lumacaftor increases successful production of CFTR ion channels and the total number of receptors available for use at the cell membrane for fluid and ion transport. The next most common mutation, G551D, affecting 4-5% of CF patients worldwide, is characterized as a missense mutation, whereby there is sufficient amount of protein at the cell surface, but opening and closing mechanisms of the channel are altered. Treatment of patients with G551D and other rarer missense mutations is usually managed with (Kalydeco), as it aids with altered gating mechanisms by potentiating channel opening probability of CFTR protein. Prior to the development of lumacaftor and (Kalydeco), management of CF primarily involved therapies for the control of infections, nutritional support, clearance of mucus, and management of symptoms rather than improvements in the underlying disease process. Approved for use by the Food and Drug Administration in July 2015 and by Health Canada in January 2016, Orkambi was the first combination product approved for the management of Cystic Fibrosis with delta-F508 mutations. Ivacaftor is manufactured and distributed by Vertex Pharmaceuticals.
Moderate
1
[ [ [ 673, 24, 1604 ] ], [ [ 673, 63, 473 ], [ 473, 24, 1604 ] ], [ [ 673, 64, 593 ], [ 593, 24, 1604 ] ], [ [ 673, 24, 1281 ], [ 1281, 24, 1604 ] ], [ [ 673, 24, 877 ], [ 877, 63, 1604 ] ], [ [ 673, 74, 477 ], [ 477, 24, 1604 ] ], [ [ 673, 24, 985 ], [ 985, 64, 1604 ] ], [ [ 673, 63, 629 ], [ 629, 25, 1604 ] ], [ [ 673, 24, 1491 ], [ 1491, 25, 1604 ] ], [ [ 673, 63, 473 ], [ 473, 24, 1060 ], [ 1060, 62, 1604 ] ] ]
[ [ [ "Aripiprazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lumacaftor" ] ], [ [ "Aripiprazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Repaglinide" ], [ "Repaglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lumacaftor" ] ], [ [ "Aripiprazole", "{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}", "Lumacaftor" ] ], [ [ "Aripiprazole", "{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}", "Lumacaftor" ] ], [ [ "Aripiprazole", "{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}", "Lumacaftor" ] ], [ [ "Aripiprazole", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cilostazol" ], [ "Cilostazol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lumacaftor" ] ], [ [ "Aripiprazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Osimertinib" ], [ "Osimertinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Lumacaftor" ] ], [ [ "Aripiprazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sirolimus" ], [ "Sirolimus", "{u} may lead to a major life threatening interaction when taken with {v}", "Lumacaftor" ] ], [ [ "Aripiprazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ], [ "Midostaurin", "{u} may lead to a major life threatening interaction when taken with {v}", "Lumacaftor" ] ], [ [ "Aripiprazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Repaglinide" ], [ "Repaglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enfortumab vedotin" ], [ "Enfortumab vedotin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Lumacaftor" ] ] ]
Aripiprazole may cause a moderate interaction that could exacerbate diseases when taken with Repaglinide and Repaglinide may cause a moderate interaction that could exacerbate diseases when taken with Lumacaftor Aripiprazole 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 Lumacaftor Aripiprazole 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 Lumacaftor Aripiprazole 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 Lumacaftor Aripiprazole (Compound) resembles Cilostazol (Compound) and Aripiprazole may cause a moderate interaction that could exacerbate diseases when taken with Cilostazol and Cilostazol may cause a moderate interaction that could exacerbate diseases when taken with Lumacaftor Aripiprazole may cause a moderate interaction that could exacerbate diseases when taken with Osimertinib and Osimertinib may lead to a major life threatening interaction when taken with Lumacaftor Aripiprazole may cause a moderate interaction that could exacerbate diseases when taken with Sirolimus and Sirolimus may lead to a major life threatening interaction when taken with Lumacaftor Aripiprazole may cause a moderate interaction that could exacerbate diseases when taken with Midostaurin and Midostaurin may lead to a major life threatening interaction when taken with Lumacaftor Aripiprazole may cause a moderate interaction that could exacerbate diseases when taken with Repaglinide and Repaglinide may cause a moderate interaction that could exacerbate diseases when taken with Enfortumab vedotin and Enfortumab vedotin may cause a minor interaction that can limit clinical effects when taken with Lumacaftor
DB00054
DB00460
1,432
612
[ "DDInter6", "DDInter1929" ]
Abciximab
Verteporfin
Abciximab is a Fab fragment of the chimeric human-murine monoclonal antibody 7E3. Abciximab binds to the glycoprotein (GP) IIb/IIIa receptor of human platelets and inhibits platelet aggregation by preventing the binding of fibrinogen, von Willebrand factor, and other adhesive molecules. It also binds to vitronectin (αvβ3) receptor found on platelets and vessel wall endothelial and smooth muscle cells.
Verteporfin, marketed as Visudyne, is a benzoporphyrin derivative. It is used as a photosensitizer in photodynamic therapy to eliminate abnormal blood vessels in wet form macular degeneration. Verteporfin accumulates in these abnormal blood vessels and, when stimulated by nonthermal red light with a wavelength of 693 nm in the presence of oxygen, produces highly reactive short-lived singlet oxygen and other reactive oxygen radicals, resulting in local damage to the endothelium and blockage of the vessels.
Moderate
1
[ [ [ 1432, 24, 612 ] ], [ [ 1432, 63, 942 ], [ 942, 24, 612 ] ], [ [ 1432, 25, 936 ], [ 936, 63, 612 ] ], [ [ 1432, 24, 1512 ], [ 1512, 63, 612 ] ], [ [ 1432, 24, 1061 ], [ 1061, 24, 612 ] ], [ [ 1432, 64, 1578 ], [ 1578, 24, 612 ] ], [ [ 1432, 25, 366 ], [ 366, 24, 612 ] ], [ [ 1432, 63, 942 ], [ 942, 25, 707 ], [ 707, 63, 612 ] ], [ [ 1432, 25, 936 ], [ 936, 25, 707 ], [ 707, 63, 612 ] ], [ [ 1432, 25, 707 ], [ 707, 64, 942 ], [ 942, 24, 612 ] ] ]
[ [ [ "Abciximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Verteporfin" ] ], [ [ "Abciximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bivalirudin" ], [ "Bivalirudin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Verteporfin" ] ], [ [ "Abciximab", "{u} may lead to a major life threatening interaction when taken with {v}", "Cangrelor" ], [ "Cangrelor", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Verteporfin" ] ], [ [ "Abciximab", "{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}", "Verteporfin" ] ], [ [ "Abciximab", "{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}", "Verteporfin" ] ], [ [ "Abciximab", "{u} may lead to a major life threatening interaction when taken with {v}", "Lepirudin" ], [ "Lepirudin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Verteporfin" ] ], [ [ "Abciximab", "{u} may lead to a major life threatening interaction when taken with {v}", "Eptifibatide" ], [ "Eptifibatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Verteporfin" ] ], [ [ "Abciximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bivalirudin" ], [ "Bivalirudin", "{u} may lead to a major life threatening interaction when taken with {v}", "Danaparoid" ], [ "Danaparoid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Verteporfin" ] ], [ [ "Abciximab", "{u} may lead to a major life threatening interaction when taken with {v}", "Cangrelor" ], [ "Cangrelor", "{u} may lead to a major life threatening interaction when taken with {v}", "Danaparoid" ], [ "Danaparoid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Verteporfin" ] ], [ [ "Abciximab", "{u} may lead to a major life threatening interaction when taken with {v}", "Danaparoid" ], [ "Danaparoid", "{u} may lead to a major life threatening interaction when taken with {v}", "Bivalirudin" ], [ "Bivalirudin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Verteporfin" ] ] ]
Abciximab may cause a moderate interaction that could exacerbate diseases when taken with Bivalirudin and Bivalirudin may cause a moderate interaction that could exacerbate diseases when taken with Verteporfin Abciximab may lead to a major life threatening interaction when taken with Cangrelor and Cangrelor may cause a moderate interaction that could exacerbate diseases when taken with Verteporfin Abciximab 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 Verteporfin Abciximab 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 Verteporfin Abciximab may lead to a major life threatening interaction when taken with Lepirudin and Lepirudin may cause a moderate interaction that could exacerbate diseases when taken with Verteporfin Abciximab may lead to a major life threatening interaction when taken with Eptifibatide and Eptifibatide may cause a moderate interaction that could exacerbate diseases when taken with Verteporfin Abciximab may cause a moderate interaction that could exacerbate diseases when taken with Bivalirudin and Bivalirudin may lead to a major life threatening interaction when taken with Danaparoid and Danaparoid may cause a moderate interaction that could exacerbate diseases when taken with Verteporfin Abciximab may lead to a major life threatening interaction when taken with Cangrelor and Cangrelor may lead to a major life threatening interaction when taken with Danaparoid and Danaparoid may cause a moderate interaction that could exacerbate diseases when taken with Verteporfin Abciximab may lead to a major life threatening interaction when taken with Danaparoid and Danaparoid may lead to a major life threatening interaction when taken with Bivalirudin and Bivalirudin may cause a moderate interaction that could exacerbate diseases when taken with Verteporfin
DB00675
DB01080
888
855
[ "DDInter1744", "DDInter1933" ]
Tamoxifen
Vigabatrin
Tamoxifen is a non-steroidal antiestrogen used to treat estrogen receptor positive breast cancers as well as prevent the incidence of breast cancer in high risk populations.[A1025,L7799,L7802] Tamoxifen is used alone or as an adjuvant in these treatments.[L7799,L7802] Tamoxifen may no longer be the preferred treatment for these types of cancers as patients generally have better survival, side effect profiles, and compliance with [anastrozole]. Tamoxifen was granted FDA approval on 30 December 1977.
Vigabatrin is an analog of gamma-aminobutyric acid ([GABA]), the main inhibitory neurotransmitter in the central nervous system, used in the treatment of refractory seizures and infantile spasms. It irreversibly inhibits the enzyme responsible for GABA metabolism, thereby increasing levels of circulating GABA. Although administered as a racemic mixture, only the S(+) enantiomer is pharmacologically active. It was first introduced as an antiepileptic agent in the United Kingdom in 1989 and was used extensively until 1997, when an association with vision loss became apparent. Its use is now generally reserved for patients who have failed alternative therapies, and its US approval by the FDA in 2009 mandated the creation of a drug registry to monitor patients for visual deficits.[L13661,A202124]
Major
2
[ [ [ 888, 25, 855 ] ], [ [ 888, 7, 5833 ], [ 5833, 57, 855 ] ], [ [ 888, 21, 28719 ], [ 28719, 60, 855 ] ], [ [ 888, 63, 1010 ], [ 1010, 24, 855 ] ], [ [ 888, 24, 401 ], [ 401, 24, 855 ] ], [ [ 888, 1, 1594 ], [ 1594, 24, 855 ] ], [ [ 888, 24, 820 ], [ 820, 63, 855 ] ], [ [ 888, 40, 649 ], [ 649, 63, 855 ] ], [ [ 888, 25, 1376 ], [ 1376, 24, 855 ] ], [ [ 888, 63, 1424 ], [ 1424, 25, 855 ] ] ]
[ [ [ "Tamoxifen", "{u} may lead to a major life threatening interaction when taken with {v}", "Vigabatrin" ] ], [ [ "Tamoxifen", "{u} (Compound) upregulates {v} (Gene)", "ACAT2" ], [ "ACAT2", "{u} (Gene) is downregulated by {v} (Compound)", "Vigabatrin" ] ], [ [ "Tamoxifen", "{u} (Compound) causes {v} (Side Effect)", "Pain" ], [ "Pain", "{u} (Side Effect) is caused by {v} (Compound)", "Vigabatrin" ] ], [ [ "Tamoxifen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mefloquine" ], [ "Mefloquine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vigabatrin" ] ], [ [ "Tamoxifen", "{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}", "Vigabatrin" ] ], [ [ "Tamoxifen", "{u} (Compound) resembles {v} (Compound)", "Doxylamine" ], [ "Doxylamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vigabatrin" ] ], [ [ "Tamoxifen", "{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}", "Vigabatrin" ] ], [ [ "Tamoxifen", "{u} (Compound) resembles {v} (Compound)", "Clofedanol" ], [ "Clofedanol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vigabatrin" ] ], [ [ "Tamoxifen", "{u} may lead to a major life threatening interaction when taken with {v}", "Diphenhydramine" ], [ "Diphenhydramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vigabatrin" ] ], [ [ "Tamoxifen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Quinine" ], [ "Quinine", "{u} may lead to a major life threatening interaction when taken with {v}", "Vigabatrin" ] ] ]
Tamoxifen (Compound) upregulates ACAT2 (Gene) and ACAT2 (Gene) is downregulated by Vigabatrin (Compound) Tamoxifen (Compound) causes Pain (Side Effect) and Pain (Side Effect) is caused by Vigabatrin (Compound) Tamoxifen may cause a moderate interaction that could exacerbate diseases when taken with Mefloquine and Mefloquine may cause a moderate interaction that could exacerbate diseases when taken with Vigabatrin Tamoxifen 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 Vigabatrin Tamoxifen (Compound) resembles Doxylamine (Compound) and Doxylamine may cause a moderate interaction that could exacerbate diseases when taken with Vigabatrin Tamoxifen 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 Vigabatrin Tamoxifen (Compound) resembles Clofedanol (Compound) and Clofedanol may cause a moderate interaction that could exacerbate diseases when taken with Vigabatrin Tamoxifen may lead to a major life threatening interaction when taken with Diphenhydramine and Diphenhydramine may cause a moderate interaction that could exacerbate diseases when taken with Vigabatrin Tamoxifen may cause a moderate interaction that could exacerbate diseases when taken with Quinine and Quinine may lead to a major life threatening interaction when taken with Vigabatrin
DB00581
DB11837
355
1,297
[ "DDInter1018", "DDInter1351" ]
Lactulose
Osilodrostat
Lactulose is a synthetic disaccharide derivative of lactose that is most commonly used as a laxative agent despite also being formally indicated to serve as an adjunct therapy in treating portal-systemic encephalopathy (PSE).[FDA Label,L6199,L6202] Despite being first synthesized in 1929, investigations regarding its possible use as a laxative for the treatment of chronic constipation did not occur until the 1960s and its first clinical use for treating PSE was not until 1966. Nevertheless, although lactulose received formal FDA approval in 1977 and has since become a readily available generic and brand-name non-prescription medication listed on the World Health Organization's List of Essential Medicines as one of the most effective and safe medicines employed in a health system, data regarding its optimal place in therapy is often ambiguous. Especially considering the use of lactulose as a laxative is typically only considered after lifestyle and dietary modifications fail and the
Osilodrostat is an inhibitor of 11β-hydroxylase (also referred to as CYP11B1), the enzyme that catalyzes the final step in the biosynthesis of endogenous cortisol. It is used to lower circulating cortisol levels in the treatment of Cushing's disease, a disorder in which cortisol levels are chronically and supraphysiologically elevated. Cushing's disease is often the result of ACTH hypersecretion secondary to a pituitary tumor, and surgical resection of the tumour is generally the treatment of choice. As an orally bioavailable drug therapy, osilodrostat provides a novel treatment option for patients in whom removal of the causative tumor is not an option or for whom previous pituitary surgery has not been curative. Osilodrostat is manufactured by Novartis under the brand name Isturisa. It has undergone phase II clinical trials for the treatment of solid tumours, hypertension, and heart failure, but development for these indications was discontinued by Novartis in January 2013. Osilodrostat was approved for use in the EU in January 2020 for the treatment of endogenous Cushing's syndrome (i.e. Cushing's disease), and was granted FDA approval and Orphan Drug designation in the US in March 2020 for the same indication.
Moderate
1
[ [ [ 355, 24, 1297 ] ], [ [ 355, 24, 623 ], [ 623, 24, 1297 ] ], [ [ 355, 63, 1555 ], [ 1555, 24, 1297 ] ], [ [ 355, 24, 971 ], [ 971, 63, 1297 ] ], [ [ 355, 23, 286 ], [ 286, 24, 1297 ] ], [ [ 355, 24, 351 ], [ 351, 25, 1297 ] ], [ [ 355, 63, 347 ], [ 347, 25, 1297 ] ], [ [ 355, 24, 982 ], [ 982, 64, 1297 ] ], [ [ 355, 24, 623 ], [ 623, 62, 112 ], [ 112, 23, 1297 ] ], [ [ 355, 24, 657 ], [ 657, 63, 623 ], [ 623, 24, 1297 ] ] ]
[ [ [ "Lactulose", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Osilodrostat" ] ], [ [ "Lactulose", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Quetiapine" ], [ "Quetiapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Osilodrostat" ] ], [ [ "Lactulose", "{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}", "Osilodrostat" ] ], [ [ "Lactulose", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gilteritinib" ], [ "Gilteritinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Osilodrostat" ] ], [ [ "Lactulose", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Magnesium hydroxide" ], [ "Magnesium hydroxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Osilodrostat" ] ], [ [ "Lactulose", "{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}", "Osilodrostat" ] ], [ [ "Lactulose", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ibutilide" ], [ "Ibutilide", "{u} may lead to a major life threatening interaction when taken with {v}", "Osilodrostat" ] ], [ [ "Lactulose", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivosidenib" ], [ "Ivosidenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Osilodrostat" ] ], [ [ "Lactulose", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Quetiapine" ], [ "Quetiapine", "{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}", "Osilodrostat" ] ], [ [ "Lactulose", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Castor oil" ], [ "Castor oil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Quetiapine" ], [ "Quetiapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Osilodrostat" ] ] ]
Lactulose may cause a moderate interaction that could exacerbate diseases when taken with Quetiapine and Quetiapine may cause a moderate interaction that could exacerbate diseases when taken with Osilodrostat Lactulose 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 Osilodrostat Lactulose may cause a moderate interaction that could exacerbate diseases when taken with Gilteritinib and Gilteritinib may cause a moderate interaction that could exacerbate diseases when taken with Osilodrostat Lactulose may cause a minor interaction that can limit clinical effects when taken with Magnesium hydroxide and Magnesium hydroxide may cause a moderate interaction that could exacerbate diseases when taken with Osilodrostat Lactulose 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 Osilodrostat Lactulose may cause a moderate interaction that could exacerbate diseases when taken with Ibutilide and Ibutilide may lead to a major life threatening interaction when taken with Osilodrostat Lactulose may cause a moderate interaction that could exacerbate diseases when taken with Ivosidenib and Ivosidenib may lead to a major life threatening interaction when taken with Osilodrostat Lactulose may cause a moderate interaction that could exacerbate diseases when taken with Quetiapine and Quetiapine 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 Osilodrostat Lactulose may cause a moderate interaction that could exacerbate diseases when taken with Castor oil and Castor oil may cause a moderate interaction that could exacerbate diseases when taken with Quetiapine and Quetiapine may cause a moderate interaction that could exacerbate diseases when taken with Osilodrostat
DB01001
DB01087
688
1,520
[ "DDInter1632", "DDInter1520" ]
Salbutamol
Primaquine
Salbutamol is a short-acting, selective beta2-adrenergic receptor agonist used in the treatment of asthma and COPD. It is 29 times more selective for beta2 receptors than beta1 receptors giving it higher specificity for pulmonary beta receptors versus beta1-adrenergic receptors located in the heart. Salbutamol is formulated as a racemic mixture of the R- and S-isomers. The R-isomer has 150 times greater affinity for the beta2-receptor than the S-isomer and the S-isomer has been associated with toxicity. This lead to the development of levalbuterol, the single R-isomer of salbutamol. However, the high cost of levalbuterol compared to salbutamol has deterred wide-spread use of this enantiomerically pure version of the drug. Salbutamol is generally used for acute episodes of bronchospasm caused by bronchial asthma,
An aminoquinoline that is given by mouth to produce a radical cure and prevent relapse of vivax and ovale malarias following treatment with a blood schizontocide. It has also been used to prevent transmission of falciparum malaria by those returning to areas where there is a potential for re-introduction of malaria. Adverse effects include anemias and GI disturbances. (From Martindale, The Extra Pharmacopeia, 30th ed, p404)
Moderate
1
[ [ [ 688, 24, 1520 ] ], [ [ 688, 24, 1487 ], [ 1487, 64, 1520 ] ], [ [ 688, 6, 8374 ], [ 8374, 45, 1520 ] ], [ [ 688, 21, 28722 ], [ 28722, 60, 1520 ] ], [ [ 688, 62, 112 ], [ 112, 23, 1520 ] ], [ [ 688, 23, 1247 ], [ 1247, 23, 1520 ] ], [ [ 688, 63, 479 ], [ 479, 23, 1520 ] ], [ [ 688, 63, 508 ], [ 508, 24, 1520 ] ], [ [ 688, 24, 1342 ], [ 1342, 63, 1520 ] ], [ [ 688, 24, 401 ], [ 401, 24, 1520 ] ] ]
[ [ [ "Salbutamol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Primaquine" ] ], [ [ "Salbutamol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydroxychloroquine" ], [ "Hydroxychloroquine", "{u} may lead to a major life threatening interaction when taken with {v}", "Primaquine" ] ], [ [ "Salbutamol", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Primaquine" ] ], [ [ "Salbutamol", "{u} (Compound) causes {v} (Side Effect)", "Nausea" ], [ "Nausea", "{u} (Side Effect) is caused by {v} (Compound)", "Primaquine" ] ], [ [ "Salbutamol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Primaquine" ] ], [ [ "Salbutamol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sulfamethoxazole" ], [ "Sulfamethoxazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Primaquine" ] ], [ [ "Salbutamol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Donepezil" ], [ "Donepezil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Primaquine" ] ], [ [ "Salbutamol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promazine" ], [ "Promazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Primaquine" ] ], [ [ "Salbutamol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Romidepsin" ], [ "Romidepsin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Primaquine" ] ], [ [ "Salbutamol", "{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}", "Primaquine" ] ] ]
Salbutamol may cause a moderate interaction that could exacerbate diseases when taken with Hydroxychloroquine and Hydroxychloroquine may lead to a major life threatening interaction when taken with Primaquine Salbutamol (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Primaquine (Compound) Salbutamol (Compound) causes Nausea (Side Effect) and Nausea (Side Effect) is caused by Primaquine (Compound) Salbutamol may cause a minor interaction that can limit clinical effects when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Primaquine Salbutamol may cause a minor interaction that can limit clinical effects when taken with Sulfamethoxazole and Sulfamethoxazole may cause a minor interaction that can limit clinical effects when taken with Primaquine Salbutamol may cause a moderate interaction that could exacerbate diseases when taken with Donepezil and Donepezil may cause a minor interaction that can limit clinical effects when taken with Primaquine Salbutamol may cause a moderate interaction that could exacerbate diseases when taken with Promazine and Promazine may cause a moderate interaction that could exacerbate diseases when taken with Primaquine Salbutamol may cause a moderate interaction that could exacerbate diseases when taken with Romidepsin and Romidepsin may cause a moderate interaction that could exacerbate diseases when taken with Primaquine Salbutamol 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 Primaquine
DB11581
DB15328
1,456
829
[ "DDInter1926", "DDInter1896" ]
Venetoclax
Ubrogepant
Venetoclax is a BCL-2 inhibitor that was initially approved by the FDA in April 2016 [FDA label]. Proteins in the B cell CLL/lymphoma 2 (BCL-2) family are important regulators of the apoptotic (programmed cell death) process,. Venetoclax is used to treat chronic lymphocytic leukemia (CLL) and certain types of small lymphocytic lymphoma [FDA label]. CLL is the most prevalent leukemia diagnosed in Western countries. Venetoclax was developed through reverse engineering of the BCL-2 protein family inhibitor, navitoclax. Venetoclax is approximately 10 times more potent than navitoclax with regard to induction of apoptosis in CLL cells. A new indication was approved in 2018 for the treatment patients with chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL), with or without 17p deletion, who have
Ubrogepant is indicated for the acute treatment of migraine headaches with or without aura in adults. It was approved by the FDA on December 23, 2019, and is the first oral calcitonin gene-related peptide (CGRP) receptor antagonist approved for the acute treatment of migraine. Several oral small molecule CGRP receptor antagonists, belonging to a class of medications referred to as "gepants", have been investigated for migraines, but only ubrogepant and [rimegepant] remain in clinical development.[A189207,A189213] Previous agents within this class were efficacious but limited by liver toxicity - this led to the development of ubrogepant, which was designed to be a hepatoxicity-free alternative to its predecessors. Several parenteral monoclonal antibodies acting against the CGRP pathway (e.g. [erenumab], [fremanezumab], [galcanezumab]) have also been approved in recent years. Ubrogepant was approved by Health Canada on November 10, 2022. Compared to the current standard of therapy for migraine treatment, namely triptans such as [sumatriptan] and [almotriptan], CGRP antagonists present several advantages. They appear to be better tolerated, do not contribute to medication overuse headaches, and carry no apparent cardiovascular risk, making them suitable for use in patients with cardiovascular disease. The development of oral gepants, including ubrogepant, may therefore constitute a significant advance in migraine headache treatment and may become the new standard of therapy in the treatment of this debilitating condition.
Moderate
1
[ [ [ 1456, 24, 829 ] ], [ [ 1456, 24, 1476 ], [ 1476, 24, 829 ] ], [ [ 1456, 64, 1468 ], [ 1468, 24, 829 ] ], [ [ 1456, 25, 124 ], [ 124, 24, 829 ] ], [ [ 1456, 63, 86 ], [ 86, 24, 829 ] ], [ [ 1456, 64, 609 ], [ 609, 25, 829 ] ], [ [ 1456, 25, 913 ], [ 913, 25, 829 ] ], [ [ 1456, 24, 1476 ], [ 1476, 63, 1468 ], [ 1468, 24, 829 ] ], [ [ 1456, 64, 1468 ], [ 1468, 24, 1476 ], [ 1476, 24, 829 ] ], [ [ 1456, 25, 124 ], [ 124, 24, 1476 ], [ 1476, 24, 829 ] ] ]
[ [ [ "Venetoclax", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ubrogepant" ] ], [ [ "Venetoclax", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brigatinib" ], [ "Brigatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ubrogepant" ] ], [ [ "Venetoclax", "{u} may lead to a major life threatening interaction when taken with {v}", "Ponatinib" ], [ "Ponatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ubrogepant" ] ], [ [ "Venetoclax", "{u} may lead to a major life threatening interaction when taken with {v}", "Glasdegib" ], [ "Glasdegib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ubrogepant" ] ], [ [ "Venetoclax", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Miconazole" ], [ "Miconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ubrogepant" ] ], [ [ "Venetoclax", "{u} may lead to a major life threatening interaction when taken with {v}", "Clarithromycin" ], [ "Clarithromycin", "{u} may lead to a major life threatening interaction when taken with {v}", "Ubrogepant" ] ], [ [ "Venetoclax", "{u} may lead to a major life threatening interaction when taken with {v}", "Apalutamide" ], [ "Apalutamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Ubrogepant" ] ], [ [ "Venetoclax", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brigatinib" ], [ "Brigatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ponatinib" ], [ "Ponatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ubrogepant" ] ], [ [ "Venetoclax", "{u} may lead to a major life threatening interaction when taken with {v}", "Ponatinib" ], [ "Ponatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brigatinib" ], [ "Brigatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ubrogepant" ] ], [ [ "Venetoclax", "{u} may lead to a major life threatening interaction when taken with {v}", "Glasdegib" ], [ "Glasdegib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brigatinib" ], [ "Brigatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ubrogepant" ] ] ]
Venetoclax may cause a moderate interaction that could exacerbate diseases when taken with Brigatinib and Brigatinib may cause a moderate interaction that could exacerbate diseases when taken with Ubrogepant Venetoclax may lead to a major life threatening interaction when taken with Ponatinib and Ponatinib may cause a moderate interaction that could exacerbate diseases when taken with Ubrogepant Venetoclax may lead to a major life threatening interaction when taken with Glasdegib and Glasdegib may cause a moderate interaction that could exacerbate diseases when taken with Ubrogepant Venetoclax may cause a moderate interaction that could exacerbate diseases when taken with Miconazole and Miconazole may cause a moderate interaction that could exacerbate diseases when taken with Ubrogepant Venetoclax may lead to a major life threatening interaction when taken with Clarithromycin and Clarithromycin may lead to a major life threatening interaction when taken with Ubrogepant Venetoclax may lead to a major life threatening interaction when taken with Apalutamide and Apalutamide may lead to a major life threatening interaction when taken with Ubrogepant Venetoclax may cause a moderate interaction that could exacerbate diseases when taken with Brigatinib and Brigatinib may cause a moderate interaction that could exacerbate diseases when taken with Ponatinib and Ponatinib may cause a moderate interaction that could exacerbate diseases when taken with Ubrogepant Venetoclax may lead to a major life threatening interaction when taken with Ponatinib and Ponatinib may cause a moderate interaction that could exacerbate diseases when taken with Brigatinib and Brigatinib may cause a moderate interaction that could exacerbate diseases when taken with Ubrogepant Venetoclax may lead to a major life threatening interaction when taken with Glasdegib and Glasdegib may cause a moderate interaction that could exacerbate diseases when taken with Brigatinib and Brigatinib may cause a moderate interaction that could exacerbate diseases when taken with Ubrogepant
DB00619
DB00637
1,419
1,557
[ "DDInter909", "DDInter128" ]
Imatinib
Astemizole
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]
Astemizole is a long-acting, non-sedating second generation antihistamine used in the treatment of allergy symptoms. It was withdrawn from market by the manufacturer in 1999 due to the potential to cause arrhythmias at high doses, especially when when taken with CYP inhibitors or grapefruit juice.
Moderate
1
[ [ [ 1419, 24, 1557 ] ], [ [ 1419, 25, 704 ], [ 704, 1, 1557 ] ], [ [ 1419, 25, 1568 ], [ 1568, 64, 1557 ] ], [ [ 1419, 6, 21998 ], [ 21998, 45, 1557 ] ], [ [ 1419, 6, 2692 ], [ 2692, 46, 1557 ] ], [ [ 1419, 23, 307 ], [ 307, 62, 1557 ] ], [ [ 1419, 24, 770 ], [ 770, 63, 1557 ] ], [ [ 1419, 63, 322 ], [ 322, 24, 1557 ] ], [ [ 1419, 25, 1478 ], [ 1478, 63, 1557 ] ], [ [ 1419, 23, 479 ], [ 479, 63, 1557 ] ] ]
[ [ [ "Imatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Astemizole" ] ], [ [ "Imatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Fentanyl" ], [ "Fentanyl", "{u} (Compound) resembles {v} (Compound)", "Astemizole" ] ], [ [ "Imatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Pimozide" ], [ "Pimozide", "{u} may lead to a major life threatening interaction when taken with {v}", "Astemizole" ] ], [ [ "Imatinib", "{u} (Compound) binds {v} (Gene)", "CYP3A7-CYP3A51P" ], [ "CYP3A7-CYP3A51P", "{u} (Gene) is bound by {v} (Compound)", "Astemizole" ] ], [ [ "Imatinib", "{u} (Compound) binds {v} (Gene)", "KIT" ], [ "KIT", "{u} (Gene) is upregulated by {v} (Compound)", "Astemizole" ] ], [ [ "Imatinib", "{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}", "Astemizole" ] ], [ [ "Imatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Thalidomide" ], [ "Thalidomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Astemizole" ] ], [ [ "Imatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Epirubicin" ], [ "Epirubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Astemizole" ] ], [ [ "Imatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivacaftor" ], [ "Ivacaftor", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Astemizole" ] ], [ [ "Imatinib", "{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}", "Astemizole" ] ] ]
Imatinib may lead to a major life threatening interaction when taken with Fentanyl and Fentanyl (Compound) resembles Astemizole (Compound) Imatinib may lead to a major life threatening interaction when taken with Pimozide and Pimozide may lead to a major life threatening interaction when taken with Astemizole Imatinib (Compound) binds CYP3A7-CYP3A51P (Gene) and CYP3A7-CYP3A51P (Gene) is bound by Astemizole (Compound) Imatinib (Compound) binds KIT (Gene) and KIT (Gene) is upregulated by Astemizole (Compound) Imatinib 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 Astemizole Imatinib may cause a moderate interaction that could exacerbate diseases when taken with Thalidomide and Thalidomide may cause a moderate interaction that could exacerbate diseases when taken with Astemizole Imatinib may cause a moderate interaction that could exacerbate diseases when taken with Epirubicin and Epirubicin may cause a moderate interaction that could exacerbate diseases when taken with Astemizole Imatinib may lead to a major life threatening interaction when taken with Ivacaftor and Ivacaftor may cause a moderate interaction that could exacerbate diseases when taken with Astemizole Imatinib 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 Astemizole
DB00758
DB01191
1,347
1,039
[ "DDInter413", "DDInter518" ]
Clopidogrel
Dexfenfluramine
Clopidogrel is a prodrug of a platelet inhibitor used to reduce the risk of myocardial infarction and stroke.[A180508,L7213] Clopidogrel is indicated to reduce the risk of myocardial infarction for patients with non-ST elevated acute coronary syndrome (ACS), patients with ST-elevated myocardial infarction, and in recent MI, stroke, or established peripheral arterial disease, It has been shown to be superior to [aspirin] in reducing cardiovascular outcomes in patients with cardiovascular disease and provides additional benefit to patients with acute coronary syndromes already taking aspirin. Clopidogrel was granted FDA approval on 17 November 1997.
Dexfenfluramine, also marketed under the name Redux, is a serotoninergic anorectic drug. For a fairly limited time during the middle of the nineties, the US FDA had approved it for use in managing weight loss. However, following multiple concerns about the cardiovascular side-effects of the drug, such approval was withdrawn.
Moderate
1
[ [ [ 1347, 24, 1039 ] ], [ [ 1347, 6, 10215 ], [ 10215, 45, 1039 ] ], [ [ 1347, 6, 5182 ], [ 5182, 46, 1039 ] ], [ [ 1347, 25, 1046 ], [ 1046, 63, 1039 ] ], [ [ 1347, 24, 578 ], [ 578, 63, 1039 ] ], [ [ 1347, 25, 1130 ], [ 1130, 24, 1039 ] ], [ [ 1347, 24, 935 ], [ 935, 24, 1039 ] ], [ [ 1347, 64, 1432 ], [ 1432, 24, 1039 ] ], [ [ 1347, 63, 20 ], [ 20, 24, 1039 ] ], [ [ 1347, 62, 245 ], [ 245, 24, 1039 ] ] ]
[ [ [ "Clopidogrel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexfenfluramine" ] ], [ [ "Clopidogrel", "{u} (Compound) binds {v} (Gene)", "CYP2C19" ], [ "CYP2C19", "{u} (Gene) is bound by {v} (Compound)", "Dexfenfluramine" ] ], [ [ "Clopidogrel", "{u} (Compound) binds {v} (Gene)", "CES1" ], [ "CES1", "{u} (Gene) is upregulated by {v} (Compound)", "Dexfenfluramine" ] ], [ [ "Clopidogrel", "{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}", "Dexfenfluramine" ] ], [ [ "Clopidogrel", "{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}", "Dexfenfluramine" ] ], [ [ "Clopidogrel", "{u} may lead to a major life threatening interaction when taken with {v}", "Pioglitazone" ], [ "Pioglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexfenfluramine" ] ], [ [ "Clopidogrel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ketoprofen" ], [ "Ketoprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexfenfluramine" ] ], [ [ "Clopidogrel", "{u} may lead to a major life threatening interaction when taken with {v}", "Abciximab" ], [ "Abciximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexfenfluramine" ] ], [ [ "Clopidogrel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tenecteplase" ], [ "Tenecteplase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexfenfluramine" ] ], [ [ "Clopidogrel", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Glimepiride" ], [ "Glimepiride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexfenfluramine" ] ] ]
Clopidogrel (Compound) binds CYP2C19 (Gene) and CYP2C19 (Gene) is bound by Dexfenfluramine (Compound) Clopidogrel (Compound) binds CES1 (Gene) and CES1 (Gene) is upregulated by Dexfenfluramine (Compound) Clopidogrel 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 Dexfenfluramine Clopidogrel 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 Dexfenfluramine Clopidogrel may lead to a major life threatening interaction when taken with Pioglitazone and Pioglitazone may cause a moderate interaction that could exacerbate diseases when taken with Dexfenfluramine Clopidogrel may cause a moderate interaction that could exacerbate diseases when taken with Ketoprofen and Ketoprofen may cause a moderate interaction that could exacerbate diseases when taken with Dexfenfluramine Clopidogrel may lead to a major life threatening interaction when taken with Abciximab and Abciximab may cause a moderate interaction that could exacerbate diseases when taken with Dexfenfluramine Clopidogrel may cause a moderate interaction that could exacerbate diseases when taken with Tenecteplase and Tenecteplase may cause a moderate interaction that could exacerbate diseases when taken with Dexfenfluramine Clopidogrel may cause a minor interaction that can limit clinical effects when taken with Glimepiride and Glimepiride may cause a moderate interaction that could exacerbate diseases when taken with Dexfenfluramine
DB00377
DB08918
1,494
41
[ "DDInter1382", "DDInter1059" ]
Palonosetron
Levomilnacipran
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.
Levomilnacipran is a selective serotonin and norepinephrine reuptake inhibitor (SNRI), although it is a more potent inhibitor of norepinephrine reuptake than serotonin reuptake.[A261181, A38560] Levomilnacipran is the more active 1S,2R-enantiomer in the racemate [milnacipran].[A261181, L47956] Once administered, interconversion between levomilnacipran and its stereoisomer does not occur in humans. First approved by the FDA on July 25, 2013, levomilnacipran is used to treat major depressive disorder in adults. While levomilnacipran was previously investigated and proposed as a potential treatment for stroke in Europe, the EMA decided against this use.
Major
2
[ [ [ 1494, 25, 41 ] ], [ [ 1494, 25, 901 ], [ 901, 40, 41 ] ], [ [ 1494, 6, 8374 ], [ 8374, 45, 41 ] ], [ [ 1494, 21, 28643 ], [ 28643, 60, 41 ] ], [ [ 1494, 25, 1618 ], [ 1618, 24, 41 ] ], [ [ 1494, 24, 477 ], [ 477, 24, 41 ] ], [ [ 1494, 64, 702 ], [ 702, 24, 41 ] ], [ [ 1494, 24, 1383 ], [ 1383, 63, 41 ] ], [ [ 1494, 63, 475 ], [ 475, 24, 41 ] ], [ [ 1494, 25, 1264 ], [ 1264, 25, 41 ] ] ]
[ [ [ "Palonosetron", "{u} may lead to a major life threatening interaction when taken with {v}", "Levomilnacipran" ] ], [ [ "Palonosetron", "{u} may lead to a major life threatening interaction when taken with {v}", "Milnacipran" ], [ "Milnacipran", "{u} (Compound) resembles {v} (Compound)", "Levomilnacipran" ] ], [ [ "Palonosetron", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Levomilnacipran" ] ], [ [ "Palonosetron", "{u} (Compound) causes {v} (Side Effect)", "Infection" ], [ "Infection", "{u} (Side Effect) is caused by {v} (Compound)", "Levomilnacipran" ] ], [ [ "Palonosetron", "{u} may lead to a major life threatening interaction when taken with {v}", "Cabozantinib" ], [ "Cabozantinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levomilnacipran" ] ], [ [ "Palonosetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cilostazol" ], [ "Cilostazol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levomilnacipran" ] ], [ [ "Palonosetron", "{u} may lead to a major life threatening interaction when taken with {v}", "Anagrelide" ], [ "Anagrelide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levomilnacipran" ] ], [ [ "Palonosetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium sulfate" ], [ "Sodium sulfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levomilnacipran" ] ], [ [ "Palonosetron", "{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}", "Levomilnacipran" ] ], [ [ "Palonosetron", "{u} may lead to a major life threatening interaction when taken with {v}", "Doxepin" ], [ "Doxepin", "{u} may lead to a major life threatening interaction when taken with {v}", "Levomilnacipran" ] ] ]
Palonosetron may lead to a major life threatening interaction when taken with Milnacipran and Milnacipran (Compound) resembles Levomilnacipran (Compound) Palonosetron (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Levomilnacipran (Compound) Palonosetron (Compound) causes Infection (Side Effect) and Infection (Side Effect) is caused by Levomilnacipran (Compound) Palonosetron may lead to a major life threatening interaction when taken with Cabozantinib and Cabozantinib may cause a moderate interaction that could exacerbate diseases when taken with Levomilnacipran Palonosetron may cause a moderate interaction that could exacerbate diseases when taken with Cilostazol and Cilostazol may cause a moderate interaction that could exacerbate diseases when taken with Levomilnacipran Palonosetron may lead to a major life threatening interaction when taken with Anagrelide and Anagrelide may cause a moderate interaction that could exacerbate diseases when taken with Levomilnacipran Palonosetron may cause a moderate interaction that could exacerbate diseases when taken with Sodium sulfate and Sodium sulfate may cause a moderate interaction that could exacerbate diseases when taken with Levomilnacipran Palonosetron 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 Levomilnacipran Palonosetron may lead to a major life threatening interaction when taken with Doxepin and Doxepin may lead to a major life threatening interaction when taken with Levomilnacipran
DB04932
DB15233
1,564
1,650
[ "DDInter491", "DDInter142" ]
Defibrotide
Avapritinib
Defibrotide is the sodium salt of a mixture of single-stranded oligodeoxyribonucleotides derived from porcine mucosal DNA. It has been shown to have antithrombotic, anti-inflammatory and anti-ischemic properties (but without associated significant systemic anticoagulant effects). It is marketed under the brand names Dasovas (FM), Noravid, and Prociclide in a variety of countries. In the USA it is was approved in March, 2016 as Defitelio.
Avapritinib, or BLU-285, is a selective tyrosine kinase inhibitor of KIT and platelet derived growth factor receptor alpha indicated for the treatment of unresectable, metastatic gastrointestinal stromal tumors and advanced systemic mastocytosis.[A189339,L40363] It is one of the first medications available for the treatment of multidrug resistant cancers. Avapritinib shares a similar mechanism with [ripretinib]. Avapritinib was granted FDA approval on 9 January 2020 and EMA approval on 24 September 2020.
Major
2
[ [ [ 1564, 25, 1650 ] ], [ [ 1564, 63, 765 ], [ 765, 24, 1650 ] ], [ [ 1564, 24, 738 ], [ 738, 24, 1650 ] ], [ [ 1564, 63, 1512 ], [ 1512, 25, 1650 ] ], [ [ 1564, 64, 4 ], [ 4, 25, 1650 ] ], [ [ 1564, 25, 1409 ], [ 1409, 25, 1650 ] ], [ [ 1564, 63, 1274 ], [ 1274, 37, 1650 ] ], [ [ 1564, 63, 765 ], [ 765, 63, 1578 ], [ 1578, 25, 1650 ] ], [ [ 1564, 63, 1039 ], [ 1039, 24, 1374 ], [ 1374, 24, 1650 ] ], [ [ 1564, 24, 738 ], [ 738, 63, 1101 ], [ 1101, 24, 1650 ] ] ]
[ [ [ "Defibrotide", "{u} may lead to a major life threatening interaction when taken with {v}", "Avapritinib" ] ], [ [ "Defibrotide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hemin" ], [ "Hemin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Avapritinib" ] ], [ [ "Defibrotide", "{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}", "Avapritinib" ] ], [ [ "Defibrotide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diclofenac" ], [ "Diclofenac", "{u} may lead to a major life threatening interaction when taken with {v}", "Avapritinib" ] ], [ [ "Defibrotide", "{u} may lead to a major life threatening interaction when taken with {v}", "Omacetaxine mepesuccinate" ], [ "Omacetaxine mepesuccinate", "{u} may lead to a major life threatening interaction when taken with {v}", "Avapritinib" ] ], [ [ "Defibrotide", "{u} may lead to a major life threatening interaction when taken with {v}", "Apixaban" ], [ "Apixaban", "{u} may lead to a major life threatening interaction when taken with {v}", "Avapritinib" ] ], [ [ "Defibrotide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Flurbiprofen" ], [ "Flurbiprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v} and {u} may lead to a major life threatening interaction when taken with {v}", "Avapritinib" ] ], [ [ "Defibrotide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hemin" ], [ "Hemin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lepirudin" ], [ "Lepirudin", "{u} may lead to a major life threatening interaction when taken with {v}", "Avapritinib" ] ], [ [ "Defibrotide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexfenfluramine" ], [ "Dexfenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abiraterone" ], [ "Abiraterone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Avapritinib" ] ], [ [ "Defibrotide", "{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}", "Bexarotene" ], [ "Bexarotene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Avapritinib" ] ] ]
Defibrotide may cause a moderate interaction that could exacerbate diseases when taken with Hemin and Hemin may cause a moderate interaction that could exacerbate diseases when taken with Avapritinib Defibrotide 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 Avapritinib Defibrotide may cause a moderate interaction that could exacerbate diseases when taken with Diclofenac and Diclofenac may lead to a major life threatening interaction when taken with Avapritinib Defibrotide may lead to a major life threatening interaction when taken with Omacetaxine mepesuccinate and Omacetaxine mepesuccinate may lead to a major life threatening interaction when taken with Avapritinib Defibrotide may lead to a major life threatening interaction when taken with Apixaban and Apixaban may lead to a major life threatening interaction when taken with Avapritinib Defibrotide 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 Avapritinib and Flurbiprofen may lead to a major life threatening interaction when taken with Avapritinib Defibrotide may cause a moderate interaction that could exacerbate diseases when taken with Hemin and Hemin may cause a moderate interaction that could exacerbate diseases when taken with Lepirudin and Lepirudin may lead to a major life threatening interaction when taken with Avapritinib Defibrotide may cause a moderate interaction that could exacerbate diseases when taken with Dexfenfluramine and Dexfenfluramine may cause a moderate interaction that could exacerbate diseases when taken with Abiraterone and Abiraterone may cause a moderate interaction that could exacerbate diseases when taken with Avapritinib Defibrotide 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 Bexarotene and Bexarotene may cause a moderate interaction that could exacerbate diseases when taken with Avapritinib
DB00539
DB06663
11
1,154
[ "DDInter1837", "DDInter1398" ]
Toremifene
Pasireotide
Toremifene is a selective estrogen receptor modulator (SERM) and a nonsteroidal antiestrogen used to treat estrogen receptor positive breast cancer. Like [tamoxifen], toremifene is part of the first-generation triphenylethylene derivative chemical class of SERMs. Toremifene possesses tissue-specific actions: it has estrogenic (agonist) activity on the cardiovascular system and on bone tissue and it has weak estrogenic effects on uterine tissue, however, it also has antiestrogenic (estrogen-antagonist) activity on breast tissue.
Pasireotide is a synthetic long-acting cyclic hexapeptide with somatostatin-like activity. It is marketed as a diaspartate salt called Signifor, which is used in the treatment of Cushing's disease.
Major
2
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[ [ [ "Toremifene", "{u} may lead to a major life threatening interaction when taken with {v}", "Pasireotide" ] ], [ [ "Toremifene", "{u} (Compound) causes {v} (Side Effect)", "Constipation" ], [ "Constipation", "{u} (Side Effect) is caused by {v} (Compound)", "Pasireotide" ] ], [ [ "Toremifene", "{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}", "Pasireotide" ] ], [ [ "Toremifene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tacrine" ], [ "Tacrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pasireotide" ] ], [ [ "Toremifene", "{u} may lead to a major life threatening interaction when taken with {v}", "Picosulfuric acid" ], [ "Picosulfuric acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pasireotide" ] ], [ [ "Toremifene", "{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}", "Pasireotide" ] ], [ [ "Toremifene", "{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}", "Pasireotide" ] ], [ [ "Toremifene", "{u} (Compound) resembles {v} (Compound) and {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}", "Pasireotide" ] ], [ [ "Toremifene", "{u} may lead to a major life threatening interaction when taken with {v}", "Atazanavir" ], [ "Atazanavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pasireotide" ] ], [ [ "Toremifene", "{u} may lead to a major life threatening interaction when taken with {v}", "Protriptyline" ], [ "Protriptyline", "{u} may lead to a major life threatening interaction when taken with {v}", "Pasireotide" ] ] ]
Toremifene (Compound) causes Constipation (Side Effect) and Constipation (Side Effect) is caused by Pasireotide (Compound) Toremifene 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 Pasireotide Toremifene may cause a moderate interaction that could exacerbate diseases when taken with Tacrine and Tacrine may cause a moderate interaction that could exacerbate diseases when taken with Pasireotide Toremifene may lead to a major life threatening interaction when taken with Picosulfuric acid and Picosulfuric acid may cause a moderate interaction that could exacerbate diseases when taken with Pasireotide Toremifene 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 Pasireotide Toremifene 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 Pasireotide Toremifene (Compound) resembles Loperamide (Compound) and Toremifene 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 Pasireotide Toremifene may lead to a major life threatening interaction when taken with Atazanavir and Atazanavir may cause a moderate interaction that could exacerbate diseases when taken with Pasireotide Toremifene may lead to a major life threatening interaction when taken with Protriptyline and Protriptyline may lead to a major life threatening interaction when taken with Pasireotide
DB01058
DB11730
978
351
[ "DDInter1510", "DDInter1588" ]
Praziquantel
Ribociclib
Praziquantel is a pyrazino-isoquinolein derivative from the thioxantonic group used as a broad anthelmintic spectrum. Specifically, it is known as a treatment of trematodes and cestodes infections such as schistosomiasis, taeniasis, and cysticercosis. The efficacy of praziquantel in treating parasitic flatworms infection with low cost (~US$0.20 drug cost to treat a child) makes it an integral to WHO's plan to eliminate schistosomiasis by 2030.[A263206,A263211] Despite being approved since 1980, the exact mechanism of action is yet to be elucidated.
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.
Moderate
1
[ [ [ 978, 24, 351 ] ], [ [ 978, 24, 283 ], [ 283, 62, 351 ] ], [ [ 978, 63, 288 ], [ 288, 24, 351 ] ], [ [ 978, 24, 1654 ], [ 1654, 63, 351 ] ], [ [ 978, 24, 98 ], [ 98, 24, 351 ] ], [ [ 978, 62, 752 ], [ 752, 24, 351 ] ], [ [ 978, 25, 129 ], [ 129, 25, 351 ] ], [ [ 978, 24, 1155 ], [ 1155, 25, 351 ] ], [ [ 978, 24, 1619 ], [ 1619, 64, 351 ] ], [ [ 978, 64, 463 ], [ 463, 25, 351 ] ] ]
[ [ [ "Praziquantel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ribociclib" ] ], [ [ "Praziquantel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ], [ "Fedratinib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ribociclib" ] ], [ [ "Praziquantel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Butalbital" ], [ "Butalbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ribociclib" ] ], [ [ "Praziquantel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somapacitan" ], [ "Somapacitan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ribociclib" ] ], [ [ "Praziquantel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somatrem" ], [ "Somatrem", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ribociclib" ] ], [ [ "Praziquantel", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cimetidine" ], [ "Cimetidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ribociclib" ] ], [ [ "Praziquantel", "{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}", "Ribociclib" ] ], [ [ "Praziquantel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tucatinib" ], [ "Tucatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Ribociclib" ] ], [ [ "Praziquantel", "{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}", "Ribociclib" ] ], [ [ "Praziquantel", "{u} may lead to a major life threatening interaction when taken with {v}", "Rifampicin" ], [ "Rifampicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Ribociclib" ] ] ]
Praziquantel may cause a moderate interaction that could exacerbate diseases when taken with Fedratinib and Fedratinib may cause a minor interaction that can limit clinical effects when taken with Ribociclib Praziquantel may cause a moderate interaction that could exacerbate diseases when taken with Butalbital and Butalbital may cause a moderate interaction that could exacerbate diseases when taken with Ribociclib Praziquantel may cause a moderate interaction that could exacerbate diseases when taken with Somapacitan and Somapacitan may cause a moderate interaction that could exacerbate diseases when taken with Ribociclib Praziquantel may cause a moderate interaction that could exacerbate diseases when taken with Somatrem and Somatrem may cause a moderate interaction that could exacerbate diseases when taken with Ribociclib Praziquantel may cause a minor interaction that can limit clinical effects when taken with Cimetidine and Cimetidine may cause a moderate interaction that could exacerbate diseases when taken with Ribociclib Praziquantel 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 Ribociclib Praziquantel may cause a moderate interaction that could exacerbate diseases when taken with Tucatinib and Tucatinib may lead to a major life threatening interaction when taken with Ribociclib Praziquantel 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 Ribociclib Praziquantel may lead to a major life threatening interaction when taken with Rifampicin and Rifampicin may lead to a major life threatening interaction when taken with Ribociclib
DB00308
DB11986
347
484
[ "DDInter901", "DDInter648" ]
Ibutilide
Entrectinib
Ibutilide is a Class III antiarrhythmic agent available in intravenous formulations. It is indicated for the conversion of acute atrial flutter and recent onset atrial fibrillation to normal sinus rhythm (NSR).
Entrectinib is a tropomyosin receptor tyrosine kinase (TRK) TRKA, TRKB, TRKC, proto-oncogene tyrosine-protein kinase ROS1, and anaplastic lymphoma kinase (ALK) inhibitor. It was approved by the FDA in August 2019 for use in the treatment of ROS1-positive metastatic non-small cell lung cancer and NTRK gene fusion positive solid tumors. Entrectinib's approved use is meant as a last line of therapy due to its accelerated approval based on early trial data. This therapy offers benefit over similar ALK inhibitors such as [alectinib], [ceritinib], and [lorlatinib] due to a wider range of targets.
Major
2
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[ [ [ "Ibutilide", "{u} may lead to a major life threatening interaction when taken with {v}", "Entrectinib" ] ], [ [ "Ibutilide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Entrectinib" ] ], [ [ "Ibutilide", "{u} may lead to a major life threatening interaction when taken with {v}", "Degarelix" ], [ "Degarelix", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Entrectinib" ] ], [ [ "Ibutilide", "{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}", "Entrectinib" ] ], [ [ "Ibutilide", "{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}", "Entrectinib" ] ], [ [ "Ibutilide", "{u} may lead to a major life threatening interaction when taken with {v}", "Abarelix" ], [ "Abarelix", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Entrectinib" ] ], [ [ "Ibutilide", "{u} may lead to a major life threatening interaction when taken with {v}", "Osimertinib" ], [ "Osimertinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Entrectinib" ] ], [ [ "Ibutilide", "{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}", "Entrectinib" ] ], [ [ "Ibutilide", "{u} (Compound) resembles {v} (Compound)", "Dronedarone" ], [ "Dronedarone", "{u} may lead to a major life threatening interaction when taken with {v}", "Entrectinib" ] ], [ [ "Ibutilide", "{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}", "Entrectinib" ] ] ]
Ibutilide may cause a minor interaction that can limit clinical effects when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Entrectinib Ibutilide may lead to a major life threatening interaction when taken with Degarelix and Degarelix may cause a moderate interaction that could exacerbate diseases when taken with Entrectinib Ibutilide 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 Entrectinib Ibutilide 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 Entrectinib Ibutilide may lead to a major life threatening interaction when taken with Abarelix and Abarelix may cause a moderate interaction that could exacerbate diseases when taken with Entrectinib Ibutilide may lead to a major life threatening interaction when taken with Osimertinib and Osimertinib may lead to a major life threatening interaction when taken with Entrectinib Ibutilide 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 Entrectinib Ibutilide (Compound) resembles Dronedarone (Compound) and Dronedarone may lead to a major life threatening interaction when taken with Entrectinib Ibutilide 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 Entrectinib
DB00222
DB01110
245
86
[ "DDInter825", "DDInter1209" ]
Glimepiride
Miconazole
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
Miconazole is a broad-spectrum azole antifungal with some activity against Gram-positive bacteria as well. It is widely used to treat mucosal yeast infections, including both oral and vaginal infections; although intravenous miconazole is no longer available, a wide variety of suppositories, creams, gels, and tablet-based products are available.[L14021, L14024, L14027, L14033, L14396] Miconazole is thought to act primarily through the inhibition of fungal CYP450 14α-lanosterol demethylase activity.[A203636, A203639] Miconazole was first synthesized in 1969 and first granted FDA approval on January 8, 1974, for sale by INSIGHT Pharmaceuticals as a topical cream.[A214523, L14021] It is currently available as a variety of prescription and over the counter products. Despite having been in clinical use for an extended period, resistance to miconazole among susceptible organisms is relatively low.
Major
2
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[ [ [ "Glimepiride", "{u} may lead to a major life threatening interaction when taken with {v}", "Miconazole" ] ], [ [ "Glimepiride", "{u} (Compound) binds {v} (Gene)", "CYP2C9" ], [ "CYP2C9", "{u} (Gene) is bound by {v} (Compound)", "Miconazole" ] ], [ [ "Glimepiride", "{u} (Compound) causes {v} (Side Effect)", "Angioedema" ], [ "Angioedema", "{u} (Side Effect) is caused by {v} (Compound)", "Miconazole" ] ], [ [ "Glimepiride", "{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}", "Miconazole" ] ], [ [ "Glimepiride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sibutramine" ], [ "Sibutramine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Miconazole" ] ], [ [ "Glimepiride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Citalopram" ], [ "Citalopram", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Miconazole" ] ], [ [ "Glimepiride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fosaprepitant" ], [ "Fosaprepitant", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Miconazole" ] ], [ [ "Glimepiride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Progesterone" ], [ "Progesterone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Miconazole" ] ], [ [ "Glimepiride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nelfinavir" ], [ "Nelfinavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Miconazole" ] ], [ [ "Glimepiride", "{u} may lead to a major life threatening interaction when taken with {v}", "Voriconazole" ], [ "Voriconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Miconazole" ] ] ]
Glimepiride (Compound) binds CYP2C9 (Gene) and CYP2C9 (Gene) is bound by Miconazole (Compound) Glimepiride (Compound) causes Angioedema (Side Effect) and Angioedema (Side Effect) is caused by Miconazole (Compound) Glimepiride 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 Miconazole Glimepiride may cause a moderate interaction that could exacerbate diseases when taken with Sibutramine and Sibutramine may cause a minor interaction that can limit clinical effects when taken with Miconazole Glimepiride may cause a moderate interaction that could exacerbate diseases when taken with Citalopram and Citalopram may cause a minor interaction that can limit clinical effects when taken with Miconazole Glimepiride may cause a moderate interaction that could exacerbate diseases when taken with Fosaprepitant and Fosaprepitant may cause a moderate interaction that could exacerbate diseases when taken with Miconazole Glimepiride may cause a moderate interaction that could exacerbate diseases when taken with Progesterone and Progesterone may cause a moderate interaction that could exacerbate diseases when taken with Miconazole Glimepiride may cause a moderate interaction that could exacerbate diseases when taken with Nelfinavir and Nelfinavir may cause a moderate interaction that could exacerbate diseases when taken with Miconazole Glimepiride may lead to a major life threatening interaction when taken with Voriconazole and Voriconazole may cause a moderate interaction that could exacerbate diseases when taken with Miconazole
DB00761
DB09564
1,621
1,296
[ "DDInter1497", "DDInter930" ]
Potassium chloride
Insulin degludec
A white crystal or crystalline powder used as an electrolyte replenisher, in the treatment of hypokalemia, in buffer solutions, and in fertilizers and explosives. The FDA withdrew its approval for the use of all solid oral dosage form drug products containing potassium chloride that supply 100 mg or more of potassium per dosage unit, except for controlled-release dosage forms and those products formulated for preparation of solution prior to ingestion.
Insulin degludec is an ultra-long-acting form of insulin used for the treatment of hyperglycemia caused by Type 1 and Type 2 Diabetes.[A18561,A18562,A18563,A18564,A174934] Insulin is typically prescribed for the management of diabetes mellitus to mimic the activity of endogenously produced human insulin, a peptide hormone produced by beta cells of the pancreas that promotes glucose metabolism.[A18561,A18562,A18563,A18564,A174934] Insulin is released from the pancreas following a meal to promote the uptake of glucose from the blood into internal organs and tissues such as the liver, fat cells, and skeletal muscle.[A18561,A18562,A18563,A18564,A174934] Absorption of glucose into cells allows for its transformation into glycogen or fat for storage.[A18561,A18562,A18563,A18564,A174934] Insulin also inhibits hepatic glucose production, enhances protein synthesis, and inhibits lipolysis and proteolysis among many other functions.[A18561,A18562,A18563,A18564,A174934] Insulin is an essential treatment in the management of Type 1 Diabetes (T1D) which is caused by an autoimmune reaction that destroys the beta cells of the pancreas, resulting in the body not being able to produce or synthesize the insulin needed to manage circulating blood sugar levels.[A18561,A18562,A18563,A18564,A174934] As a result, people with T1D rely primarily on exogenous forms of insulin, such as insulin degludec, to lower glucose levels in the blood.[A18561,A18562,A18563,A18564,A174934] Insulin is also used in the treatment of Type 2 Diabetes (T2D), another form of diabetes mellitus that is a slowly progressing metabolic disorder caused by a combination of genetic and lifestyle factors that promote chronically elevated blood sugar levels.[A18561,A18562,A18563,A18564,A174934] Without treatment or improvement in non-pharmacological measures such as diet and exercise to lower blood glucose, high blood sugar eventually causes cellular resistance to endogenous insulin, and in the long term, damage to pancreatic islet cells.[A18561,A18562,A18563,A18564,A174934] Insulin is typically prescribed later in the course of T2D, after several oral medications such as , , or have been tried, when sufficient damage has been caused to pancreatic cells that the body is no longer able to produce insulin on its own.[A18561,A18562,A18563,A18564,A174934] Marketed as the brand name product Tresiba, insulin degludec has a duration of action up to 42 hours allowing for once-daily dosing, typically at bedtime.[A18561,A18562,A18563,A18564,A174934] Due to its duration of action, Tresiba is considered "basal insulin" as it provides low concentrations of background insulin that can keep blood sugar stable between meals or overnight.[A18561,A18562,A18563,A18564,A174934] Basal insulin is often combined with short-acting "bolus insulin" such as , , or to provide higher doses of insulin required following meals. Use of basal and bolus insulin together is intended to mimic the pancreas' production of endogenous insulin, with the goal of avoiding any periods of hypoglycemia.[A18561,A18562,A18563,A18564,A174934] Compared to endogenous insulin, insulin degludec has an added hexadecanedioic acid on lysine at the B29 position, allowing for the formation of multi-hexamers.[A18561,A18562,A18563,A18564,A174934] When injected subcutaneously, these multi-hexamers form a drug depot store from which monomers are slowly and continuously absorbed into circulation.[A18561,A18562,A18563,A18564,A174934] As a result, Insulin Degludec has a protracted time action profile due to the delayed absorption from subcutaneous tissue depots into the systemic circulation.[A18561,A18562,A18563,A18564,A174934] Compared to available long-acting analogs such as and , which have a duration of action of 20-24 hours, insulin degludec provides a consistent level of basal insulin over 42 hours with a low peak: trough ratio.[A18561,A18562,A18563,A18564,A174934] Limitations of shorter-acting analogs include more frequent dosing and less stable pharmacokinetics, which may negatively impact patient adherence and glucose control, particularly nocturnal control.[A18561,A18562,A18563,A18564,A174934] Without an adequate supply of insulin to promote absorption of glucose from the bloodstream, blood sugar levels can climb to dangerously high levels and can result in symptoms such as fatigue, headache, blurred vision, and increased thirst.[A18561,A18562,A18563,A18564,A174934] If left untreated, the body starts to break down fat, instead of glucose, for energy which results in a build-up of ketone acids in the blood and a syndrome called ketoacidosis, which is a life-threatening medical emergency. In the long term, elevated blood sugar levels increase the risk of heart attack, stroke, and diabetic neuropathy.[A18561,A18562,A18563,A18564,A174934] Insulin Degludec was approved by the FDA in September 2015 as the product Tresiba, for use in providing glycemic control to adults with diabetes mellitus.
Minor
0
[ [ [ 1621, 23, 1296 ] ], [ [ 1621, 25, 104 ], [ 104, 24, 1296 ] ], [ [ 1621, 64, 217 ], [ 217, 24, 1296 ] ], [ [ 1621, 24, 914 ], [ 914, 24, 1296 ] ], [ [ 1621, 25, 104 ], [ 104, 63, 274 ], [ 274, 23, 1296 ] ], [ [ 1621, 64, 217 ], [ 217, 25, 948 ], [ 948, 62, 1296 ] ], [ [ 1621, 25, 664 ], [ 664, 25, 948 ], [ 948, 62, 1296 ] ], [ [ 1621, 64, 508 ], [ 508, 24, 274 ], [ 274, 23, 1296 ] ], [ [ 1621, 64, 494 ], [ 494, 24, 1411 ], [ 1411, 24, 1296 ] ], [ [ 1621, 24, 914 ], [ 914, 24, 554 ], [ 554, 23, 1296 ] ] ]
[ [ [ "Potassium chloride", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Insulin degludec" ] ], [ [ "Potassium chloride", "{u} may lead to a major life threatening interaction when taken with {v}", "Methdilazine" ], [ "Methdilazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin degludec" ] ], [ [ "Potassium chloride", "{u} may lead to a major life threatening interaction when taken with {v}", "Olmesartan" ], [ "Olmesartan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin degludec" ] ], [ [ "Potassium chloride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diflunisal" ], [ "Diflunisal", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin degludec" ] ], [ [ "Potassium chloride", "{u} may lead to a major life threatening interaction when taken with {v}", "Methdilazine" ], [ "Methdilazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phentolamine" ], [ "Phentolamine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Insulin degludec" ] ], [ [ "Potassium chloride", "{u} may lead to a major life threatening interaction when taken with {v}", "Olmesartan" ], [ "Olmesartan", "{u} may lead to a major life threatening interaction when taken with {v}", "Potassium gluconate" ], [ "Potassium gluconate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Insulin degludec" ] ], [ [ "Potassium chloride", "{u} may lead to a major life threatening interaction when taken with {v}", "Perindopril" ], [ "Perindopril", "{u} may lead to a major life threatening interaction when taken with {v}", "Potassium gluconate" ], [ "Potassium gluconate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Insulin degludec" ] ], [ [ "Potassium chloride", "{u} may lead to a major life threatening interaction when taken with {v}", "Promazine" ], [ "Promazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phentolamine" ], [ "Phentolamine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Insulin degludec" ] ], [ [ "Potassium chloride", "{u} may lead to a major life threatening interaction when taken with {v}", "Disopyramide" ], [ "Disopyramide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tolbutamide" ], [ "Tolbutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin degludec" ] ], [ [ "Potassium chloride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diflunisal" ], [ "Diflunisal", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Potassium perchlorate" ], [ "Potassium perchlorate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Insulin degludec" ] ] ]
Potassium chloride may lead to a major life threatening interaction when taken with Methdilazine and Methdilazine may cause a moderate interaction that could exacerbate diseases when taken with Insulin degludec Potassium chloride may lead to a major life threatening interaction when taken with Olmesartan and Olmesartan may cause a moderate interaction that could exacerbate diseases when taken with Insulin degludec Potassium chloride may cause a moderate interaction that could exacerbate diseases when taken with Diflunisal and Diflunisal may cause a moderate interaction that could exacerbate diseases when taken with Insulin degludec Potassium chloride may lead to a major life threatening interaction when taken with Methdilazine and Methdilazine may cause a moderate interaction that could exacerbate diseases when taken with Phentolamine and Phentolamine may cause a minor interaction that can limit clinical effects when taken with Insulin degludec Potassium chloride may lead to a major life threatening interaction when taken with Olmesartan and Olmesartan may lead to a major life threatening interaction when taken with Potassium gluconate and Potassium gluconate may cause a minor interaction that can limit clinical effects when taken with Insulin degludec Potassium chloride may lead to a major life threatening interaction when taken with Perindopril and Perindopril may lead to a major life threatening interaction when taken with Potassium gluconate and Potassium gluconate may cause a minor interaction that can limit clinical effects when taken with Insulin degludec Potassium chloride may lead to a major life threatening interaction when taken with Promazine and Promazine may cause a moderate interaction that could exacerbate diseases when taken with Phentolamine and Phentolamine may cause a minor interaction that can limit clinical effects when taken with Insulin degludec Potassium chloride may lead to a major life threatening interaction when taken with Disopyramide and Disopyramide may cause a moderate interaction that could exacerbate diseases when taken with Tolbutamide and Tolbutamide may cause a moderate interaction that could exacerbate diseases when taken with Insulin degludec Potassium chloride may cause a moderate interaction that could exacerbate diseases when taken with Diflunisal and Diflunisal may cause a moderate interaction that could exacerbate diseases when taken with Potassium perchlorate and Potassium perchlorate may cause a minor interaction that can limit clinical effects when taken with Insulin degludec
DB00682
DB01268
126
1,151
[ "DDInter1951", "DDInter1731" ]
Warfarin
Sunitinib
Warfarin is an anticoagulant drug normally used to prevent blood clot formation as well as migration. Although originally marketed as a pesticide (d-Con, Rodex, among others), Warfarin has since become the most frequently prescribed oral anticoagulant in North America. Warfarin has several properties that should be noted when used medicinally, including its ability to cross the placental barrier during pregnancy which can result in fetal bleeding, spontaneous abortion, preterm birth, stillbirth, and neonatal death. Additional adverse effects such as necrosis, purple toe syndrome, osteoporosis, valve and artery calcification, and drug interactions have also been documented with warfarin use. Warfarin does not actually affect blood viscosity, rather, it inhibits vitamin-k dependent synthesis of biologically active forms of various clotting factors in addition to several regulatory factors.
Sunitinib is a small-molecule multi-targeted receptor tyrosine kinase (RTK) inhibitor. On January 26, 2006, the agent was formally approved by the US FDA for the indications of treating renal cell carcinoma (RCC) and imatinib-resistant gastrointestinal stromal tumor (GIST). For these purposes, sunitinib is generally available as an orally administered formulation. Sunitinib inhibits cellular signaling by targeting multiple RTKs. These include all platelet-derived growth factor receptors (PDGF-R) and vascular endothelial growth factor receptors (VEGF-R). Sunitinib also inhibits KIT (CD117), the RTK that drives the majority of GISTs. In addition, sunitinib inhibits other RTKs including RET, CSF-1R, and flt3.
Moderate
1
[ [ [ 126, 24, 1151 ] ], [ [ 126, 6, 8374 ], [ 8374, 45, 1151 ] ], [ [ 126, 25, 1247 ], [ 1247, 23, 1151 ] ], [ [ 126, 24, 655 ], [ 655, 63, 1151 ] ], [ [ 126, 24, 1091 ], [ 1091, 24, 1151 ] ], [ [ 126, 63, 215 ], [ 215, 24, 1151 ] ], [ [ 126, 1, 847 ], [ 847, 24, 1151 ] ], [ [ 126, 25, 235 ], [ 235, 63, 1151 ] ], [ [ 126, 62, 461 ], [ 461, 24, 1151 ] ], [ [ 126, 25, 1213 ], [ 1213, 24, 1151 ] ] ]
[ [ [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sunitinib" ] ], [ [ "Warfarin", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Sunitinib" ] ], [ [ "Warfarin", "{u} may lead to a major life threatening interaction when taken with {v}", "Sulfamethoxazole" ], [ "Sulfamethoxazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sunitinib" ] ], [ [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Etravirine" ], [ "Etravirine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sunitinib" ] ], [ [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amprenavir" ], [ "Amprenavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sunitinib" ] ], [ [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Indinavir" ], [ "Indinavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sunitinib" ] ], [ [ "Warfarin", "{u} (Compound) resembles {v} (Compound)", "Atomoxetine" ], [ "Atomoxetine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sunitinib" ] ], [ [ "Warfarin", "{u} may lead to a major life threatening interaction when taken with {v}", "Desirudin" ], [ "Desirudin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sunitinib" ] ], [ [ "Warfarin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Timolol" ], [ "Timolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sunitinib" ] ], [ [ "Warfarin", "{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}", "Sunitinib" ] ] ]
Warfarin (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Sunitinib (Compound) Warfarin may lead to a major life threatening interaction when taken with Sulfamethoxazole and Sulfamethoxazole may cause a minor interaction that can limit clinical effects when taken with Sunitinib Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Etravirine and Etravirine may cause a moderate interaction that could exacerbate diseases when taken with Sunitinib Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Amprenavir and Amprenavir may cause a moderate interaction that could exacerbate diseases when taken with Sunitinib Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Indinavir and Indinavir may cause a moderate interaction that could exacerbate diseases when taken with Sunitinib Warfarin (Compound) resembles Atomoxetine (Compound) and Atomoxetine may cause a moderate interaction that could exacerbate diseases when taken with Sunitinib Warfarin may lead to a major life threatening interaction when taken with Desirudin and Desirudin may cause a moderate interaction that could exacerbate diseases when taken with Sunitinib Warfarin may cause a minor interaction that can limit clinical effects when taken with Timolol and Timolol may cause a moderate interaction that could exacerbate diseases when taken with Sunitinib Warfarin 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 Sunitinib
DB06228
DB06595
792
1,491
[ "DDInter1609", "DDInter1214" ]
Rivaroxaban
Midostaurin
Rivaroxaban is an anticoagulant and the first orally active direct factor Xa inhibitor. Unlike warfarin, routine lab monitoring of INR is not necessary. However there is no antidote available in the event of a major bleed. Only the 10 mg tablet can be taken without regard to food. The 15 mg and 20 mg tablet should be taken with food. FDA approved on July 1, 2011.
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
[ [ [ 792, 24, 1491 ] ], [ [ 792, 63, 58 ], [ 58, 24, 1491 ] ], [ [ 792, 24, 1017 ], [ 1017, 63, 1491 ] ], [ [ 792, 24, 655 ], [ 655, 24, 1491 ] ], [ [ 792, 64, 477 ], [ 477, 24, 1491 ] ], [ [ 792, 25, 1598 ], [ 1598, 63, 1491 ] ], [ [ 792, 62, 307 ], [ 307, 24, 1491 ] ], [ [ 792, 63, 441 ], [ 441, 25, 1491 ] ], [ [ 792, 64, 362 ], [ 362, 25, 1491 ] ], [ [ 792, 24, 1593 ], [ 1593, 64, 1491 ] ] ]
[ [ [ "Rivaroxaban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ] ], [ [ "Rivaroxaban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alefacept" ], [ "Alefacept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ] ], [ [ "Rivaroxaban", "{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" ] ], [ [ "Rivaroxaban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Etravirine" ], [ "Etravirine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ] ], [ [ "Rivaroxaban", "{u} may lead to a major life threatening interaction when taken with {v}", "Cilostazol" ], [ "Cilostazol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ] ], [ [ "Rivaroxaban", "{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}", "Midostaurin" ] ], [ [ "Rivaroxaban", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Modafinil" ], [ "Modafinil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ] ], [ [ "Rivaroxaban", "{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}", "Midostaurin" ] ], [ [ "Rivaroxaban", "{u} may lead to a major life threatening interaction when taken with {v}", "Phenytoin" ], [ "Phenytoin", "{u} may lead to a major life threatening interaction when taken with {v}", "Midostaurin" ] ], [ [ "Rivaroxaban", "{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}", "Midostaurin" ] ] ]
Rivaroxaban may cause a moderate interaction that could exacerbate diseases when taken with Alefacept and Alefacept may cause a moderate interaction that could exacerbate diseases when taken with Midostaurin Rivaroxaban 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 Rivaroxaban may cause a moderate interaction that could exacerbate diseases when taken with Etravirine and Etravirine may cause a moderate interaction that could exacerbate diseases when taken with Midostaurin Rivaroxaban may lead to a major life threatening interaction when taken with Cilostazol and Cilostazol may cause a moderate interaction that could exacerbate diseases when taken with Midostaurin Rivaroxaban 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 Midostaurin Rivaroxaban may cause a minor interaction that can limit clinical effects when taken with Modafinil and Modafinil may cause a moderate interaction that could exacerbate diseases when taken with Midostaurin Rivaroxaban 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 Midostaurin Rivaroxaban may lead to a major life threatening interaction when taken with Phenytoin and Phenytoin may lead to a major life threatening interaction when taken with Midostaurin Rivaroxaban 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 Midostaurin
DB00731
DB11071
1,144
1,004
[ "DDInter1269", "DDInter1449" ]
Nateglinide
Phenyl salicylate
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
Phenyl salicylate is a 2-hydroxybenzoic acid phenyl ester. It is utilized in some manufacturing processes of polymers, lacquers, adhesives, waxes, as well as polishes. It is an active ingredient in some pharmaceutical products as a mild analgesic for pain relief by releasing salicylate (found in ). Phenyl salicylate may also be found in some antiseptic agents . It is synthesized by heating salicylic acid with phenol , [MSDS]. Phenyl salicylate is used as a food additive in the USA . This compound belongs to the class of organic compounds known as depsides and depsidones. These are polycyclic compounds that is either a polyphenolic compound composed of two or more monocyclic aromatic units linked by an ester bond (depside), or a compound containing the depsidone structure (depsidone) .
Moderate
1
[ [ [ 1144, 24, 1004 ] ], [ [ 1144, 24, 1411 ], [ 1411, 24, 1004 ] ], [ [ 1144, 63, 1573 ], [ 1573, 24, 1004 ] ], [ [ 1144, 24, 1019 ], [ 1019, 63, 1004 ] ], [ [ 1144, 24, 1510 ], [ 1510, 25, 1004 ] ], [ [ 1144, 24, 1411 ], [ 1411, 62, 660 ], [ 660, 23, 1004 ] ], [ [ 1144, 63, 1573 ], [ 1573, 23, 771 ], [ 771, 62, 1004 ] ], [ [ 1144, 24, 891 ], [ 891, 23, 771 ], [ 771, 62, 1004 ] ], [ [ 1144, 63, 590 ], [ 590, 23, 660 ], [ 660, 23, 1004 ] ], [ [ 1144, 24, 1019 ], [ 1019, 63, 1411 ], [ 1411, 24, 1004 ] ] ]
[ [ [ "Nateglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenyl salicylate" ] ], [ [ "Nateglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tolbutamide" ], [ "Tolbutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenyl salicylate" ] ], [ [ "Nateglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Prednisone" ], [ "Prednisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenyl salicylate" ] ], [ [ "Nateglinide", "{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}", "Phenyl salicylate" ] ], [ [ "Nateglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Teriflunomide" ], [ "Teriflunomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Phenyl salicylate" ] ], [ [ "Nateglinide", "{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}", "Esomeprazole" ], [ "Esomeprazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Phenyl salicylate" ] ], [ [ "Nateglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Prednisone" ], [ "Prednisone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Hyaluronidase" ], [ "Hyaluronidase", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Phenyl salicylate" ] ], [ [ "Nateglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Prednisolone" ], [ "Prednisolone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Hyaluronidase" ], [ "Hyaluronidase", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Phenyl salicylate" ] ], [ [ "Nateglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acetohexamide" ], [ "Acetohexamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Esomeprazole" ], [ "Esomeprazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Phenyl salicylate" ] ], [ [ "Nateglinide", "{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}", "Tolbutamide" ], [ "Tolbutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenyl salicylate" ] ] ]
Nateglinide may cause a moderate interaction that could exacerbate diseases when taken with Tolbutamide and Tolbutamide may cause a moderate interaction that could exacerbate diseases when taken with Phenyl salicylate Nateglinide may cause a moderate interaction that could exacerbate diseases when taken with Prednisone and Prednisone may cause a moderate interaction that could exacerbate diseases when taken with Phenyl salicylate Nateglinide 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 Phenyl salicylate Nateglinide may cause a moderate interaction that could exacerbate diseases when taken with Teriflunomide and Teriflunomide may lead to a major life threatening interaction when taken with Phenyl salicylate Nateglinide 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 Esomeprazole and Esomeprazole may cause a minor interaction that can limit clinical effects when taken with Phenyl salicylate Nateglinide may cause a moderate interaction that could exacerbate diseases when taken with Prednisone and Prednisone may cause a minor interaction that can limit clinical effects when taken with Hyaluronidase and Hyaluronidase may cause a minor interaction that can limit clinical effects when taken with Phenyl salicylate Nateglinide may cause a moderate interaction that could exacerbate diseases when taken with Prednisolone and Prednisolone may cause a minor interaction that can limit clinical effects when taken with Hyaluronidase and Hyaluronidase may cause a minor interaction that can limit clinical effects when taken with Phenyl salicylate Nateglinide may cause a moderate interaction that could exacerbate diseases when taken with Acetohexamide and Acetohexamide may cause a minor interaction that can limit clinical effects when taken with Esomeprazole and Esomeprazole may cause a minor interaction that can limit clinical effects when taken with Phenyl salicylate Nateglinide 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 Tolbutamide and Tolbutamide may cause a moderate interaction that could exacerbate diseases when taken with Phenyl salicylate
DB01233
DB04843
1,311
1,511
[ "DDInter1197", "DDInter1149" ]
Metoclopramide
Mepenzolate
Diabetic gastroparesis is a condition that causes frequent nausea and vomiting, which has a negative impact on quality of life and poses a significant burden on the healthcare system. Metoclopramide is a dopamine antagonist used to treat nausea and vomiting that may be associated with diabetic gastroparesis in addition to gastroesophageal reflux disease (GERD). It can also be used to prevent nausea or vomiting associated with chemotherapy or certain surgical or diagnostic procedures. One unique property of this drug is that it does not increase gastric acid secretion. It is available in the oral tablet form or in solution, and can also be administered through the intravenous route. Metoclopramide was initially approved by the FDA in 1980.
Mepenzolate is a post-ganglionic parasympathetic inhibitor. It decreases gastric acid and pepsin secretion and suppresses spontaneous contractions of the colon. Mepenzolate diminishes gastric acid and pepsin secretion. Mepenzolate also suppresses spontaneous contractions of the colon. Pharmacologically, it is a post-ganglionic parasympathetic inhibitor. It has not been shown to be effective in contributing to the healing of peptic ulcer, decreasing the rate of recurrence, or preventing complications.
Moderate
1
[ [ [ 1311, 24, 1511 ] ], [ [ 1311, 64, 675 ], [ 675, 24, 1511 ] ], [ [ 1311, 63, 537 ], [ 537, 24, 1511 ] ], [ [ 1311, 24, 649 ], [ 649, 1, 1511 ] ], [ [ 1311, 6, 7992 ], [ 7992, 45, 1511 ] ], [ [ 1311, 21, 28676 ], [ 28676, 60, 1511 ] ], [ [ 1311, 62, 474 ], [ 474, 23, 1511 ] ], [ [ 1311, 24, 337 ], [ 337, 63, 1511 ] ], [ [ 1311, 24, 1237 ], [ 1237, 24, 1511 ] ], [ [ 1311, 25, 924 ], [ 924, 63, 1511 ] ] ]
[ [ [ "Metoclopramide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepenzolate" ] ], [ [ "Metoclopramide", "{u} may lead to a major life threatening interaction when taken with {v}", "Dextropropoxyphene" ], [ "Dextropropoxyphene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepenzolate" ] ], [ [ "Metoclopramide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyclizine" ], [ "Cyclizine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepenzolate" ] ], [ [ "Metoclopramide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ], [ "Clofedanol", "{u} (Compound) resembles {v} (Compound)", "Mepenzolate" ] ], [ [ "Metoclopramide", "{u} (Compound) binds {v} (Gene)", "CHRM1" ], [ "CHRM1", "{u} (Gene) is bound by {v} (Compound)", "Mepenzolate" ] ], [ [ "Metoclopramide", "{u} (Compound) causes {v} (Side Effect)", "Nervousness" ], [ "Nervousness", "{u} (Side Effect) is caused by {v} (Compound)", "Mepenzolate" ] ], [ [ "Metoclopramide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Acetaminophen" ], [ "Acetaminophen", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Mepenzolate" ] ], [ [ "Metoclopramide", "{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}", "Mepenzolate" ] ], [ [ "Metoclopramide", "{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}", "Mepenzolate" ] ], [ [ "Metoclopramide", "{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}", "Mepenzolate" ] ] ]
Metoclopramide may lead to a major life threatening interaction when taken with Dextropropoxyphene and Dextropropoxyphene may cause a moderate interaction that could exacerbate diseases when taken with Mepenzolate Metoclopramide may cause a moderate interaction that could exacerbate diseases when taken with Cyclizine and Cyclizine may cause a moderate interaction that could exacerbate diseases when taken with Mepenzolate Metoclopramide may cause a moderate interaction that could exacerbate diseases when taken with Clofedanol and Clofedanol (Compound) resembles Mepenzolate (Compound) Metoclopramide (Compound) binds CHRM1 (Gene) and CHRM1 (Gene) is bound by Mepenzolate (Compound) Metoclopramide (Compound) causes Nervousness (Side Effect) and Nervousness (Side Effect) is caused by Mepenzolate (Compound) Metoclopramide may cause a minor interaction that can limit clinical effects when taken with Acetaminophen and Acetaminophen may cause a minor interaction that can limit clinical effects when taken with Mepenzolate Metoclopramide 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 Mepenzolate Metoclopramide 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 Mepenzolate Metoclopramide 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 Mepenzolate
DB06209
DB12887
256
1,598
[ "DDInter1508", "DDInter1750" ]
Prasugrel
Tazemetostat
Prasugrel, a thienopyridine derivative, is a platelet activation and aggregation inhibitor structurally and pharmacologically related to clopidogrel and ticlopidine. Similar to clopidogrel, prasugrel is a prodrug that requires enzymatic transformation in the liver to its active metabolite, R-138727. R-138727 irreversibly binds to P2Y12 type ADP receptors on platelets thus preventing activation of the GPIIb/IIIa receptor complex. As a result, inhibition of ADP-mediated platelet activation and aggregation occurs. Prasugrel was developed by Daiichi Sankyo Co. and is currently marketed in the United States and Canada in cooperation with Eli Lilly and Company for acute coronary syndromes planned for percutaneous coronary intervention (PCI). FDA approved in 2009.
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.
Major
2
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[ [ [ "Prasugrel", "{u} may lead to a major life threatening interaction when taken with {v}", "Tazemetostat" ] ], [ [ "Prasugrel", "{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}", "Tazemetostat" ] ], [ [ "Prasugrel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexfenfluramine" ], [ "Dexfenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tazemetostat" ] ], [ [ "Prasugrel", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Tamoxifen" ], [ "Tamoxifen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tazemetostat" ] ], [ [ "Prasugrel", "{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}", "Tazemetostat" ] ], [ [ "Prasugrel", "{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}", "Tazemetostat" ] ], [ [ "Prasugrel", "{u} may lead to a major life threatening interaction when taken with {v}", "Caplacizumab" ], [ "Caplacizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Tazemetostat" ] ], [ [ "Prasugrel", "{u} may lead to a major life threatening interaction when taken with {v}", "Rivaroxaban" ], [ "Rivaroxaban", "{u} may lead to a major life threatening interaction when taken with {v}", "Tazemetostat" ] ], [ [ "Prasugrel", "{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}", "Bortezomib" ], [ "Bortezomib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Tazemetostat" ] ], [ [ "Prasugrel", "{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}", "Tamoxifen" ], [ "Tamoxifen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tazemetostat" ] ] ]
Prasugrel 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 Tazemetostat Prasugrel may cause a moderate interaction that could exacerbate diseases when taken with Dexfenfluramine and Dexfenfluramine may cause a moderate interaction that could exacerbate diseases when taken with Tazemetostat Prasugrel may cause a minor interaction that can limit clinical effects when taken with Tamoxifen and Tamoxifen may cause a moderate interaction that could exacerbate diseases when taken with Tazemetostat Prasugrel 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 Tazemetostat Prasugrel 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 Tazemetostat Prasugrel may lead to a major life threatening interaction when taken with Caplacizumab and Caplacizumab may lead to a major life threatening interaction when taken with Tazemetostat Prasugrel may lead to a major life threatening interaction when taken with Rivaroxaban and Rivaroxaban may lead to a major life threatening interaction when taken with Tazemetostat Prasugrel 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 Bortezomib and Bortezomib may cause a minor interaction that can limit clinical effects when taken with Tazemetostat Prasugrel 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 Tamoxifen and Tamoxifen may cause a moderate interaction that could exacerbate diseases when taken with Tazemetostat
DB00374
DB01244
1,061
762
[ "DDInter1852", "DDInter192" ]
Treprostinil
Bepridil
Treprostinil is a stable tricyclic analogue of prostacyclin that promotes the vasodilation of pulmonary and systemic arterial vascular beds and the inhibition of platelet aggregation.[L41855,L41860,L41865] It reduces symptoms in patients with pulmonary arterial hypertension (PAH) and pulmonary hypertension associated with interstitial lung disease.[L41855,L41860] The first agent approved for the treatment of PAH was [epoprostenol], a synthetic prostacyclin that significantly increases patients' quality of life. However, the use of epoprostenol is limited due to its short half-life (3-5 min) and instability at room temperature.[A248770,A248775] The use of more stable alternatives such as treprostinil provides patients with PAH with more treatment options. Treprostinil was approved by the FDA in 2002 for the treatment of pulmonary arterial hypertension. It is available in the following routes of administration: subcut
A long-acting, non selective, calcium channel blocker with significant anti-anginal activity. The drug produces significant coronary vasodilation and modest peripheral effects. It has antihypertensive and selective anti-arrhythmia activities and acts as a calmodulin antagonist. It is no longer marketed in the United States, as it has been implicated in causing ventricular arrhythmias (ie. Torsade de pointes).
Moderate
1
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[ [ [ "Treprostinil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bepridil" ] ], [ [ "Treprostinil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trimethaphan" ], [ "Trimethaphan", "{u} (Compound) resembles {v} (Compound)", "Bepridil" ] ], [ [ "Treprostinil", "{u} (Compound) upregulates {v} (Gene)", "PDE1A" ], [ "PDE1A", "{u} (Gene) is bound by {v} (Compound)", "Bepridil" ] ], [ [ "Treprostinil", "{u} (Compound) causes {v} (Side Effect)", "Insomnia" ], [ "Insomnia", "{u} (Side Effect) is caused by {v} (Compound)", "Bepridil" ] ], [ [ "Treprostinil", "{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}", "Bepridil" ] ], [ [ "Treprostinil", "{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}", "Bepridil" ] ], [ [ "Treprostinil", "{u} may lead to a major life threatening interaction when taken with {v}", "Apixaban" ], [ "Apixaban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bepridil" ] ], [ [ "Treprostinil", "{u} (Compound) resembles {v} (Compound)", "Epoprostenol" ], [ "Epoprostenol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bepridil" ] ], [ [ "Treprostinil", "{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}", "Bepridil" ] ], [ [ "Treprostinil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sorafenib" ], [ "Sorafenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Bepridil" ] ] ]
Treprostinil may cause a moderate interaction that could exacerbate diseases when taken with Trimethaphan and Trimethaphan (Compound) resembles Bepridil (Compound) Treprostinil (Compound) upregulates PDE1A (Gene) and PDE1A (Gene) is bound by Bepridil (Compound) Treprostinil (Compound) causes Insomnia (Side Effect) and Insomnia (Side Effect) is caused by Bepridil (Compound) Treprostinil 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 Bepridil Treprostinil 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 Bepridil Treprostinil may lead to a major life threatening interaction when taken with Apixaban and Apixaban may cause a moderate interaction that could exacerbate diseases when taken with Bepridil Treprostinil (Compound) resembles Epoprostenol (Compound) and Epoprostenol may cause a moderate interaction that could exacerbate diseases when taken with Bepridil Treprostinil 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 Bepridil Treprostinil may cause a moderate interaction that could exacerbate diseases when taken with Sorafenib and Sorafenib may lead to a major life threatening interaction when taken with Bepridil
DB11921
DB14409
1,019
1,129
[ "DDInter492", "DDInter867" ]
Deflazacort
Human adenovirus e serotype 4 strain cl-68578 antigen
Deflazacort, also known as Emflaza, is a corticosteroid prodrug used as an agent to manage Duchenne Muscular Dystrophy (DMD). It is marketed by Marathon Pharmaceuticals and was approved in February 2017 by the FDA.[L6694,FDA label] Duchenne Muscular Dystrophy is an inherited disorder resulting from mutations of the dystrophin gene, which is important for muscle function. This disease can cause serious muscle weakness and progressive breathing and cardiovascular disability, severely impacting patient quality of life and survival.[A179446,A179449,L6697] This disease usually manifests by muscle weakness in early childhood followed by loss of the ability to walk (ambulation) as early as age 7. Deflazacort delays the onset of muscle related complications resulting from DMD, prolonging the lives of children diagnosed with this disease and exerting less harmful effects on the bone health and weight than other steroid medications.[A179452,A
Human adenovirus e serotype 4 strain cl-68578 antigen is a vaccine.
Moderate
1
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[ [ [ "Deflazacort", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ] ], [ [ "Deflazacort", "{u} may lead to a major life threatening interaction when taken with {v}", "Etanercept" ], [ "Etanercept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ] ], [ [ "Deflazacort", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ustekinumab" ], [ "Ustekinumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ] ], [ [ "Deflazacort", "{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}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ] ], [ [ "Deflazacort", "{u} may lead to a major life threatening interaction when taken with {v}", "Upadacitinib" ], [ "Upadacitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ] ], [ [ "Deflazacort", "{u} may lead to a major life threatening interaction when taken with {v}", "Etanercept" ], [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Ustekinumab" ], [ "Ustekinumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ] ], [ [ "Deflazacort", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ustekinumab" ], [ "Ustekinumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Etanercept" ], [ "Etanercept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ] ], [ [ "Deflazacort", "{u} may lead to a major life threatening interaction when taken with {v}", "Baricitinib" ], [ "Baricitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Etanercept" ], [ "Etanercept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ] ], [ [ "Deflazacort", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ocrelizumab" ], [ "Ocrelizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Etanercept" ], [ "Etanercept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ] ], [ [ "Deflazacort", "{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}", "Etanercept" ], [ "Etanercept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ] ] ]
Deflazacort may lead to a major life threatening interaction when taken with Etanercept and Etanercept may cause a moderate interaction that could exacerbate diseases when taken with Human adenovirus e serotype 4 strain cl-68578 antigen Deflazacort may cause a moderate interaction that could exacerbate diseases when taken with Ustekinumab and Ustekinumab may cause a moderate interaction that could exacerbate diseases when taken with Human adenovirus e serotype 4 strain cl-68578 antigen Deflazacort 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 Human adenovirus e serotype 4 strain cl-68578 antigen Deflazacort may lead to a major life threatening interaction when taken with Upadacitinib and Upadacitinib may cause a moderate interaction that could exacerbate diseases when taken with Human adenovirus e serotype 4 strain cl-68578 antigen Deflazacort may lead to a major life threatening interaction when taken with Etanercept and Etanercept may lead to a major life threatening interaction when taken with Ustekinumab and Ustekinumab may cause a moderate interaction that could exacerbate diseases when taken with Human adenovirus e serotype 4 strain cl-68578 antigen Deflazacort may cause a moderate interaction that could exacerbate diseases when taken with Ustekinumab and Ustekinumab may lead to a major life threatening interaction when taken with Etanercept and Etanercept may cause a moderate interaction that could exacerbate diseases when taken with Human adenovirus e serotype 4 strain cl-68578 antigen Deflazacort may lead to a major life threatening interaction when taken with Baricitinib and Baricitinib may lead to a major life threatening interaction when taken with Etanercept and Etanercept may cause a moderate interaction that could exacerbate diseases when taken with Human adenovirus e serotype 4 strain cl-68578 antigen Deflazacort may cause a moderate interaction that could exacerbate diseases when taken with Ocrelizumab and Ocrelizumab may lead to a major life threatening interaction when taken with Etanercept and Etanercept may cause a moderate interaction that could exacerbate diseases when taken with Human adenovirus e serotype 4 strain cl-68578 antigen Deflazacort 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 Etanercept and Etanercept may cause a moderate interaction that could exacerbate diseases when taken with Human adenovirus e serotype 4 strain cl-68578 antigen
DB00889
DB01174
1,133
697
[ "DDInter840", "DDInter1442" ]
Granisetron
Phenobarbital
A serotonin receptor (5HT-3 selective) antagonist that has been used as an antiemetic and antinauseant for cancer chemotherapy patients.
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.
Minor
0
[ [ [ 1133, 23, 697 ] ], [ [ 1133, 6, 8374 ], [ 8374, 45, 697 ] ], [ [ 1133, 21, 28741 ], [ 28741, 60, 697 ] ], [ [ 1133, 63, 1101 ], [ 1101, 23, 697 ] ], [ [ 1133, 24, 401 ], [ 401, 24, 697 ] ], [ [ 1133, 24, 1342 ], [ 1342, 63, 697 ] ], [ [ 1133, 25, 222 ], [ 222, 24, 697 ] ], [ [ 1133, 63, 1424 ], [ 1424, 24, 697 ] ], [ [ 1133, 25, 1629 ], [ 1629, 63, 697 ] ], [ [ 1133, 64, 702 ], [ 702, 24, 697 ] ] ]
[ [ [ "Granisetron", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Phenobarbital" ] ], [ [ "Granisetron", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Phenobarbital" ] ], [ [ "Granisetron", "{u} (Compound) causes {v} (Side Effect)", "Agitation" ], [ "Agitation", "{u} (Side Effect) is caused by {v} (Compound)", "Phenobarbital" ] ], [ [ "Granisetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Phenobarbital" ] ], [ [ "Granisetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promethazine" ], [ "Promethazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenobarbital" ] ], [ [ "Granisetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Romidepsin" ], [ "Romidepsin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenobarbital" ] ], [ [ "Granisetron", "{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}", "Phenobarbital" ] ], [ [ "Granisetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Quinine" ], [ "Quinine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenobarbital" ] ], [ [ "Granisetron", "{u} may lead to a major life threatening interaction when taken with {v}", "Methylene blue" ], [ "Methylene blue", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenobarbital" ] ], [ [ "Granisetron", "{u} may lead to a major life threatening interaction when taken with {v}", "Anagrelide" ], [ "Anagrelide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenobarbital" ] ] ]
Granisetron (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Phenobarbital (Compound) Granisetron (Compound) causes Agitation (Side Effect) and Agitation (Side Effect) is caused by Phenobarbital (Compound) Granisetron may cause a moderate interaction that could exacerbate diseases when taken with Bexarotene and Bexarotene may cause a minor interaction that can limit clinical effects when taken with Phenobarbital Granisetron may cause a moderate interaction that could exacerbate diseases when taken with Promethazine and Promethazine may cause a moderate interaction that could exacerbate diseases when taken with Phenobarbital Granisetron may cause a moderate interaction that could exacerbate diseases when taken with Romidepsin and Romidepsin may cause a moderate interaction that could exacerbate diseases when taken with Phenobarbital Granisetron 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 Phenobarbital Granisetron may cause a moderate interaction that could exacerbate diseases when taken with Quinine and Quinine may cause a moderate interaction that could exacerbate diseases when taken with Phenobarbital Granisetron may lead to a major life threatening interaction when taken with Methylene blue and Methylene blue may cause a moderate interaction that could exacerbate diseases when taken with Phenobarbital Granisetron may lead to a major life threatening interaction when taken with Anagrelide and Anagrelide may cause a moderate interaction that could exacerbate diseases when taken with Phenobarbital
DB00364
DB01261
417
170
[ "DDInter1717", "DDInter1679" ]
Sucralfate
Sitagliptin
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].
Sitagliptin is an oral dipeptidyl peptidase-4 (DPP-4) inhibitor used in conjunction with diet and exercise to improve glycemic control in patients with type 2 diabetes mellitus[FDA label,A2260,A2255,A2256]. The effect of this medication leads to glucose dependent increases in insulin and decreases in glucagon to improve control of blood sugar[FDA label,A2255]. Sitagliptin was granted FDA approval on October 16, 2006.
Moderate
1
[ [ [ 417, 24, 170 ] ], [ [ 417, 21, 29707 ], [ 29707, 60, 170 ] ], [ [ 417, 24, 52 ], [ 52, 62, 170 ] ], [ [ 417, 24, 1252 ], [ 1252, 23, 170 ] ], [ [ 417, 63, 1179 ], [ 1179, 24, 170 ] ], [ [ 417, 23, 216 ], [ 216, 24, 170 ] ], [ [ 417, 24, 943 ], [ 943, 63, 170 ] ], [ [ 417, 23, 320 ], [ 320, 63, 170 ] ], [ [ 417, 24, 1299 ], [ 1299, 24, 170 ] ], [ [ 417, 62, 1152 ], [ 1152, 24, 170 ] ] ]
[ [ [ "Sucralfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sitagliptin" ] ], [ [ "Sucralfate", "{u} (Compound) causes {v} (Side Effect)", "Lung disorder" ], [ "Lung disorder", "{u} (Side Effect) is caused by {v} (Compound)", "Sitagliptin" ] ], [ [ "Sucralfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dulaglutide" ], [ "Dulaglutide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sitagliptin" ] ], [ [ "Sucralfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Digoxin" ], [ "Digoxin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sitagliptin" ] ], [ [ "Sucralfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin lispro" ], [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sitagliptin" ] ], [ [ "Sucralfate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Chlorpromazine" ], [ "Chlorpromazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sitagliptin" ] ], [ [ "Sucralfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sarecycline" ], [ "Sarecycline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sitagliptin" ] ], [ [ "Sucralfate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Thyroid, porcine" ], [ "Thyroid, porcine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sitagliptin" ] ], [ [ "Sucralfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trovafloxacin" ], [ "Trovafloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sitagliptin" ] ], [ [ "Sucralfate", "{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}", "Sitagliptin" ] ] ]
Sucralfate (Compound) causes Lung disorder (Side Effect) and Lung disorder (Side Effect) is caused by Sitagliptin (Compound) Sucralfate may cause a moderate interaction that could exacerbate diseases when taken with Dulaglutide and Dulaglutide may cause a minor interaction that can limit clinical effects when taken with Sitagliptin Sucralfate may cause a moderate interaction that could exacerbate diseases when taken with Digoxin and Digoxin may cause a minor interaction that can limit clinical effects when taken with Sitagliptin Sucralfate may cause a moderate interaction that could exacerbate diseases when taken with Insulin lispro and Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Sitagliptin Sucralfate may cause a minor interaction that can limit clinical effects when taken with Chlorpromazine and Chlorpromazine may cause a moderate interaction that could exacerbate diseases when taken with Sitagliptin Sucralfate may cause a moderate interaction that could exacerbate diseases when taken with Sarecycline and Sarecycline may cause a moderate interaction that could exacerbate diseases when taken with Sitagliptin Sucralfate may cause a minor interaction that can limit clinical effects when taken with Thyroid, porcine and Thyroid, porcine may cause a moderate interaction that could exacerbate diseases when taken with Sitagliptin Sucralfate may cause a moderate interaction that could exacerbate diseases when taken with Trovafloxacin and Trovafloxacin may cause a moderate interaction that could exacerbate diseases when taken with Sitagliptin Sucralfate 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 Sitagliptin
DB08912
DB11952
1,040
800
[ "DDInter462", "DDInter612" ]
Dabrafenib
Duvelisib
Dabrafenib mesylate (Tafinlar) is a reversible ATP-competitive kinase inhibitor and targets the MAPK pathway. It was approved on May 29, 2013, for the treatment of melanoma with V600E or V6000K mutation. It was also used for metastatic non-small cell lung cancer with the same mutation. In May 2018, Tafinlar (dabrafenib), in combination with Mekinist (), was approved to treat anaplastic thyroid cancer caused by an abnormal BRAF V600E gene.
Duvelisib, also known as IPI-145 and INK-1197, is a small-molecule inhibitor of phosphoinositide-3 kinases that was designed initially to prove that simultaneous inhibition of the isoforms delta and gamma can produce a broad adaptative and innate immune cell inhibitory activity. All the work around duvelisib showed that this agent is a potent inhibitor of both forms. Duvelisib was developed by Verastem, Inc and FDA approved on September 24, 2018.
Moderate
1
[ [ [ 1040, 24, 800 ] ], [ [ 1040, 24, 466 ], [ 466, 62, 800 ] ], [ [ 1040, 63, 222 ], [ 222, 23, 800 ] ], [ [ 1040, 63, 310 ], [ 310, 24, 800 ] ], [ [ 1040, 25, 1476 ], [ 1476, 63, 800 ] ], [ [ 1040, 24, 1499 ], [ 1499, 24, 800 ] ], [ [ 1040, 64, 303 ], [ 303, 24, 800 ] ], [ [ 1040, 24, 564 ], [ 564, 63, 800 ] ], [ [ 1040, 62, 1101 ], [ 1101, 24, 800 ] ], [ [ 1040, 25, 313 ], [ 313, 25, 800 ] ] ]
[ [ [ "Dabrafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Duvelisib" ] ], [ [ "Dabrafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Darolutamide" ], [ "Darolutamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Duvelisib" ] ], [ [ "Dabrafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sibutramine" ], [ "Sibutramine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Duvelisib" ] ], [ [ "Dabrafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cabazitaxel" ], [ "Cabazitaxel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Duvelisib" ] ], [ [ "Dabrafenib", "{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}", "Duvelisib" ] ], [ [ "Dabrafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Naldemedine" ], [ "Naldemedine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Duvelisib" ] ], [ [ "Dabrafenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Medroxyprogesterone acetate" ], [ "Medroxyprogesterone acetate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Duvelisib" ] ], [ [ "Dabrafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abemaciclib" ], [ "Abemaciclib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Duvelisib" ] ], [ [ "Dabrafenib", "{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}", "Duvelisib" ] ], [ [ "Dabrafenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Sonidegib" ], [ "Sonidegib", "{u} may lead to a major life threatening interaction when taken with {v}", "Duvelisib" ] ] ]
Dabrafenib may cause a moderate interaction that could exacerbate diseases when taken with Darolutamide and Darolutamide may cause a minor interaction that can limit clinical effects when taken with Duvelisib Dabrafenib may cause a moderate interaction that could exacerbate diseases when taken with Sibutramine and Sibutramine may cause a minor interaction that can limit clinical effects when taken with Duvelisib Dabrafenib may cause a moderate interaction that could exacerbate diseases when taken with Cabazitaxel and Cabazitaxel may cause a moderate interaction that could exacerbate diseases when taken with Duvelisib Dabrafenib 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 Duvelisib Dabrafenib may cause a moderate interaction that could exacerbate diseases when taken with Naldemedine and Naldemedine may cause a moderate interaction that could exacerbate diseases when taken with Duvelisib Dabrafenib may lead to a major life threatening interaction when taken with Medroxyprogesterone acetate and Medroxyprogesterone acetate may cause a moderate interaction that could exacerbate diseases when taken with Duvelisib Dabrafenib may cause a moderate interaction that could exacerbate diseases when taken with Abemaciclib and Abemaciclib may cause a moderate interaction that could exacerbate diseases when taken with Duvelisib Dabrafenib 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 Duvelisib Dabrafenib may lead to a major life threatening interaction when taken with Sonidegib and Sonidegib may lead to a major life threatening interaction when taken with Duvelisib
DB00095
DB01229
66
973
[ "DDInter623", "DDInter1378" ]
Efalizumab
Paclitaxel (protein-bound)
Humanized IgG1 kappa isotype monoclonal antibody that binds to human CD11a. Efalizumab has a molecular weight of approximately 150 kilodaltons and is produced in a Chinese hamster ovary mammalian cell expression system in a nutrient medium containing the antibiotic gentamicin. The FDA approved efalizumab in 2003. It was later withdrawn in 2009 due to a potential risk of progressive multifocal leukoencephalopathy (PML).
Paclitaxel can cause developmental toxicity, female reproductive toxicity and male reproductive toxicity according to state or federal government labeling requirements.
Moderate
1
[ [ [ 66, 24, 973 ] ], [ [ 66, 24, 310 ], [ 310, 63, 973 ] ], [ [ 66, 24, 134 ], [ 134, 24, 973 ] ], [ [ 66, 23, 1461 ], [ 1461, 24, 973 ] ], [ [ 66, 63, 58 ], [ 58, 24, 973 ] ], [ [ 66, 25, 1011 ], [ 1011, 64, 973 ] ], [ [ 66, 63, 581 ], [ 581, 25, 973 ] ], [ [ 66, 25, 1066 ], [ 1066, 25, 973 ] ], [ [ 66, 24, 770 ], [ 770, 25, 973 ] ], [ [ 66, 24, 908 ], [ 908, 64, 973 ] ] ]
[ [ [ "Efalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paclitaxel" ] ], [ [ "Efalizumab", "{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" ] ], [ [ "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}", "Paclitaxel" ] ], [ [ "Efalizumab", "{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}", "Paclitaxel" ] ], [ [ "Efalizumab", "{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}", "Paclitaxel" ] ], [ [ "Efalizumab", "{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" ] ], [ [ "Efalizumab", "{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" ] ], [ [ "Efalizumab", "{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" ] ], [ [ "Efalizumab", "{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" ] ], [ [ "Efalizumab", "{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" ] ] ]
Efalizumab may cause a moderate interaction that could exacerbate diseases when taken with Paclitaxel Efalizumab 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 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 Paclitaxel Efalizumab 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 Paclitaxel Efalizumab 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 Paclitaxel Efalizumab 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 Efalizumab 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 Efalizumab 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 Efalizumab 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 Efalizumab 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
DB09133
DB15066
1,527
445
[ "DDInter965", "DDInter821" ]
Iothalamic acid
Givosiran
Iothalamic acid is an iodine containing organic anion used as a diagnostic contrast agent.
Givosiran is a small interfering RNA (siRNA) directed towards 5-aminolevulinic acid synthase, a critical enzyme in the heme biosynthesis pathway. It is manufactured by Alnylam Pharmaceuticals and was first approved for use in the United States in November 2019 for the treatment of adults with acute hepatic porphyria, a genetic disorder in which the overproduction of toxic heme intermediates leads to neuro-, nephro-, and gastrotoxicity. Givosiran represents an important step forward in the treatment of acute hepatic porphyria as it is the first approved pharmacotherapy for the prevention of acute attacks - previous strategies involved non-therapeutic measures (e.g. trigger avoidance), intravenous [hemin] for the treatment of attacks, and liver transplantation in refractory cases. Givosiran is the second-ever FDA-approved member of the siRNA drug class (the first being [patisiran]), a new class of drugs promising an important and exciting step forward in the treatment of genetic disorders.
Major
2
[ [ [ 1527, 25, 445 ] ], [ [ 1527, 64, 589 ], [ 589, 24, 445 ] ], [ [ 1527, 64, 629 ], [ 629, 25, 445 ] ], [ [ 1527, 64, 589 ], [ 589, 24, 1555 ], [ 1555, 24, 445 ] ], [ [ 1527, 64, 1287 ], [ 1287, 63, 1555 ], [ 1555, 24, 445 ] ], [ [ 1527, 64, 629 ], [ 629, 64, 589 ], [ 589, 24, 445 ] ], [ [ 1527, 64, 387 ], [ 387, 62, 1031 ], [ 1031, 24, 445 ] ], [ [ 1527, 64, 387 ], [ 387, 25, 1211 ], [ 1211, 25, 445 ] ], [ [ 1527, 64, 629 ], [ 629, 25, 712 ], [ 712, 24, 445 ] ], [ [ 1527, 64, 712 ], [ 712, 1, 50 ], [ 50, 24, 445 ] ] ]
[ [ [ "Iothalamic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Givosiran" ] ], [ [ "Iothalamic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Cisplatin" ], [ "Cisplatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Givosiran" ] ], [ [ "Iothalamic acid", "{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}", "Givosiran" ] ], [ [ "Iothalamic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Cisplatin" ], [ "Cisplatin", "{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}", "Givosiran" ] ], [ [ "Iothalamic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Amphotericin B" ], [ "Amphotericin B", "{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}", "Givosiran" ] ], [ [ "Iothalamic acid", "{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}", "Cisplatin" ], [ "Cisplatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Givosiran" ] ], [ [ "Iothalamic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Acyclovir" ], [ "Acyclovir", "{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}", "Givosiran" ] ], [ [ "Iothalamic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Acyclovir" ], [ "Acyclovir", "{u} may lead to a major life threatening interaction when taken with {v}", "Ioxilan" ], [ "Ioxilan", "{u} may lead to a major life threatening interaction when taken with {v}", "Givosiran" ] ], [ [ "Iothalamic acid", "{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}", "Olsalazine" ], [ "Olsalazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Givosiran" ] ], [ [ "Iothalamic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Olsalazine" ], [ "Olsalazine", "{u} (Compound) resembles {v} (Compound)", "Sulfasalazine" ], [ "Sulfasalazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Givosiran" ] ] ]
Iothalamic acid may lead to a major life threatening interaction when taken with Cisplatin and Cisplatin may cause a moderate interaction that could exacerbate diseases when taken with Givosiran Iothalamic acid 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 Givosiran Iothalamic acid may lead to a major life threatening interaction when taken with Cisplatin and Cisplatin 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 Givosiran Iothalamic acid may lead to a major life threatening interaction when taken with Amphotericin B and Amphotericin B 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 Givosiran Iothalamic acid 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 Cisplatin and Cisplatin may cause a moderate interaction that could exacerbate diseases when taken with Givosiran Iothalamic acid may lead to a major life threatening interaction when taken with Acyclovir and Acyclovir 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 Givosiran Iothalamic acid may lead to a major life threatening interaction when taken with Acyclovir and Acyclovir may lead to a major life threatening interaction when taken with Ioxilan and Ioxilan may lead to a major life threatening interaction when taken with Givosiran Iothalamic acid 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 Olsalazine and Olsalazine may cause a moderate interaction that could exacerbate diseases when taken with Givosiran Iothalamic acid may lead to a major life threatening interaction when taken with Olsalazine and Olsalazine (Compound) resembles Sulfasalazine (Compound) and Sulfasalazine may cause a moderate interaction that could exacerbate diseases when taken with Givosiran
DB00653
DB01133
544
1,104
[ "DDInter1120", "DDInter1808" ]
Magnesium sulfate
Tiludronic acid
A small colorless crystal used as an anticonvulsant, a cathartic, and an electrolyte replenisher in the treatment of pre-eclampsia and eclampsia. It causes direct inhibition of action potentials in myometrial muscle cells. Excitation and contraction are uncoupled, which decreases the frequency and force of contractions. (From AMA Drug Evaluations Annual, 1992, p1083)
Tiludronate, or (4-chlorophenyl)thio-methylene-1,1-bisphosphonate, is a first generation bisphosphonate similar to [etidronic acid] and [clodronic acid].[A1923,A203111] These drugs were developed to mimic the action of pyrophosphate, a regulator of calcification and decalcification. Tiludronic acid was first described in the literature in 1988 as a potential treatment for Paget's disease of bone. Tiludronic acid was granted FDA approval on 7 March 1997.
Moderate
1
[ [ [ 544, 24, 1104 ] ], [ [ 544, 25, 361 ], [ 361, 24, 1104 ] ], [ [ 544, 24, 853 ], [ 853, 63, 1104 ] ], [ [ 544, 25, 416 ], [ 416, 63, 1104 ] ], [ [ 544, 25, 361 ], [ 361, 21, 28809 ], [ 28809, 60, 1104 ] ], [ [ 544, 24, 853 ], [ 853, 24, 603 ], [ 603, 63, 1104 ] ], [ [ 544, 24, 603 ], [ 603, 63, 853 ], [ 853, 63, 1104 ] ], [ [ 544, 63, 1485 ], [ 1485, 5, 11658 ], [ 11658, 44, 1104 ] ], [ [ 544, 24, 1008 ], [ 1008, 5, 11658 ], [ 11658, 44, 1104 ] ], [ [ 544, 63, 1485 ], [ 1485, 6, 4139 ], [ 4139, 45, 1104 ] ] ]
[ [ [ "Magnesium sulfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tiludronic acid" ] ], [ [ "Magnesium sulfate", "{u} may lead to a major life threatening interaction when taken with {v}", "Neomycin" ], [ "Neomycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tiludronic acid" ] ], [ [ "Magnesium sulfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium chloride" ], [ "Magnesium chloride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tiludronic acid" ] ], [ [ "Magnesium sulfate", "{u} may lead to a major life threatening interaction when taken with {v}", "Kanamycin" ], [ "Kanamycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tiludronic acid" ] ], [ [ "Magnesium sulfate", "{u} may lead to a major life threatening interaction when taken with {v}", "Neomycin" ], [ "Neomycin", "{u} (Compound) causes {v} (Side Effect)", "Diarrhoea" ], [ "Diarrhoea", "{u} (Side Effect) is caused by {v} (Compound)", "Tiludronic acid" ] ], [ [ "Magnesium sulfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium chloride" ], [ "Magnesium chloride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium citrate" ], [ "Magnesium citrate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tiludronic acid" ] ], [ [ "Magnesium sulfate", "{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}", "Magnesium chloride" ], [ "Magnesium chloride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tiludronic acid" ] ], [ [ "Magnesium sulfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alendronic acid" ], [ "Alendronic acid", "{u} (Compound) treats {v} (Disease)", "Paget's disease of bone" ], [ "Paget's disease of bone", "{u} (Disease) is treated by {v} (Compound)", "Tiludronic acid" ] ], [ [ "Magnesium sulfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Risedronic acid" ], [ "Risedronic acid", "{u} (Compound) treats {v} (Disease)", "Paget's disease of bone" ], [ "Paget's disease of bone", "{u} (Disease) is treated by {v} (Compound)", "Tiludronic acid" ] ], [ [ "Magnesium sulfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alendronic acid" ], [ "Alendronic acid", "{u} (Compound) binds {v} (Gene)", "ATP6V1A" ], [ "ATP6V1A", "{u} (Gene) is bound by {v} (Compound)", "Tiludronic acid" ] ] ]
Magnesium sulfate may lead to a major life threatening interaction when taken with Neomycin and Neomycin may cause a moderate interaction that could exacerbate diseases when taken with Tiludronic acid Magnesium sulfate may cause a moderate interaction that could exacerbate diseases when taken with Magnesium chloride and Magnesium chloride may cause a moderate interaction that could exacerbate diseases when taken with Tiludronic acid Magnesium sulfate may lead to a major life threatening interaction when taken with Kanamycin and Kanamycin may cause a moderate interaction that could exacerbate diseases when taken with Tiludronic acid Magnesium sulfate may lead to a major life threatening interaction when taken with Neomycin and Neomycin (Compound) causes Diarrhoea (Side Effect) and Diarrhoea (Side Effect) is caused by Tiludronic acid (Compound) Magnesium sulfate may cause a moderate interaction that could exacerbate diseases when taken with Magnesium chloride and Magnesium chloride may cause a moderate interaction that could exacerbate diseases when taken with Magnesium citrate and Magnesium citrate may cause a moderate interaction that could exacerbate diseases when taken with Tiludronic acid Magnesium sulfate 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 Magnesium chloride and Magnesium chloride may cause a moderate interaction that could exacerbate diseases when taken with Tiludronic acid Magnesium sulfate may cause a moderate interaction that could exacerbate diseases when taken with Alendronic acid and Alendronic acid (Compound) treats Paget's disease of bone (Disease) and Paget's disease of bone (Disease) is treated by Tiludronic acid (Compound) Magnesium sulfate may cause a moderate interaction that could exacerbate diseases when taken with Risedronic acid and Risedronic acid (Compound) treats Paget's disease of bone (Disease) and Paget's disease of bone (Disease) is treated by Tiludronic acid (Compound) Magnesium sulfate may cause a moderate interaction that could exacerbate diseases when taken with Alendronic acid and Alendronic acid (Compound) binds ATP6V1A (Gene) and ATP6V1A (Gene) is bound by Tiludronic acid (Compound)
DB00486
DB01215
1,614
1,418
[ "DDInter1253", "DDInter677" ]
Nabilone
Estazolam
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
A benzodiazepine with anticonvulsant, hypnotic, and muscle relaxant properties. It has been shown in some cases to be more potent than diazepam or nitrazepam.
Moderate
1
[ [ [ 1614, 24, 1418 ] ], [ [ 1614, 63, 523 ], [ 523, 1, 1418 ] ], [ [ 1614, 24, 1216 ], [ 1216, 40, 1418 ] ], [ [ 1614, 63, 905 ], [ 905, 40, 1418 ] ], [ [ 1614, 24, 1382 ], [ 1382, 1, 1418 ] ], [ [ 1614, 21, 29064 ], [ 29064, 60, 1418 ] ], [ [ 1614, 24, 537 ], [ 537, 24, 1418 ] ], [ [ 1614, 63, 13 ], [ 13, 24, 1418 ] ], [ [ 1614, 24, 649 ], [ 649, 63, 1418 ] ], [ [ 1614, 40, 530 ], [ 530, 24, 1418 ] ] ]
[ [ [ "Nabilone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Estazolam" ] ], [ [ "Nabilone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alprazolam" ], [ "Alprazolam", "{u} (Compound) resembles {v} (Compound)", "Estazolam" ] ], [ [ "Nabilone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Flurazepam" ], [ "Flurazepam", "{u} (Compound) resembles {v} (Compound)", "Estazolam" ] ], [ [ "Nabilone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorazepam" ], [ "Lorazepam", "{u} (Compound) resembles {v} (Compound)", "Estazolam" ] ], [ [ "Nabilone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midazolam" ], [ "Midazolam", "{u} (Compound) resembles {v} (Compound)", "Estazolam" ] ], [ [ "Nabilone", "{u} (Compound) causes {v} (Side Effect)", "Neck pain" ], [ "Neck pain", "{u} (Side Effect) is caused by {v} (Compound)", "Estazolam" ] ], [ [ "Nabilone", "{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}", "Estazolam" ] ], [ [ "Nabilone", "{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}", "Estazolam" ] ], [ [ "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}", "Estazolam" ] ], [ [ "Nabilone", "{u} (Compound) resembles {v} (Compound)", "Dronabinol" ], [ "Dronabinol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Estazolam" ] ] ]
Nabilone may cause a moderate interaction that could exacerbate diseases when taken with Alprazolam and Alprazolam (Compound) resembles Estazolam (Compound) Nabilone may cause a moderate interaction that could exacerbate diseases when taken with Flurazepam and Flurazepam (Compound) resembles Estazolam (Compound) Nabilone may cause a moderate interaction that could exacerbate diseases when taken with Lorazepam and Lorazepam (Compound) resembles Estazolam (Compound) Nabilone may cause a moderate interaction that could exacerbate diseases when taken with Midazolam and Midazolam (Compound) resembles Estazolam (Compound) Nabilone (Compound) causes Neck pain (Side Effect) and Neck pain (Side Effect) is caused by Estazolam (Compound) Nabilone 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 Estazolam Nabilone 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 Estazolam 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 Estazolam Nabilone (Compound) resembles Dronabinol (Compound) and Dronabinol may cause a moderate interaction that could exacerbate diseases when taken with Estazolam
DB00722
DB08907
743
1,344
[ "DDInter1079", "DDInter280" ]
Lisinopril
Canagliflozin
Lisinopril is an angiotensin converting enzyme inhibitor (ACEI) used to treat hypertension, heart failure, and myocardial infarction.[L8384,L8387,L8390] Lisinopril and [captopril] are the only ACEIs that are not prodrugs. It functions by inhibition of angiotensin converting enzyme as well as the renin angiotensin aldosterone system.[A184781,A184808,A184817] ACEIs are commonly used as a first line therapy in the treatment of hypertension, along with thiazide diuretics or beta blockers. Lisinopril was granted FDA approval on 29 December 1987.
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
[ [ [ 743, 24, 1344 ] ], [ [ 743, 24, 549 ], [ 549, 1, 1344 ] ], [ [ 743, 6, 4973 ], [ 4973, 45, 1344 ] ], [ [ 743, 21, 28962 ], [ 28962, 60, 1344 ] ], [ [ 743, 24, 1486 ], [ 1486, 24, 1344 ] ], [ [ 743, 63, 176 ], [ 176, 24, 1344 ] ], [ [ 743, 35, 1144 ], [ 1144, 24, 1344 ] ], [ [ 743, 1, 1058 ], [ 1058, 24, 1344 ] ], [ [ 743, 24, 1296 ], [ 1296, 63, 1344 ] ], [ [ 743, 40, 1638 ], [ 1638, 24, 1344 ] ] ]
[ [ [ "Lisinopril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Canagliflozin" ] ], [ [ "Lisinopril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dapagliflozin" ], [ "Dapagliflozin", "{u} (Compound) resembles {v} (Compound)", "Canagliflozin" ] ], [ [ "Lisinopril", "{u} (Compound) binds {v} (Gene)", "ABCB1" ], [ "ABCB1", "{u} (Gene) is bound by {v} (Compound)", "Canagliflozin" ] ], [ [ "Lisinopril", "{u} (Compound) causes {v} (Side Effect)", "Hyperkalaemia" ], [ "Hyperkalaemia", "{u} (Side Effect) is caused by {v} (Compound)", "Canagliflozin" ] ], [ [ "Lisinopril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methylprednisolone" ], [ "Methylprednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Canagliflozin" ] ], [ [ "Lisinopril", "{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" ] ], [ [ "Lisinopril", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nateglinide" ], [ "Nateglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Canagliflozin" ] ], [ [ "Lisinopril", "{u} (Compound) resembles {v} (Compound)", "Moexipril" ], [ "Moexipril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Canagliflozin" ] ], [ [ "Lisinopril", "{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" ] ], [ [ "Lisinopril", "{u} (Compound) resembles {v} (Compound)", "Trandolapril" ], [ "Trandolapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Canagliflozin" ] ] ]
Lisinopril may cause a moderate interaction that could exacerbate diseases when taken with Dapagliflozin and Dapagliflozin (Compound) resembles Canagliflozin (Compound) Lisinopril (Compound) binds ABCB1 (Gene) and ABCB1 (Gene) is bound by Canagliflozin (Compound) Lisinopril (Compound) causes Hyperkalaemia (Side Effect) and Hyperkalaemia (Side Effect) is caused by Canagliflozin (Compound) Lisinopril may cause a moderate interaction that could exacerbate diseases when taken with Methylprednisolone and Methylprednisolone may cause a moderate interaction that could exacerbate diseases when taken with Canagliflozin Lisinopril 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 Lisinopril (Compound) resembles Nateglinide (Compound) and Lisinopril 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 Canagliflozin Lisinopril (Compound) resembles Moexipril (Compound) and Moexipril may cause a moderate interaction that could exacerbate diseases when taken with Canagliflozin Lisinopril 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 Lisinopril (Compound) resembles Trandolapril (Compound) and Trandolapril may cause a moderate interaction that could exacerbate diseases when taken with Canagliflozin
DB00580
DB08899
311
129
[ "DDInter1910", "DDInter649" ]
Valdecoxib
Enzalutamide
Valdecoxib was removed from the Canadian, U.S., and E.U. markets in 2005 due to concerns about a possible increased risk of heart attack and stroke.
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
[ [ [ 311, 24, 129 ] ], [ [ 311, 24, 112 ], [ 112, 23, 129 ] ], [ [ 311, 25, 1510 ], [ 1510, 24, 129 ] ], [ [ 311, 24, 1512 ], [ 1512, 24, 129 ] ], [ [ 311, 63, 254 ], [ 254, 24, 129 ] ], [ [ 311, 24, 1040 ], [ 1040, 63, 129 ] ], [ [ 311, 24, 351 ], [ 351, 64, 129 ] ], [ [ 311, 24, 1419 ], [ 1419, 25, 129 ] ], [ [ 311, 25, 497 ], [ 497, 25, 129 ] ], [ [ 311, 24, 112 ], [ 112, 23, 918 ], [ 918, 1, 129 ] ] ]
[ [ [ "Valdecoxib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enzalutamide" ] ], [ [ "Valdecoxib", "{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}", "Enzalutamide" ] ], [ [ "Valdecoxib", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ], [ "Teriflunomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enzalutamide" ] ], [ [ "Valdecoxib", "{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}", "Enzalutamide" ] ], [ [ "Valdecoxib", "{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}", "Enzalutamide" ] ], [ [ "Valdecoxib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dabrafenib" ], [ "Dabrafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enzalutamide" ] ], [ [ "Valdecoxib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ribociclib" ], [ "Ribociclib", "{u} may lead to a major life threatening interaction when taken with {v}", "Enzalutamide" ] ], [ [ "Valdecoxib", "{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}", "Enzalutamide" ] ], [ [ "Valdecoxib", "{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}", "Enzalutamide" ] ], [ [ "Valdecoxib", "{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}", "Bicalutamide" ], [ "Bicalutamide", "{u} (Compound) resembles {v} (Compound)", "Enzalutamide" ] ] ]
Valdecoxib 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 Enzalutamide Valdecoxib may lead to a major life threatening interaction when taken with Teriflunomide and Teriflunomide may cause a moderate interaction that could exacerbate diseases when taken with Enzalutamide Valdecoxib 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 Enzalutamide Valdecoxib 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 Enzalutamide Valdecoxib may cause a moderate interaction that could exacerbate diseases when taken with Dabrafenib and Dabrafenib may cause a moderate interaction that could exacerbate diseases when taken with Enzalutamide Valdecoxib may cause a moderate interaction that could exacerbate diseases when taken with Ribociclib and Ribociclib may lead to a major life threatening interaction when taken with Enzalutamide Valdecoxib 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 Enzalutamide Valdecoxib 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 Enzalutamide Valdecoxib 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 Bicalutamide and Bicalutamide (Compound) resembles Enzalutamide (Compound)
DB01244
DB11130
762
407
[ "DDInter192", "DDInter1344" ]
Bepridil
Opium
A long-acting, non selective, calcium channel blocker with significant anti-anginal activity. The drug produces significant coronary vasodilation and modest peripheral effects. It has antihypertensive and selective anti-arrhythmia activities and acts as a calmodulin antagonist. It is no longer marketed in the United States, as it has been implicated in causing ventricular arrhythmias (ie. Torsade de pointes).
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
[ [ [ 762, 24, 407 ] ], [ [ 762, 24, 976 ], [ 976, 24, 407 ] ], [ [ 762, 63, 770 ], [ 770, 24, 407 ] ], [ [ 762, 64, 1264 ], [ 1264, 24, 407 ] ], [ [ 762, 25, 1662 ], [ 1662, 24, 407 ] ], [ [ 762, 40, 704 ], [ 704, 24, 407 ] ], [ [ 762, 1, 832 ], [ 832, 24, 407 ] ], [ [ 762, 63, 1053 ], [ 1053, 25, 407 ] ], [ [ 762, 1, 675 ], [ 675, 25, 407 ] ], [ [ 762, 24, 976 ], [ 976, 63, 529 ], [ 529, 24, 407 ] ] ]
[ [ [ "Bepridil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ] ], [ [ "Bepridil", "{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" ] ], [ [ "Bepridil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Thalidomide" ], [ "Thalidomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ] ], [ [ "Bepridil", "{u} may lead to a major life threatening interaction when taken with {v}", "Doxepin" ], [ "Doxepin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ] ], [ [ "Bepridil", "{u} may lead to a major life threatening interaction when taken with {v}", "Picosulfuric acid" ], [ "Picosulfuric acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ] ], [ [ "Bepridil", "{u} (Compound) resembles {v} (Compound)", "Fentanyl" ], [ "Fentanyl", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ] ], [ [ "Bepridil", "{u} (Compound) resembles {v} (Compound)", "Tripelennamine" ], [ "Tripelennamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ] ], [ [ "Bepridil", "{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}", "Opium" ] ], [ [ "Bepridil", "{u} (Compound) resembles {v} (Compound)", "Dextropropoxyphene" ], [ "Dextropropoxyphene", "{u} may lead to a major life threatening interaction when taken with {v}", "Opium" ] ], [ [ "Bepridil", "{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" ] ] ]
Bepridil 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 Bepridil may cause a moderate interaction that could exacerbate diseases when taken with Thalidomide and Thalidomide may cause a moderate interaction that could exacerbate diseases when taken with Opium Bepridil may lead to a major life threatening interaction when taken with Doxepin and Doxepin may cause a moderate interaction that could exacerbate diseases when taken with Opium Bepridil may lead to a major life threatening interaction when taken with Picosulfuric acid and Picosulfuric acid may cause a moderate interaction that could exacerbate diseases when taken with Opium Bepridil (Compound) resembles Fentanyl (Compound) and Fentanyl may cause a moderate interaction that could exacerbate diseases when taken with Opium Bepridil (Compound) resembles Tripelennamine (Compound) and Tripelennamine may cause a moderate interaction that could exacerbate diseases when taken with Opium Bepridil 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 Opium Bepridil (Compound) resembles Dextropropoxyphene (Compound) and Dextropropoxyphene may lead to a major life threatening interaction when taken with Opium Bepridil 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
DB01148
DB04837
1,128
649
[ "DDInter738", "DDInter407" ]
Flavoxate
Clofedanol
A drug that has been used in various urinary syndromes and as an antispasmodic. Its therapeutic usefulness and its mechanism of action are not clear. It may have local anesthetic activity and direct relaxing effects on smooth muscle as well as some activity as a muscarinic antagonist. [PubChem]
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
[ [ [ 1128, 24, 649 ] ], [ [ 1128, 63, 1376 ], [ 1376, 24, 649 ] ], [ [ 1128, 63, 832 ], [ 832, 40, 649 ] ], [ [ 1128, 24, 1511 ], [ 1511, 40, 649 ] ], [ [ 1128, 1, 11264 ], [ 11264, 40, 649 ] ], [ [ 1128, 24, 1311 ], [ 1311, 24, 649 ] ], [ [ 1128, 24, 1609 ], [ 1609, 63, 649 ] ], [ [ 1128, 63, 662 ], [ 662, 35, 649 ] ], [ [ 1128, 63, 1376 ], [ 1376, 74, 21 ], [ 21, 24, 649 ] ], [ [ 1128, 63, 832 ], [ 832, 24, 1376 ], [ 1376, 24, 649 ] ] ]
[ [ [ "Flavoxate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ] ], [ [ "Flavoxate", "{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" ] ], [ [ "Flavoxate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tripelennamine" ], [ "Tripelennamine", "{u} (Compound) resembles {v} (Compound)", "Clofedanol" ] ], [ [ "Flavoxate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepenzolate" ], [ "Mepenzolate", "{u} (Compound) resembles {v} (Compound)", "Clofedanol" ] ], [ [ "Flavoxate", "{u} (Compound) resembles {v} (Compound)", "Diphenidol" ], [ "Diphenidol", "{u} (Compound) resembles {v} (Compound)", "Clofedanol" ] ], [ [ "Flavoxate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metoclopramide" ], [ "Metoclopramide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ] ], [ [ "Flavoxate", "{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" ] ], [ [ "Flavoxate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carbinoxamine" ], [ "Carbinoxamine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ] ], [ [ "Flavoxate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diphenhydramine" ], [ "Diphenhydramine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amitriptyline" ], [ "Amitriptyline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ] ], [ [ "Flavoxate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tripelennamine" ], [ "Tripelennamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diphenhydramine" ], [ "Diphenhydramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ] ] ]
Flavoxate 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 Flavoxate may cause a moderate interaction that could exacerbate diseases when taken with Tripelennamine and Tripelennamine (Compound) resembles Clofedanol (Compound) Flavoxate may cause a moderate interaction that could exacerbate diseases when taken with Mepenzolate and Mepenzolate (Compound) resembles Clofedanol (Compound) Flavoxate (Compound) resembles Diphenidol (Compound) and Diphenidol (Compound) resembles Clofedanol (Compound) Flavoxate may cause a moderate interaction that could exacerbate diseases when taken with Metoclopramide and Metoclopramide may cause a moderate interaction that could exacerbate diseases when taken with Clofedanol Flavoxate 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 Flavoxate may cause a moderate interaction that could exacerbate diseases when taken with Carbinoxamine and Carbinoxamine (Compound) resembles Clofedanol (Compound) and Carbinoxamine may cause a moderate interaction that could exacerbate diseases when taken with Clofedanol Flavoxate may cause a moderate interaction that could exacerbate diseases when taken with Diphenhydramine and Diphenhydramine (Compound) resembles Amitriptyline (Compound) and Diphenhydramine may cause a moderate interaction that could exacerbate diseases when taken with Amitriptyline and Amitriptyline may cause a moderate interaction that could exacerbate diseases when taken with Clofedanol Flavoxate may cause a moderate interaction that could exacerbate diseases when taken with Tripelennamine and Tripelennamine may cause a moderate interaction that could exacerbate diseases when taken with Diphenhydramine and Diphenhydramine may cause a moderate interaction that could exacerbate diseases when taken with Clofedanol
DB00443
DB08820
251
1,478
[ "DDInter195", "DDInter997" ]
Betamethasone
Ivacaftor
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.
Ivacaftor (also known as Kalydeco or VX-770) is a drug used for the management of Cystic Fibrosis (CF). It is manufactured and distributed by Vertex Pharmaceuticals. It was approved by the Food and Drug Administration on January 31, 2012, and by Health Canada in late 2012. Ivacaftor is administered as a monotherapy and also administered in combination with other drugs for the management of CF.[L6814,L6979,L6847] Cystic Fibrosis is an autosomal recessive disorder caused by one of several different mutations in the gene for the Cystic Fibrosis Transmembrane Conductance Regulator (CFTR) protein, an ion channel involved in the transport of chloride and sodium ions across cell membranes. CFTR is active in epithelial cells of organs such as of the lungs, pancreas, liver, digestive system, and reproductive tract. Alterations in the CFTR gene result in altered production, misfolding, or function of the protein and consequently abnormal fluid and ion transport across cell membranes.[A20298, A20299] As a result, CF patients produce thick, sticky mucus that clogs the ducts of organs where it is produced making patients more susceptible to complications such as infections, lung damage, pancreatic insufficiency, and malnutrition. Prior to the development of ivacaftor, management of CF primarily involved therapies for the control of infections, nutritional support, clearance of mucus, and management of symptoms rather than improvements in the underlying disease process or lung function (FEV1). Notably, ivacaftor was the first medication approved for the management of the underlying causes of CF (abnormalities in CFTR protein function) rather than control of symptoms.
Moderate
1
[ [ [ 251, 24, 1478 ] ], [ [ 251, 6, 8374 ], [ 8374, 45, 1478 ] ], [ [ 251, 21, 28762 ], [ 28762, 60, 1478 ] ], [ [ 251, 23, 307 ], [ 307, 23, 1478 ] ], [ [ 251, 24, 1411 ], [ 1411, 24, 1478 ] ], [ [ 251, 1, 617 ], [ 617, 24, 1478 ] ], [ [ 251, 63, 245 ], [ 245, 24, 1478 ] ], [ [ 251, 24, 1040 ], [ 1040, 63, 1478 ] ], [ [ 251, 40, 167 ], [ 167, 24, 1478 ] ], [ [ 251, 25, 932 ], [ 932, 24, 1478 ] ] ]
[ [ [ "Betamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivacaftor" ] ], [ [ "Betamethasone", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Ivacaftor" ] ], [ [ "Betamethasone", "{u} (Compound) causes {v} (Side Effect)", "Headache" ], [ "Headache", "{u} (Side Effect) is caused by {v} (Compound)", "Ivacaftor" ] ], [ [ "Betamethasone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Modafinil" ], [ "Modafinil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ivacaftor" ] ], [ [ "Betamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tolbutamide" ], [ "Tolbutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivacaftor" ] ], [ [ "Betamethasone", "{u} (Compound) resembles {v} (Compound)", "Budesonide" ], [ "Budesonide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivacaftor" ] ], [ [ "Betamethasone", "{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}", "Ivacaftor" ] ], [ [ "Betamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dabrafenib" ], [ "Dabrafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivacaftor" ] ], [ [ "Betamethasone", "{u} (Compound) resembles {v} (Compound)", "Hydrocortisone" ], [ "Hydrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivacaftor" ] ], [ [ "Betamethasone", "{u} may lead to a major life threatening interaction when taken with {v}", "Mifepristone" ], [ "Mifepristone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivacaftor" ] ] ]
Betamethasone (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Ivacaftor (Compound) Betamethasone (Compound) causes Headache (Side Effect) and Headache (Side Effect) is caused by Ivacaftor (Compound) Betamethasone may cause a minor interaction that can limit clinical effects when taken with Modafinil and Modafinil may cause a minor interaction that can limit clinical effects when taken with Ivacaftor Betamethasone may cause a moderate interaction that could exacerbate diseases when taken with Tolbutamide and Tolbutamide may cause a moderate interaction that could exacerbate diseases when taken with Ivacaftor Betamethasone (Compound) resembles Budesonide (Compound) and Budesonide may cause a moderate interaction that could exacerbate diseases when taken with Ivacaftor Betamethasone 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 Ivacaftor Betamethasone may cause a moderate interaction that could exacerbate diseases when taken with Dabrafenib and Dabrafenib may cause a moderate interaction that could exacerbate diseases when taken with Ivacaftor Betamethasone (Compound) resembles Hydrocortisone (Compound) and Hydrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Ivacaftor Betamethasone may lead to a major life threatening interaction when taken with Mifepristone and Mifepristone may cause a moderate interaction that could exacerbate diseases when taken with Ivacaftor
DB08904
DB15091
375
676
[ "DDInter342", "DDInter1901" ]
Certolizumab pegol
Upadacitinib
Certolizumab pegol is a pegylated monoclonal antibody against the tumor necrosis factor-alpha (TNF-alpha). It is formed with a humanized Fab fragment of 50 kDa, from an IgG 1 isotype, fused to a 40 kDa polyethylene glycol moiety replacing the Fc antibody region. The absence of the Fc region was ideated to prevent complement fixation and antibody-mediated cytotoxicity as well as to markedly increase its half-life. Certolizumab does not require glycosylation for active function and hence, its production is significantly more affordable when compared to other existing TNF-alpha therapies as it can be done directly in bacterial hosts such as _E. coli_. It was developed and manufactured by UCB Pharma, first FDA approved in 2008 and updated for a new indication on March 28, 2019.
Upadacitinib is an oral Janus kinase (JAK)1-selective inhibitor and a disease-modifying antirheumatic drug (DMARD) used in the treatment of rheumatoid arthritis to slow down disease progression. Rheumatoid arthritis is a chronic autoimmune inflammatory disease affecting the peripheral joints. It is characterized by synovial inflammation and hyperplasia, autoantibody production, cartilage damage and bone destruction, leading to co-morbidities. Despite a variety of therapeutic agents available for treatment, up to 40% of the patients do not respond to current therapies, including biological therapies. The etiology of the disease is mostly unknown; however, the role of JAK as a driver of immune-mediated conditions was discovered, leading to the use of JAK as therapeutic targets for rheumatoid arthritis. To reduce dose-related toxicity (as seen with some pan-JAK inhibitors) without significantly affecting efficacy, more selective JAK1 inhibitors, upadacitinib and [filgotinib], were developed. The FDA approved upadacitinib in August 2019 and it is used for the treatment of active rheumatoid arthritis, psoriatic arthritis, atopic dermatitis, ulcerative colitis, and ankylosing spondylitis. In December 2019, it was additionally approved by the European Commission and Health Canada.[L10899,L42540] Upadacitinib is marketed under the brand name RINVOQ for oral administration.
Major
2
[ [ [ 375, 25, 676 ] ], [ [ 375, 23, 1193 ], [ 1193, 23, 676 ] ], [ [ 375, 62, 1461 ], [ 1461, 23, 676 ] ], [ [ 375, 63, 1430 ], [ 1430, 24, 676 ] ], [ [ 375, 24, 748 ], [ 748, 24, 676 ] ], [ [ 375, 64, 248 ], [ 248, 24, 676 ] ], [ [ 375, 64, 1184 ], [ 1184, 25, 676 ] ], [ [ 375, 25, 503 ], [ 503, 25, 676 ] ], [ [ 375, 63, 58 ], [ 58, 25, 676 ] ], [ [ 375, 25, 725 ], [ 725, 64, 676 ] ] ]
[ [ [ "Certolizumab pegol", "{u} may lead to a major life threatening interaction when taken with {v}", "Upadacitinib" ] ], [ [ "Certolizumab pegol", "{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}", "Upadacitinib" ] ], [ [ "Certolizumab pegol", "{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}", "Upadacitinib" ] ], [ [ "Certolizumab pegol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sipuleucel-T" ], [ "Sipuleucel-T", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Upadacitinib" ] ], [ [ "Certolizumab pegol", "{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}", "Upadacitinib" ] ], [ [ "Certolizumab pegol", "{u} may lead to a major life threatening interaction when taken with {v}", "Valganciclovir" ], [ "Valganciclovir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Upadacitinib" ] ], [ [ "Certolizumab pegol", "{u} may lead to a major life threatening interaction when taken with {v}", "Anakinra" ], [ "Anakinra", "{u} may lead to a major life threatening interaction when taken with {v}", "Upadacitinib" ] ], [ [ "Certolizumab pegol", "{u} may lead to a major life threatening interaction when taken with {v}", "Zanubrutinib" ], [ "Zanubrutinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Upadacitinib" ] ], [ [ "Certolizumab pegol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alefacept" ], [ "Alefacept", "{u} may lead to a major life threatening interaction when taken with {v}", "Upadacitinib" ] ], [ [ "Certolizumab pegol", "{u} may lead to a major life threatening interaction when taken with {v}", "Satralizumab" ], [ "Satralizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Upadacitinib" ] ] ]
Certolizumab pegol 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 Upadacitinib Certolizumab pegol 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 Upadacitinib Certolizumab pegol may cause a moderate interaction that could exacerbate diseases when taken with Sipuleucel-T and Sipuleucel-T may cause a moderate interaction that could exacerbate diseases when taken with Upadacitinib Certolizumab pegol 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 Upadacitinib Certolizumab pegol may lead to a major life threatening interaction when taken with Valganciclovir and Valganciclovir may cause a moderate interaction that could exacerbate diseases when taken with Upadacitinib Certolizumab pegol may lead to a major life threatening interaction when taken with Anakinra and Anakinra may lead to a major life threatening interaction when taken with Upadacitinib Certolizumab pegol may lead to a major life threatening interaction when taken with Zanubrutinib and Zanubrutinib may lead to a major life threatening interaction when taken with Upadacitinib Certolizumab pegol may cause a moderate interaction that could exacerbate diseases when taken with Alefacept and Alefacept may lead to a major life threatening interaction when taken with Upadacitinib Certolizumab pegol may lead to a major life threatening interaction when taken with Satralizumab and Satralizumab may lead to a major life threatening interaction when taken with Upadacitinib
DB01069
DB01155
401
872
[ "DDInter1533", "DDInter813" ]
Promethazine
Gemifloxacin
Promethazine, originally known as 3,277 R.P., is an N-dimethylaminopropyl derivative of [phenothiazine] that was developed in France in 1946. Promethazine antagonizes a variety of receptors, allowing it to be used for a number of indications including allergic reactions, pain, sedation, nausea, and vomiting.[A189907,A190153,A190159,A190150,A190171] Promethazine was granted FDA approval before 29 March 1951.[A190177,L4000]
Gemifloxacin is a quinolone antibacterial agent with a broad-spectrum activity that is used in the treatment of acute bacterial exacerbation of chronic bronchitis and mild-to-moderate pneumonia. It is available in oral formulations. Gemifloxacin acts by inhibiting DNA synthesis through the inhibition of both DNA gyrase and topoisomerase IV, which are essential for bacterial growth.
Moderate
1
[ [ [ 401, 24, 872 ] ], [ [ 401, 63, 739 ], [ 739, 1, 872 ] ], [ [ 401, 25, 945 ], [ 945, 40, 872 ] ], [ [ 401, 64, 1176 ], [ 1176, 1, 872 ] ], [ [ 401, 24, 1539 ], [ 1539, 1, 872 ] ], [ [ 401, 21, 28787 ], [ 28787, 60, 872 ] ], [ [ 401, 24, 1053 ], [ 1053, 62, 872 ] ], [ [ 401, 62, 112 ], [ 112, 23, 872 ] ], [ [ 401, 63, 1648 ], [ 1648, 23, 872 ] ], [ [ 401, 24, 1250 ], [ 1250, 63, 872 ] ] ]
[ [ [ "Promethazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gemifloxacin" ] ], [ [ "Promethazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lomefloxacin" ], [ "Lomefloxacin", "{u} (Compound) resembles {v} (Compound)", "Gemifloxacin" ] ], [ [ "Promethazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Sparfloxacin" ], [ "Sparfloxacin", "{u} (Compound) resembles {v} (Compound)", "Gemifloxacin" ] ], [ [ "Promethazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Moxifloxacin" ], [ "Moxifloxacin", "{u} (Compound) resembles {v} (Compound)", "Gemifloxacin" ] ], [ [ "Promethazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ofloxacin" ], [ "Ofloxacin", "{u} (Compound) resembles {v} (Compound)", "Gemifloxacin" ] ], [ [ "Promethazine", "{u} (Compound) causes {v} (Side Effect)", "Dermatitis" ], [ "Dermatitis", "{u} (Side Effect) is caused by {v} (Compound)", "Gemifloxacin" ] ], [ [ "Promethazine", "{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}", "Gemifloxacin" ] ], [ [ "Promethazine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Gemifloxacin" ] ], [ [ "Promethazine", "{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}", "Gemifloxacin" ] ], [ [ "Promethazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pazopanib" ], [ "Pazopanib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gemifloxacin" ] ] ]
Promethazine may cause a moderate interaction that could exacerbate diseases when taken with Lomefloxacin and Lomefloxacin (Compound) resembles Gemifloxacin (Compound) Promethazine may lead to a major life threatening interaction when taken with Sparfloxacin and Sparfloxacin (Compound) resembles Gemifloxacin (Compound) Promethazine may lead to a major life threatening interaction when taken with Moxifloxacin and Moxifloxacin (Compound) resembles Gemifloxacin (Compound) Promethazine may cause a moderate interaction that could exacerbate diseases when taken with Ofloxacin and Ofloxacin (Compound) resembles Gemifloxacin (Compound) Promethazine (Compound) causes Dermatitis (Side Effect) and Dermatitis (Side Effect) is caused by Gemifloxacin (Compound) Promethazine 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 Gemifloxacin Promethazine may cause a minor interaction that can limit clinical effects when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Gemifloxacin Promethazine 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 Gemifloxacin Promethazine may cause a moderate interaction that could exacerbate diseases when taken with Pazopanib and Pazopanib may cause a moderate interaction that could exacerbate diseases when taken with Gemifloxacin
DB00434
DB01114
13
272
[ "DDInter459", "DDInter362" ]
Cyproheptadine
Chlorpheniramine
Cyproheptadine is a potent competitive antagonist of both serotonin and histamine receptors. It is used primarily to treat allergic symptoms, though it is perhaps more notable for its use in appetite stimulation and its off-label use in the treatment of serotonin syndrome.
A histamine H1 antagonist used in allergic reactions, hay fever, rhinitis, urticaria, and asthma. It has also been used in veterinary applications. One of the most widely used of the classical antihistaminics, it generally causes less drowsiness and sedation than promethazine.
Moderate
1
[ [ [ 13, 24, 272 ] ], [ [ 13, 24, 358 ], [ 358, 63, 272 ] ], [ [ 13, 63, 128 ], [ 128, 24, 272 ] ], [ [ 13, 40, 465 ], [ 465, 1, 272 ] ], [ [ 13, 6, 7390 ], [ 7390, 45, 272 ] ], [ [ 13, 21, 28705 ], [ 28705, 60, 272 ] ], [ [ 13, 23, 771 ], [ 771, 62, 272 ] ], [ [ 13, 24, 453 ], [ 453, 24, 272 ] ], [ [ 13, 74, 21 ], [ 21, 24, 272 ] ], [ [ 13, 35, 1405 ], [ 1405, 24, 272 ] ] ]
[ [ [ "Cyproheptadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorpheniramine" ] ], [ [ "Cyproheptadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Orphenadrine" ], [ "Orphenadrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorpheniramine" ] ], [ [ "Cyproheptadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexbrompheniramine" ], [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorpheniramine" ] ], [ [ "Cyproheptadine", "{u} (Compound) resembles {v} (Compound)", "Chlorcyclizine" ], [ "Chlorcyclizine", "{u} (Compound) resembles {v} (Compound)", "Chlorpheniramine" ] ], [ [ "Cyproheptadine", "{u} (Compound) binds {v} (Gene)", "SLC6A2" ], [ "SLC6A2", "{u} (Gene) is bound by {v} (Compound)", "Chlorpheniramine" ] ], [ [ "Cyproheptadine", "{u} (Compound) causes {v} (Side Effect)", "Drowsiness" ], [ "Drowsiness", "{u} (Side Effect) is caused by {v} (Compound)", "Chlorpheniramine" ] ], [ [ "Cyproheptadine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Hyaluronidase" ], [ "Hyaluronidase", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Chlorpheniramine" ] ], [ [ "Cyproheptadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Linezolid" ], [ "Linezolid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorpheniramine" ] ], [ [ "Cyproheptadine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amitriptyline" ], [ "Amitriptyline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorpheniramine" ] ], [ [ "Cyproheptadine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyclobenzaprine" ], [ "Cyclobenzaprine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorpheniramine" ] ] ]
Cyproheptadine may cause a moderate interaction that could exacerbate diseases when taken with Orphenadrine and Orphenadrine may cause a moderate interaction that could exacerbate diseases when taken with Chlorpheniramine Cyproheptadine may cause a moderate interaction that could exacerbate diseases when taken with Dexbrompheniramine and Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Chlorpheniramine Cyproheptadine (Compound) resembles Chlorcyclizine (Compound) and Chlorcyclizine (Compound) resembles Chlorpheniramine (Compound) Cyproheptadine (Compound) binds SLC6A2 (Gene) and SLC6A2 (Gene) is bound by Chlorpheniramine (Compound) Cyproheptadine (Compound) causes Drowsiness (Side Effect) and Drowsiness (Side Effect) is caused by Chlorpheniramine (Compound) Cyproheptadine may cause a minor interaction that can limit clinical effects when taken with Hyaluronidase and Hyaluronidase may cause a minor interaction that can limit clinical effects when taken with Chlorpheniramine Cyproheptadine may cause a moderate interaction that could exacerbate diseases when taken with Linezolid and Linezolid may cause a moderate interaction that could exacerbate diseases when taken with Chlorpheniramine Cyproheptadine (Compound) resembles Amitriptyline (Compound) and Cyproheptadine may cause a moderate interaction that could exacerbate diseases when taken with Amitriptyline and Amitriptyline may cause a moderate interaction that could exacerbate diseases when taken with Chlorpheniramine Cyproheptadine (Compound) resembles Cyclobenzaprine (Compound) and Cyproheptadine may cause a moderate interaction that could exacerbate diseases when taken with Cyclobenzaprine and Cyclobenzaprine may cause a moderate interaction that could exacerbate diseases when taken with Chlorpheniramine
DB06700
DB09080
643
144
[ "DDInter511", "DDInter1331" ]
Desvenlafaxine
Olodaterol
Desvenlafaxine (O-desmethylvenlafaxine) is the 0-demetyhlated active metabolite of [venlafaxine]. Like its parent drug, desvenlafaxine is also an antidepressant belonging to the class of serotonin-norepinephrine reuptake inhibitor (SNRI) class.[A261266,A261266] It was approved by the FDA in 2008 for the treatment of adults with major depressive disorder (MDD).[L6016,A261271] MDD is a highly prevalent psychiatric disorder, with a lifetime prevalence estimate of 16% in the US alone and 12.8% in Europe. Although the exact mechanism of pathophysiology is still unknown, imbalances or deficiencies of monoamines have been heavily implicated, thus the rationale behind the use of SNRI to treat MDD. Desvenlafaxine has a very similar pharmacological, efficacy, and safety profile as [
Olodaterol is a novel, long-acting beta2-adrenergic agonist (LABA) that exerts its pharmacological effect by binding and activating beta2-adrenergic receptors located primarily in the lungs. Beta2-adrenergic receptors are membrane-bound receptors that are normally activated by endogenous epinephrine whose signalling, via a downstream L-type calcium channel interaction, mediates smooth muscle relaxation and bronchodilation. Activation of the receptor stimulates an associated G protein which then activates adenylate cyclase, catalyzing the formation of cyclic adenosine monophosphate (cAMP) and protein kinase A (PKA). Elevation of these two molecules induces bronchodilation by relaxation of airway smooth muscles. It is by this mechanism that olodaterol is used for the treatment of chronic obstructive pulmonary disease (COPD) and the progressive airflow obstruction that is characteristic of it. Treatment with bronchodilators helps to mitigate associated symptoms such as shortness of breath, cough, and sputum production. Single doses of olodaterol have been shown to improve forced expiratory volume in 1 sec (FEV1) for 24 h in patients with COPD, allowing once daily dosing. A once-a-day treatment with a LABA has several advantages over short-acting bronchodilators and twice-daily LABAs including improved convenience and compliance and improved airflow over a 24-hour period. Despite similarities in symptoms, olodaterol is not indicated for the treatment of acute exacerbations of COPD or for the treatment of asthma.
Moderate
1
[ [ [ 643, 24, 144 ] ], [ [ 643, 63, 1445 ], [ 1445, 24, 144 ] ], [ [ 643, 64, 121 ], [ 121, 24, 144 ] ], [ [ 643, 24, 468 ], [ 468, 24, 144 ] ], [ [ 643, 24, 659 ], [ 659, 63, 144 ] ], [ [ 643, 40, 1100 ], [ 1100, 24, 144 ] ], [ [ 643, 25, 1629 ], [ 1629, 63, 144 ] ], [ [ 643, 63, 1445 ], [ 1445, 63, 895 ], [ 895, 24, 144 ] ], [ [ 643, 64, 121 ], [ 121, 24, 1301 ], [ 1301, 24, 144 ] ], [ [ 643, 64, 1264 ], [ 1264, 62, 1247 ], [ 1247, 23, 144 ] ] ]
[ [ [ "Desvenlafaxine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olodaterol" ] ], [ [ "Desvenlafaxine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pseudoephedrine" ], [ "Pseudoephedrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olodaterol" ] ], [ [ "Desvenlafaxine", "{u} may lead to a major life threatening interaction when taken with {v}", "Fenfluramine" ], [ "Fenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olodaterol" ] ], [ [ "Desvenlafaxine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isometheptene" ], [ "Isometheptene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olodaterol" ] ], [ [ "Desvenlafaxine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vilanterol" ], [ "Vilanterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olodaterol" ] ], [ [ "Desvenlafaxine", "{u} (Compound) resembles {v} (Compound)", "Venlafaxine" ], [ "Venlafaxine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olodaterol" ] ], [ [ "Desvenlafaxine", "{u} may lead to a major life threatening interaction when taken with {v}", "Methylene blue" ], [ "Methylene blue", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olodaterol" ] ], [ [ "Desvenlafaxine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pseudoephedrine" ], [ "Pseudoephedrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methylphenidate" ], [ "Methylphenidate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olodaterol" ] ], [ [ "Desvenlafaxine", "{u} may lead to a major life threatening interaction when taken with {v}", "Fenfluramine" ], [ "Fenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levacetylmethadol" ], [ "Levacetylmethadol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olodaterol" ] ], [ [ "Desvenlafaxine", "{u} may lead to a major life threatening interaction when taken with {v}", "Doxepin" ], [ "Doxepin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sulfamethoxazole" ], [ "Sulfamethoxazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Olodaterol" ] ] ]
Desvenlafaxine may cause a moderate interaction that could exacerbate diseases when taken with Pseudoephedrine and Pseudoephedrine may cause a moderate interaction that could exacerbate diseases when taken with Olodaterol Desvenlafaxine may lead to a major life threatening interaction when taken with Fenfluramine and Fenfluramine may cause a moderate interaction that could exacerbate diseases when taken with Olodaterol Desvenlafaxine may cause a moderate interaction that could exacerbate diseases when taken with Isometheptene and Isometheptene may cause a moderate interaction that could exacerbate diseases when taken with Olodaterol Desvenlafaxine may cause a moderate interaction that could exacerbate diseases when taken with Vilanterol and Vilanterol may cause a moderate interaction that could exacerbate diseases when taken with Olodaterol Desvenlafaxine (Compound) resembles Venlafaxine (Compound) and Venlafaxine may cause a moderate interaction that could exacerbate diseases when taken with Olodaterol Desvenlafaxine may lead to a major life threatening interaction when taken with Methylene blue and Methylene blue may cause a moderate interaction that could exacerbate diseases when taken with Olodaterol Desvenlafaxine may cause a moderate interaction that could exacerbate diseases when taken with Pseudoephedrine and Pseudoephedrine may cause a moderate interaction that could exacerbate diseases when taken with Methylphenidate and Methylphenidate may cause a moderate interaction that could exacerbate diseases when taken with Olodaterol Desvenlafaxine may lead to a major life threatening interaction when taken with Fenfluramine and Fenfluramine may cause a moderate interaction that could exacerbate diseases when taken with Levacetylmethadol and Levacetylmethadol may cause a moderate interaction that could exacerbate diseases when taken with Olodaterol Desvenlafaxine may lead to a major life threatening interaction when taken with Doxepin and Doxepin may cause a minor interaction that can limit clinical effects when taken with Sulfamethoxazole and Sulfamethoxazole may cause a minor interaction that can limit clinical effects when taken with Olodaterol
DB00704
DB01048
267
764
[ "DDInter1263", "DDInter1" ]
Naltrexone
Abacavir
Derivative of noroxymorphone that is the N-cyclopropylmethyl congener of naloxone. It is a narcotic antagonist that is effective orally, longer lasting and more potent than naloxone, and has been proposed for the treatment of heroin addiction. The FDA has approved naltrexone for the treatment of alcohol dependence.
Abacavir (ABC) is a powerful nucleoside analog reverse transcriptase inhibitor (NRTI) used to treat HIV and AIDS. Chemically, it is a synthetic carbocyclic nucleoside and is the enantiomer with 1S, 4R absolute configuration on the cyclopentene ring. In vivo, abacavir sulfate dissociates to its free base, abacavir.
Moderate
1
[ [ [ 267, 24, 764 ] ], [ [ 267, 6, 15705 ], [ 15705, 45, 764 ] ], [ [ 267, 21, 28759 ], [ 28759, 60, 764 ] ], [ [ 267, 63, 912 ], [ 912, 24, 764 ] ], [ [ 267, 24, 1142 ], [ 1142, 63, 764 ] ], [ [ 267, 25, 1510 ], [ 1510, 64, 764 ] ], [ [ 267, 21, 28759 ], [ 28759, 60, 325 ], [ 325, 40, 764 ] ], [ [ 267, 21, 29232 ], [ 29232, 60, 1064 ], [ 1064, 24, 764 ] ], [ [ 267, 21, 29808 ], [ 29808, 60, 1377 ], [ 1377, 64, 764 ] ], [ [ 267, 21, 29058 ], [ 29058, 60, 1142 ], [ 1142, 63, 764 ] ] ]
[ [ [ "Naltrexone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abacavir" ] ], [ [ "Naltrexone", "{u} (Compound) binds {v} (Gene)", "UGT1A1" ], [ "UGT1A1", "{u} (Gene) is bound by {v} (Compound)", "Abacavir" ] ], [ [ "Naltrexone", "{u} (Compound) causes {v} (Side Effect)", "Connective tissue disorder" ], [ "Connective tissue disorder", "{u} (Side Effect) is caused by {v} (Compound)", "Abacavir" ] ], [ [ "Naltrexone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Interferon beta-1a" ], [ "Interferon beta-1a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abacavir" ] ], [ [ "Naltrexone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Orlistat" ], [ "Orlistat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abacavir" ] ], [ [ "Naltrexone", "{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}", "Abacavir" ] ], [ [ "Naltrexone", "{u} (Compound) causes {v} (Side Effect)", "Connective tissue disorder" ], [ "Connective tissue disorder", "{u} (Side Effect) is caused by {v} (Compound)", "Nelarabine" ], [ "Nelarabine", "{u} (Compound) resembles {v} (Compound)", "Abacavir" ] ], [ [ "Naltrexone", "{u} (Compound) causes {v} (Side Effect)", "Urticaria" ], [ "Urticaria", "{u} (Side Effect) is caused by {v} (Compound)", "Cladribine" ], [ "Cladribine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abacavir" ] ], [ [ "Naltrexone", "{u} (Compound) causes {v} (Side Effect)", "Throat sore" ], [ "Throat sore", "{u} (Side Effect) is caused by {v} (Compound)", "Leflunomide" ], [ "Leflunomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Abacavir" ] ], [ [ "Naltrexone", "{u} (Compound) causes {v} (Side Effect)", "Hepatitis" ], [ "Hepatitis", "{u} (Side Effect) is caused by {v} (Compound)", "Orlistat" ], [ "Orlistat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abacavir" ] ] ]
Naltrexone (Compound) binds UGT1A1 (Gene) and UGT1A1 (Gene) is bound by Abacavir (Compound) Naltrexone (Compound) causes Connective tissue disorder (Side Effect) and Connective tissue disorder (Side Effect) is caused by Abacavir (Compound) Naltrexone may cause a moderate interaction that could exacerbate diseases when taken with Interferon beta-1a and Interferon beta-1a may cause a moderate interaction that could exacerbate diseases when taken with Abacavir Naltrexone may cause a moderate interaction that could exacerbate diseases when taken with Orlistat and Orlistat may cause a moderate interaction that could exacerbate diseases when taken with Abacavir Naltrexone 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 Abacavir Naltrexone (Compound) causes Connective tissue disorder (Side Effect) and Connective tissue disorder (Side Effect) is caused by Nelarabine (Compound) and Nelarabine (Compound) resembles Abacavir (Compound) Naltrexone (Compound) causes Urticaria (Side Effect) and Urticaria (Side Effect) is caused by Cladribine (Compound) and Cladribine may cause a moderate interaction that could exacerbate diseases when taken with Abacavir Naltrexone (Compound) causes Throat sore (Side Effect) and Throat sore (Side Effect) is caused by Leflunomide (Compound) and Leflunomide may lead to a major life threatening interaction when taken with Abacavir Naltrexone (Compound) causes Hepatitis (Side Effect) and Hepatitis (Side Effect) is caused by Orlistat (Compound) and Orlistat may cause a moderate interaction that could exacerbate diseases when taken with Abacavir
DB00635
DB00991
1,573
97
[ "DDInter1515", "DDInter1358" ]
Prednisone
Oxaprozin
A synthetic anti-inflammatory glucocorticoid derived from [cortisone]. It is biologically inert and converted to [prednisolone] in the liver. Prednisone was granted FDA approval on 21 February 1955.
Oxaprozin is a non-narcotic, non-steroidal anti-inflammatory drug (NSAID), used to relieve the inflammation, swelling, stiffness, and joint pain associated with osteoarthritis and rheumatoid arthritis.
Moderate
1
[ [ [ 1573, 24, 97 ] ], [ [ 1573, 63, 362 ], [ 362, 1, 97 ] ], [ [ 1573, 24, 1274 ], [ 1274, 24, 97 ] ], [ [ 1573, 23, 307 ], [ 307, 1, 97 ] ], [ [ 1573, 24, 998 ], [ 998, 1, 97 ] ], [ [ 1573, 63, 1236 ], [ 1236, 40, 97 ] ], [ [ 1573, 5, 11577 ], [ 11577, 49, 97 ] ], [ [ 1573, 10, 11666 ], [ 11666, 49, 97 ] ], [ [ 1573, 21, 29017 ], [ 29017, 60, 97 ] ], [ [ 1573, 1, 1486 ], [ 1486, 24, 97 ] ] ]
[ [ [ "Prednisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxaprozin" ] ], [ [ "Prednisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenytoin" ], [ "Phenytoin", "{u} (Compound) resembles {v} (Compound)", "Oxaprozin" ] ], [ [ "Prednisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Flurbiprofen" ], [ "Flurbiprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxaprozin" ] ], [ [ "Prednisone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Modafinil" ], [ "Modafinil", "{u} (Compound) resembles {v} (Compound)", "Oxaprozin" ] ], [ [ "Prednisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenylbutazone" ], [ "Phenylbutazone", "{u} (Compound) resembles {v} (Compound)", "Oxaprozin" ] ], [ [ "Prednisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carbamazepine" ], [ "Carbamazepine", "{u} (Compound) resembles {v} (Compound)", "Oxaprozin" ] ], [ [ "Prednisone", "{u} (Compound) treats {v} (Disease)", "rheumatoid arthritis" ], [ "rheumatoid arthritis", "{u} (Disease) is palliated by {v} (Compound)", "Oxaprozin" ] ], [ [ "Prednisone", "{u} (Compound) palliates {v} (Disease)", "osteoarthritis" ], [ "osteoarthritis", "{u} (Disease) is palliated by {v} (Compound)", "Oxaprozin" ] ], [ [ "Prednisone", "{u} (Compound) causes {v} (Side Effect)", "Sweating increased" ], [ "Sweating increased", "{u} (Side Effect) is caused by {v} (Compound)", "Oxaprozin" ] ], [ [ "Prednisone", "{u} (Compound) resembles {v} (Compound)", "Methylprednisolone" ], [ "Methylprednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxaprozin" ] ] ]
Prednisone may cause a moderate interaction that could exacerbate diseases when taken with Phenytoin and Phenytoin (Compound) resembles Oxaprozin (Compound) Prednisone may cause a moderate interaction that could exacerbate diseases when taken with Flurbiprofen and Flurbiprofen may cause a moderate interaction that could exacerbate diseases when taken with Oxaprozin Prednisone may cause a minor interaction that can limit clinical effects when taken with Modafinil and Modafinil (Compound) resembles Oxaprozin (Compound) Prednisone may cause a moderate interaction that could exacerbate diseases when taken with Phenylbutazone and Phenylbutazone (Compound) resembles Oxaprozin (Compound) Prednisone may cause a moderate interaction that could exacerbate diseases when taken with Carbamazepine and Carbamazepine (Compound) resembles Oxaprozin (Compound) Prednisone (Compound) treats rheumatoid arthritis (Disease) and rheumatoid arthritis (Disease) is palliated by Oxaprozin (Compound) Prednisone (Compound) palliates osteoarthritis (Disease) and osteoarthritis (Disease) is palliated by Oxaprozin (Compound) Prednisone (Compound) causes Sweating increased (Side Effect) and Sweating increased (Side Effect) is caused by Oxaprozin (Compound) Prednisone (Compound) resembles Methylprednisolone (Compound) and Methylprednisolone may cause a moderate interaction that could exacerbate diseases when taken with Oxaprozin
DB06650
DB10276
1,500
1,624
[ "DDInter1324", "DDInter1623" ]
Ofatumumab
Rotavirus vaccine
Ofatumumab is a novel anti-CD20 monoclonal antibody that targets B-cells. It is an IgG1κ human monoclonal antibody produced from a recombinant murine cell line (NS0) via transgenic mouse and hybridoma technology. Ofatumumab works by recognizing antigens that are expressed on the tumour cells in certain cancers; however, the antigen is not tumour-specific and can also be found in normal B-cells. Ofatumumab was first approved by the FDA in 2009. It is used in the treatment of recurrent, progressive, or recurrent chronic lymphocytic leukemia (CLL) or CLL in treatment-naive patients in whom fludarabine-based therapy is considered inappropriate. Ofatumumab is used as monotherapy or in combination with other medications, depending on the patient profile and previous treatment history. Although it has a similar molecular mechanism of action as [rituximab], another CD-
Rotavirus commonly infects children and infants causing severe diarrhea and vomiting leading to potentially fatal dehydration. Two rotavirus vaccines are available for the prevention of rotavirus gastroenteritis, Rotateq and Rotarix. Rotateq is a live vaccine consisting of 5 reassorted human-bovine viral strains. Rotarix is a live attenuated vaccine containing the 89-12 human strain.[Label] Rotavirus vaccines are 90% effective in protecting against severe rotavirus infection.
Major
2
[ [ [ 1500, 25, 1624 ] ], [ [ 1500, 25, 375 ], [ 375, 25, 1624 ] ], [ [ 1500, 63, 58 ], [ 58, 25, 1624 ] ], [ [ 1500, 24, 270 ], [ 270, 64, 1624 ] ], [ [ 1500, 64, 581 ], [ 581, 25, 1624 ] ], [ [ 1500, 24, 713 ], [ 713, 25, 1624 ] ], [ [ 1500, 25, 1259 ], [ 1259, 64, 1624 ] ], [ [ 1500, 25, 375 ], [ 375, 64, 617 ], [ 617, 24, 1624 ] ], [ [ 1500, 63, 58 ], [ 58, 24, 617 ], [ 617, 24, 1624 ] ], [ [ 1500, 63, 869 ], [ 869, 63, 552 ], [ 552, 25, 1624 ] ] ]
[ [ [ "Ofatumumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Rotavirus vaccine" ] ], [ [ "Ofatumumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Certolizumab pegol" ], [ "Certolizumab pegol", "{u} may lead to a major life threatening interaction when taken with {v}", "Rotavirus vaccine" ] ], [ [ "Ofatumumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alefacept" ], [ "Alefacept", "{u} may lead to a major life threatening interaction when taken with {v}", "Rotavirus vaccine" ] ], [ [ "Ofatumumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ocrelizumab" ], [ "Ocrelizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Rotavirus vaccine" ] ], [ [ "Ofatumumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Infliximab" ], [ "Infliximab", "{u} may lead to a major life threatening interaction when taken with {v}", "Rotavirus vaccine" ] ], [ [ "Ofatumumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dimethyl fumarate" ], [ "Dimethyl fumarate", "{u} may lead to a major life threatening interaction when taken with {v}", "Rotavirus vaccine" ] ], [ [ "Ofatumumab", "{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}", "Rotavirus vaccine" ] ], [ [ "Ofatumumab", "{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}", "Budesonide" ], [ "Budesonide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rotavirus vaccine" ] ], [ [ "Ofatumumab", "{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}", "Budesonide" ], [ "Budesonide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rotavirus vaccine" ] ], [ [ "Ofatumumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Topotecan" ], [ "Topotecan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carmustine" ], [ "Carmustine", "{u} may lead to a major life threatening interaction when taken with {v}", "Rotavirus vaccine" ] ] ]
Ofatumumab may lead to a major life threatening interaction when taken with Certolizumab pegol and Certolizumab pegol may lead to a major life threatening interaction when taken with Rotavirus vaccine Ofatumumab may cause a moderate interaction that could exacerbate diseases when taken with Alefacept and Alefacept may lead to a major life threatening interaction when taken with Rotavirus vaccine Ofatumumab may cause a moderate interaction that could exacerbate diseases when taken with Ocrelizumab and Ocrelizumab may lead to a major life threatening interaction when taken with Rotavirus vaccine Ofatumumab may lead to a major life threatening interaction when taken with Infliximab and Infliximab may lead to a major life threatening interaction when taken with Rotavirus vaccine Ofatumumab may cause a moderate interaction that could exacerbate diseases when taken with Dimethyl fumarate and Dimethyl fumarate may lead to a major life threatening interaction when taken with Rotavirus vaccine Ofatumumab 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 Rotavirus vaccine Ofatumumab 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 Budesonide and Budesonide may cause a moderate interaction that could exacerbate diseases when taken with Rotavirus vaccine Ofatumumab 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 Budesonide and Budesonide may cause a moderate interaction that could exacerbate diseases when taken with Rotavirus vaccine Ofatumumab may cause a moderate interaction that could exacerbate diseases when taken with Topotecan and Topotecan may cause a moderate interaction that could exacerbate diseases when taken with Carmustine and Carmustine may lead to a major life threatening interaction when taken with Rotavirus vaccine
DB00851
DB08880
611
1,510
[ "DDInter463", "DDInter1771" ]
Dacarbazine
Teriflunomide
An antineoplastic agent. It has significant activity against melanomas. (from Martindale, The Extra Pharmacopoeia, 31st ed, p564). Dacarbazine with Oblimersen is in clinical trials for the treatment of malignant melanoma.
Teriflunomide is the active metabolite of leflunomide, and it acts as an immunomodulatory agent by inhibiting pyrimidine synthesis. It is marketed under the name Aubagio® and is indicated for the treatment of multiple sclerosis, specifically relapsing forms. The FDA label states an important warning about the risk of hepatoxicity and teratogenicity for patients using teriflunomide.
Major
2
[ [ [ 611, 25, 1510 ] ], [ [ 611, 63, 1461 ], [ 1461, 23, 1510 ] ], [ [ 611, 24, 221 ], [ 221, 63, 1510 ] ], [ [ 611, 24, 1136 ], [ 1136, 24, 1510 ] ], [ [ 611, 63, 597 ], [ 597, 24, 1510 ] ], [ [ 611, 24, 637 ], [ 637, 64, 1510 ] ], [ [ 611, 63, 147 ], [ 147, 25, 1510 ] ], [ [ 611, 24, 1307 ], [ 1307, 25, 1510 ] ], [ [ 611, 64, 1648 ], [ 1648, 25, 1510 ] ], [ [ 611, 25, 908 ], [ 908, 25, 1510 ] ] ]
[ [ [ "Dacarbazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ] ], [ [ "Dacarbazine", "{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}", "Teriflunomide" ] ], [ [ "Dacarbazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Poliovirus type 1 antigen (formaldehyde inactivated)" ], [ "Poliovirus type 1 antigen (formaldehyde inactivated)", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Teriflunomide" ] ], [ [ "Dacarbazine", "{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}", "Teriflunomide" ] ], [ [ "Dacarbazine", "{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}", "Teriflunomide" ] ], [ [ "Dacarbazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Asparaginase Erwinia chrysanthemi" ], [ "Asparaginase Erwinia chrysanthemi", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ] ], [ [ "Dacarbazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vinblastine" ], [ "Vinblastine", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ] ], [ [ "Dacarbazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Melphalan" ], [ "Melphalan", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ] ], [ [ "Dacarbazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Aldesleukin" ], [ "Aldesleukin", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ] ], [ [ "Dacarbazine", "{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}", "Teriflunomide" ] ] ]
Dacarbazine 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 Teriflunomide Dacarbazine may cause a moderate interaction that could exacerbate diseases when taken with Poliovirus type 1 antigen (formaldehyde inactivated) and Poliovirus type 1 antigen (formaldehyde inactivated) may cause a moderate interaction that could exacerbate diseases when taken with Teriflunomide Dacarbazine 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 Teriflunomide Dacarbazine 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 Teriflunomide Dacarbazine may cause a moderate interaction that could exacerbate diseases when taken with Asparaginase Erwinia chrysanthemi and Asparaginase Erwinia chrysanthemi may lead to a major life threatening interaction when taken with Teriflunomide Dacarbazine may cause a moderate interaction that could exacerbate diseases when taken with Vinblastine and Vinblastine may lead to a major life threatening interaction when taken with Teriflunomide Dacarbazine may cause a moderate interaction that could exacerbate diseases when taken with Melphalan and Melphalan may lead to a major life threatening interaction when taken with Teriflunomide Dacarbazine may lead to a major life threatening interaction when taken with Aldesleukin and Aldesleukin may lead to a major life threatening interaction when taken with Teriflunomide Dacarbazine 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 Teriflunomide
DB06779
DB15233
365
1,650
[ "DDInter470", "DDInter142" ]
Dalteparin
Avapritinib
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.
Avapritinib, or BLU-285, is a selective tyrosine kinase inhibitor of KIT and platelet derived growth factor receptor alpha indicated for the treatment of unresectable, metastatic gastrointestinal stromal tumors and advanced systemic mastocytosis.[A189339,L40363] It is one of the first medications available for the treatment of multidrug resistant cancers. Avapritinib shares a similar mechanism with [ripretinib]. Avapritinib was granted FDA approval on 9 January 2020 and EMA approval on 24 September 2020.
Major
2
[ [ [ 365, 25, 1650 ] ], [ [ 365, 63, 557 ], [ 557, 24, 1650 ] ], [ [ 365, 24, 738 ], [ 738, 24, 1650 ] ], [ [ 365, 64, 1512 ], [ 1512, 25, 1650 ] ], [ [ 365, 25, 578 ], [ 578, 25, 1650 ] ], [ [ 365, 63, 1151 ], [ 1151, 25, 1650 ] ], [ [ 365, 64, 1274 ], [ 1274, 37, 1650 ] ], [ [ 365, 63, 557 ], [ 557, 63, 1578 ], [ 1578, 25, 1650 ] ], [ [ 365, 63, 1039 ], [ 1039, 24, 1374 ], [ 1374, 24, 1650 ] ], [ [ 365, 24, 738 ], [ 738, 63, 1101 ], [ 1101, 24, 1650 ] ] ]
[ [ [ "Dalteparin", "{u} may lead to a major life threatening interaction when taken with {v}", "Avapritinib" ] ], [ [ "Dalteparin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deoxycholic acid" ], [ "Deoxycholic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Avapritinib" ] ], [ [ "Dalteparin", "{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}", "Avapritinib" ] ], [ [ "Dalteparin", "{u} may lead to a major life threatening interaction when taken with {v}", "Diclofenac" ], [ "Diclofenac", "{u} may lead to a major life threatening interaction when taken with {v}", "Avapritinib" ] ], [ [ "Dalteparin", "{u} may lead to a major life threatening interaction when taken with {v}", "Ticagrelor" ], [ "Ticagrelor", "{u} may lead to a major life threatening interaction when taken with {v}", "Avapritinib" ] ], [ [ "Dalteparin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sunitinib" ], [ "Sunitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Avapritinib" ] ], [ [ "Dalteparin", "{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}", "Avapritinib" ] ], [ [ "Dalteparin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deoxycholic acid" ], [ "Deoxycholic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lepirudin" ], [ "Lepirudin", "{u} may lead to a major life threatening interaction when taken with {v}", "Avapritinib" ] ], [ [ "Dalteparin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexfenfluramine" ], [ "Dexfenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abiraterone" ], [ "Abiraterone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Avapritinib" ] ], [ [ "Dalteparin", "{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}", "Bexarotene" ], [ "Bexarotene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Avapritinib" ] ] ]
Dalteparin may cause a moderate interaction that could exacerbate diseases when taken with Deoxycholic acid and Deoxycholic acid may cause a moderate interaction that could exacerbate diseases when taken with Avapritinib Dalteparin 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 Avapritinib Dalteparin may lead to a major life threatening interaction when taken with Diclofenac and Diclofenac may lead to a major life threatening interaction when taken with Avapritinib Dalteparin may lead to a major life threatening interaction when taken with Ticagrelor and Ticagrelor may lead to a major life threatening interaction when taken with Avapritinib Dalteparin may cause a moderate interaction that could exacerbate diseases when taken with Sunitinib and Sunitinib may lead to a major life threatening interaction when taken with Avapritinib Dalteparin 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 Avapritinib and Flurbiprofen may lead to a major life threatening interaction when taken with Avapritinib Dalteparin may cause a moderate interaction that could exacerbate diseases when taken with Deoxycholic acid and Deoxycholic acid may cause a moderate interaction that could exacerbate diseases when taken with Lepirudin and Lepirudin may lead to a major life threatening interaction when taken with Avapritinib Dalteparin may cause a moderate interaction that could exacerbate diseases when taken with Dexfenfluramine and Dexfenfluramine may cause a moderate interaction that could exacerbate diseases when taken with Abiraterone and Abiraterone may cause a moderate interaction that could exacerbate diseases when taken with Avapritinib Dalteparin 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 Bexarotene and Bexarotene may cause a moderate interaction that could exacerbate diseases when taken with Avapritinib
DB00738
DB08907
485
1,344
[ "DDInter1420", "DDInter280" ]
Pentamidine
Canagliflozin
Antiprotozoal agent effective in trypanosomiasis, leishmaniasis, and some fungal infections; used in treatment of pneumocystis pneumonia in HIV-infected patients. It may cause diabetes mellitus, central nervous system damage, and other toxic effects.
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
[ [ [ 485, 24, 1344 ] ], [ [ 485, 24, 549 ], [ 549, 1, 1344 ] ], [ [ 485, 6, 8374 ], [ 8374, 45, 1344 ] ], [ [ 485, 21, 28962 ], [ 28962, 60, 1344 ] ], [ [ 485, 24, 739 ], [ 739, 24, 1344 ] ], [ [ 485, 63, 176 ], [ 176, 24, 1344 ] ], [ [ 485, 25, 1327 ], [ 1327, 24, 1344 ] ], [ [ 485, 24, 1399 ], [ 1399, 63, 1344 ] ], [ [ 485, 64, 1176 ], [ 1176, 24, 1344 ] ], [ [ 485, 25, 246 ], [ 246, 25, 1344 ] ] ]
[ [ [ "Pentamidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Canagliflozin" ] ], [ [ "Pentamidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dapagliflozin" ], [ "Dapagliflozin", "{u} (Compound) resembles {v} (Compound)", "Canagliflozin" ] ], [ [ "Pentamidine", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Canagliflozin" ] ], [ [ "Pentamidine", "{u} (Compound) causes {v} (Side Effect)", "Hyperkalaemia" ], [ "Hyperkalaemia", "{u} (Side Effect) is caused by {v} (Compound)", "Canagliflozin" ] ], [ [ "Pentamidine", "{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" ] ], [ [ "Pentamidine", "{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" ] ], [ [ "Pentamidine", "{u} may lead to a major life threatening interaction when taken with {v}", "Saquinavir" ], [ "Saquinavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Canagliflozin" ] ], [ [ "Pentamidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lithium carbonate" ], [ "Lithium carbonate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Canagliflozin" ] ], [ [ "Pentamidine", "{u} may lead to a major life threatening interaction when taken with {v}", "Moxifloxacin" ], [ "Moxifloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Canagliflozin" ] ], [ [ "Pentamidine", "{u} may lead to a major life threatening interaction when taken with {v}", "Gatifloxacin" ], [ "Gatifloxacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Canagliflozin" ] ] ]
Pentamidine may cause a moderate interaction that could exacerbate diseases when taken with Dapagliflozin and Dapagliflozin (Compound) resembles Canagliflozin (Compound) Pentamidine (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Canagliflozin (Compound) Pentamidine (Compound) causes Hyperkalaemia (Side Effect) and Hyperkalaemia (Side Effect) is caused by Canagliflozin (Compound) Pentamidine 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 Pentamidine 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 Pentamidine may lead to a major life threatening interaction when taken with Saquinavir and Saquinavir may cause a moderate interaction that could exacerbate diseases when taken with Canagliflozin Pentamidine may cause a moderate interaction that could exacerbate diseases when taken with Lithium carbonate and Lithium carbonate may cause a moderate interaction that could exacerbate diseases when taken with Canagliflozin Pentamidine may lead to a major life threatening interaction when taken with Moxifloxacin and Moxifloxacin may cause a moderate interaction that could exacerbate diseases when taken with Canagliflozin Pentamidine may lead to a major life threatening interaction when taken with Gatifloxacin and Gatifloxacin may lead to a major life threatening interaction when taken with Canagliflozin
DB00056
DB08895
816
976
[ "DDInter814", "DDInter1825" ]
Gemtuzumab ozogamicin
Tofacitinib
Gemtuzumab ozogamicin is a recombinant humanized IgG4 kappa antibody which is conjugated with calicheamicin derivative, a cytotoxic antitumor antibiotic isolated from fermentation of Micromonospora echinospora ssp. calichensis. Gemtuzumab ozogamicin has approximately 50% of the antibody loaded with 4-6 moles calicheamicin per mole of antibody [FDA Label]. The antibody is specifically directed against the CD33 antigen present on leukemic myeloblasts in most patients with acute myeloid leukemia (AML). By binding to the CD33 antigen on tumors, the cytotoxic agent blocks the growth of cancerous cells and causes cell death. Marketing approval of gemtuzumab ozogamicin was granted on May 17, 2000 by FDA as a treatment for patients with CD33-positive AML in first relapse who are 60 years of age or
Tofacitinib is an inhibitor of Janus kinases, a group of intracellular enzymes involved in signalling pathways that affect hematopoiesis and immune cell function. It is approved by the FDA for treatment of moderate to severe rheumatoid arthritis that responds inadequately to methotrexate or in those who are intolerant to methotrexate. Besides rheumatoid arthritis, tofacitinib has also been studied in clinical trials for the prevention of organ transplant rejection, and is currently under investigation for the treatment of psoriasis. Known adverse effects include nausea and headache as well as more serious immunologic and hematological adverse effects. Tofacitinib is marketed under the brand name Xeljanz by Pfizer.
Major
2
[ [ [ 816, 25, 976 ] ], [ [ 816, 24, 200 ], [ 200, 63, 976 ] ], [ [ 816, 24, 1430 ], [ 1430, 24, 976 ] ], [ [ 816, 25, 1011 ], [ 1011, 25, 976 ] ], [ [ 816, 24, 270 ], [ 270, 64, 976 ] ], [ [ 816, 63, 1184 ], [ 1184, 25, 976 ] ], [ [ 816, 25, 334 ], [ 334, 64, 976 ] ], [ [ 816, 24, 259 ], [ 259, 25, 976 ] ], [ [ 816, 64, 1057 ], [ 1057, 25, 976 ] ], [ [ 816, 24, 200 ], [ 200, 24, 1316 ], [ 1316, 64, 976 ] ] ]
[ [ [ "Gemtuzumab ozogamicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Tofacitinib" ] ], [ [ "Gemtuzumab ozogamicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ], [ "Candida albicans", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tofacitinib" ] ], [ [ "Gemtuzumab ozogamicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sipuleucel-T" ], [ "Sipuleucel-T", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tofacitinib" ] ], [ [ "Gemtuzumab ozogamicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Fingolimod" ], [ "Fingolimod", "{u} may lead to a major life threatening interaction when taken with {v}", "Tofacitinib" ] ], [ [ "Gemtuzumab ozogamicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ocrelizumab" ], [ "Ocrelizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Tofacitinib" ] ], [ [ "Gemtuzumab ozogamicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Anakinra" ], [ "Anakinra", "{u} may lead to a major life threatening interaction when taken with {v}", "Tofacitinib" ] ], [ [ "Gemtuzumab ozogamicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Mumps virus strain B level jeryl lynn live antigen" ], [ "Mumps virus strain B level jeryl lynn live antigen", "{u} may lead to a major life threatening interaction when taken with {v}", "Tofacitinib" ] ], [ [ "Gemtuzumab ozogamicin", "{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}", "Tofacitinib" ] ], [ [ "Gemtuzumab ozogamicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Etanercept" ], [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Tofacitinib" ] ], [ [ "Gemtuzumab ozogamicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ], [ "Candida albicans", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Durvalumab" ], [ "Durvalumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Tofacitinib" ] ] ]
Gemtuzumab ozogamicin may cause a moderate interaction that could exacerbate diseases when taken with Candida albicans and Candida albicans may cause a moderate interaction that could exacerbate diseases when taken with Tofacitinib Gemtuzumab ozogamicin may cause a moderate interaction that could exacerbate diseases when taken with Sipuleucel-T and Sipuleucel-T may cause a moderate interaction that could exacerbate diseases when taken with Tofacitinib Gemtuzumab ozogamicin may lead to a major life threatening interaction when taken with Fingolimod and Fingolimod may lead to a major life threatening interaction when taken with Tofacitinib Gemtuzumab ozogamicin may cause a moderate interaction that could exacerbate diseases when taken with Ocrelizumab and Ocrelizumab may lead to a major life threatening interaction when taken with Tofacitinib Gemtuzumab ozogamicin may cause a moderate interaction that could exacerbate diseases when taken with Anakinra and Anakinra may lead to a major life threatening interaction when taken with Tofacitinib Gemtuzumab ozogamicin may lead to a major life threatening interaction when taken with Mumps virus strain B level jeryl lynn live antigen and Mumps virus strain B level jeryl lynn live antigen may lead to a major life threatening interaction when taken with Tofacitinib Gemtuzumab ozogamicin 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 Tofacitinib Gemtuzumab ozogamicin may lead to a major life threatening interaction when taken with Etanercept and Etanercept may lead to a major life threatening interaction when taken with Tofacitinib Gemtuzumab ozogamicin may cause a moderate interaction that could exacerbate diseases when taken with Candida albicans and Candida albicans may cause a moderate interaction that could exacerbate diseases when taken with Durvalumab and Durvalumab may lead to a major life threatening interaction when taken with Tofacitinib
DB00477
DB09330
216
985
[ "DDInter363", "DDInter1352" ]
Chlorpromazine
Osimertinib
The prototypical phenothiazine antipsychotic drug. Like the other drugs in this class, chlorpromazine's antipsychotic actions are thought to be due to long-term adaptation by the brain to blocking dopamine receptors. Chlorpromazine has several other actions and therapeutic uses, including as an antiemetic and in the treatment of intractable hiccup.
Osimertinib is an oral, third-generation epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor (TKI) drug developed by AstraZeneca Pharmaceuticals.[A7926,L43453] Its use is indicated for the treatment of metastatic non-small cell lung cancer (NSCLC) in cases where tumour EGFR expression is positive for the T790M mutation as detected by FDA-approved testing and which has progressed following therapy with a first-generation EGFR tyrosine kinase inhibitor. Approximately 10% of patients with NSCLC have a rapid and clinically effective response to EGFR-TKIs due to the presence of specific activating EGFR mutations within the tumour cells. More specifically, deletions around the LREA motif in exon 19 and exon 21 L858R point mutations are correlated with response to therapy. Development of third-generation EGFR-TKIs, such as osimertinib, has been in response to altered tumour resistance patterns following treatment and toxic side effects that impact patient quality of life. Treatment with first-generation EGFR-TKIs (gefitinib and erlotinib) has been associated with the development of resistance through activating mutations in the EGFR gene. Second-generation EGFR-TKIs (afatinib and dacomitinib) were then developed to be more potent inhibitors, although their use is associated with increased toxicity through nonspecific targeting of wild-type EGFR. In contrast, third-generation inhibitors are specific for the gate-keeper T790M mutations which increases ATP binding activity to EGFR and result in poor prognosis for late-stage disease. Furthermore, osimertinib has been shown to spare wild-type EGFR during therapy, thereby reducing non-specific binding and limiting toxicity.[A7926,A7927,A7931]
Major
2
[ [ [ 216, 25, 985 ] ], [ [ 216, 23, 112 ], [ 112, 23, 985 ] ], [ [ 216, 24, 480 ], [ 480, 24, 985 ] ], [ [ 216, 24, 657 ], [ 657, 63, 985 ] ], [ [ 216, 63, 1181 ], [ 1181, 24, 985 ] ], [ [ 216, 23, 752 ], [ 752, 24, 985 ] ], [ [ 216, 25, 11 ], [ 11, 25, 985 ] ], [ [ 216, 24, 484 ], [ 484, 64, 985 ] ], [ [ 216, 24, 1674 ], [ 1674, 25, 985 ] ], [ [ 216, 1, 1237 ], [ 1237, 25, 985 ] ] ]
[ [ [ "Chlorpromazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Osimertinib" ] ], [ [ "Chlorpromazine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Osimertinib" ] ], [ [ "Chlorpromazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Formoterol" ], [ "Formoterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Osimertinib" ] ], [ [ "Chlorpromazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Castor oil" ], [ "Castor oil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Osimertinib" ] ], [ [ "Chlorpromazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Terfenadine" ], [ "Terfenadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Osimertinib" ] ], [ [ "Chlorpromazine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cimetidine" ], [ "Cimetidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Osimertinib" ] ], [ [ "Chlorpromazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Toremifene" ], [ "Toremifene", "{u} may lead to a major life threatening interaction when taken with {v}", "Osimertinib" ] ], [ [ "Chlorpromazine", "{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" ] ], [ [ "Chlorpromazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Orciprenaline" ], [ "Orciprenaline", "{u} may lead to a major life threatening interaction when taken with {v}", "Osimertinib" ] ], [ [ "Chlorpromazine", "{u} (Compound) resembles {v} (Compound)", "Clomipramine" ], [ "Clomipramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Osimertinib" ] ] ]
Chlorpromazine may cause a minor interaction that can limit clinical effects when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Osimertinib Chlorpromazine may cause a moderate interaction that could exacerbate diseases when taken with Formoterol and Formoterol may cause a moderate interaction that could exacerbate diseases when taken with Osimertinib Chlorpromazine may cause a moderate interaction that could exacerbate diseases when taken with Castor oil and Castor oil may cause a moderate interaction that could exacerbate diseases when taken with Osimertinib Chlorpromazine may cause a moderate interaction that could exacerbate diseases when taken with Terfenadine and Terfenadine may cause a moderate interaction that could exacerbate diseases when taken with Osimertinib Chlorpromazine may cause a minor interaction that can limit clinical effects when taken with Cimetidine and Cimetidine may cause a moderate interaction that could exacerbate diseases when taken with Osimertinib Chlorpromazine may lead to a major life threatening interaction when taken with Toremifene and Toremifene may lead to a major life threatening interaction when taken with Osimertinib Chlorpromazine 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 Chlorpromazine may cause a moderate interaction that could exacerbate diseases when taken with Orciprenaline and Orciprenaline may lead to a major life threatening interaction when taken with Osimertinib Chlorpromazine (Compound) resembles Clomipramine (Compound) and Clomipramine may lead to a major life threatening interaction when taken with Osimertinib
DB01088
DB01367
714
1,163
[ "DDInter908", "DDInter1572" ]
Iloprost
Rasagiline
Iloprost is a mimetic of prostacyclin (PGI2; epoprostenol). Iloprost consists of a mixture of the 4R and 4S diastereoisomers at a ratio of approximately 53:47. It is a potent vasodilator with reported anti-thrombotic properties.
Rasagiline is an irreversible inhibitor of monoamine oxidase and is used as a monotherapy in early Parkinson's disease or as an adjunct therapy in more advanced cases.
Moderate
1
[ [ [ 714, 24, 1163 ] ], [ [ 714, 63, 1445 ], [ 1445, 24, 1163 ] ], [ [ 714, 24, 22 ], [ 22, 24, 1163 ] ], [ [ 714, 24, 1637 ], [ 1637, 63, 1163 ] ], [ [ 714, 24, 1039 ], [ 1039, 25, 1163 ] ], [ [ 714, 63, 1018 ], [ 1018, 25, 1163 ] ], [ [ 714, 63, 1445 ], [ 1445, 21, 28714 ], [ 28714, 60, 1163 ] ], [ [ 714, 63, 1466 ], [ 1466, 6, 7950 ], [ 7950, 45, 1163 ] ], [ [ 714, 63, 1214 ], [ 1214, 24, 401 ], [ 401, 24, 1163 ] ], [ [ 714, 24, 22 ], [ 22, 21, 28714 ], [ 28714, 60, 1163 ] ] ]
[ [ [ "Iloprost", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rasagiline" ] ], [ [ "Iloprost", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pseudoephedrine" ], [ "Pseudoephedrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rasagiline" ] ], [ [ "Iloprost", "{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}", "Rasagiline" ] ], [ [ "Iloprost", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amyl Nitrite" ], [ "Amyl Nitrite", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rasagiline" ] ], [ [ "Iloprost", "{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}", "Rasagiline" ] ], [ [ "Iloprost", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ticlopidine" ], [ "Ticlopidine", "{u} may lead to a major life threatening interaction when taken with {v}", "Rasagiline" ] ], [ [ "Iloprost", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pseudoephedrine" ], [ "Pseudoephedrine", "{u} (Compound) causes {v} (Side Effect)", "Asthenia" ], [ "Asthenia", "{u} (Side Effect) is caused by {v} (Compound)", "Rasagiline" ] ], [ [ "Iloprost", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenylpropanolamine" ], [ "Phenylpropanolamine", "{u} (Compound) binds {v} (Gene)", "CYP1A2" ], [ "CYP1A2", "{u} (Gene) is bound by {v} (Compound)", "Rasagiline" ] ], [ [ "Iloprost", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Minoxidil" ], [ "Minoxidil", "{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}", "Rasagiline" ] ], [ [ "Iloprost", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ephedrine" ], [ "Ephedrine", "{u} (Compound) causes {v} (Side Effect)", "Asthenia" ], [ "Asthenia", "{u} (Side Effect) is caused by {v} (Compound)", "Rasagiline" ] ] ]
Iloprost may cause a moderate interaction that could exacerbate diseases when taken with Pseudoephedrine and Pseudoephedrine may cause a moderate interaction that could exacerbate diseases when taken with Rasagiline Iloprost 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 Rasagiline Iloprost may cause a moderate interaction that could exacerbate diseases when taken with Amyl Nitrite and Amyl Nitrite may cause a moderate interaction that could exacerbate diseases when taken with Rasagiline Iloprost 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 Rasagiline Iloprost may cause a moderate interaction that could exacerbate diseases when taken with Ticlopidine and Ticlopidine may lead to a major life threatening interaction when taken with Rasagiline Iloprost may cause a moderate interaction that could exacerbate diseases when taken with Pseudoephedrine and Pseudoephedrine (Compound) causes Asthenia (Side Effect) and Asthenia (Side Effect) is caused by Rasagiline (Compound) Iloprost may cause a moderate interaction that could exacerbate diseases when taken with Phenylpropanolamine and Phenylpropanolamine (Compound) binds CYP1A2 (Gene) and CYP1A2 (Gene) is bound by Rasagiline (Compound) Iloprost may cause a moderate interaction that could exacerbate diseases when taken with Minoxidil and Minoxidil 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 Rasagiline Iloprost may cause a moderate interaction that could exacerbate diseases when taken with Ephedrine and Ephedrine (Compound) causes Asthenia (Side Effect) and Asthenia (Side Effect) is caused by Rasagiline (Compound)
DB00457
DB01284
1,205
1,042
[ "DDInter1511", "DDInter1782" ]
Prazosin
Tetracosactide
Prazosin is a drug used to treat hypertension. Prazosin is marketed by _Pfizer_ and was initially approved by the FDA in 1988. It belongs to the class of drugs known as alpha-1 antagonists. Recently, many studies have evaluated the benefits of this drug in controlling the symptoms of post-traumatic stress disorder (PTSD) and associated nightmares.[A176618, A176621, A176624]
Tetracosactide (also known as Cosyntropin) is a synthetic peptide that is identical to the 24-amino acid segment (sequence: SYSMEHFRWGKPVGKKRRPVKVYP) at the N-terminal of adrenocorticotropic hormone. ACTH (1-24), a segment similar in all species, contains the biological activity that stimulates production of corticosteroids in the adrenal cortex. Tetracosactide exhibits the same activity as natural ACTH with regard to all its biological activities. The complex results in a product whose absorption in man is effected over a longer period of time as compared to corticotropin. Therefore, therapy may be maintained with less frequent administration.
Moderate
1
[ [ [ 1205, 24, 1042 ] ], [ [ 1205, 40, 195 ], [ 195, 24, 1042 ] ], [ [ 1205, 24, 1450 ], [ 1450, 63, 1042 ] ], [ [ 1205, 63, 1648 ], [ 1648, 24, 1042 ] ], [ [ 1205, 24, 593 ], [ 593, 25, 1042 ] ], [ [ 1205, 40, 195 ], [ 195, 24, 1450 ], [ 1450, 63, 1042 ] ], [ [ 1205, 24, 1450 ], [ 1450, 63, 455 ], [ 455, 23, 1042 ] ], [ [ 1205, 63, 1648 ], [ 1648, 24, 1023 ], [ 1023, 24, 1042 ] ], [ [ 1205, 40, 1433 ], [ 1433, 40, 195 ], [ 195, 24, 1042 ] ], [ [ 1205, 24, 593 ], [ 593, 63, 1023 ], [ 1023, 24, 1042 ] ] ]
[ [ [ "Prazosin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetracosactide" ] ], [ [ "Prazosin", "{u} (Compound) resembles {v} (Compound)", "Terazosin" ], [ "Terazosin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetracosactide" ] ], [ [ "Prazosin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Empagliflozin" ], [ "Empagliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetracosactide" ] ], [ [ "Prazosin", "{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}", "Tetracosactide" ] ], [ [ "Prazosin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bupropion" ], [ "Bupropion", "{u} may lead to a major life threatening interaction when taken with {v}", "Tetracosactide" ] ], [ [ "Prazosin", "{u} (Compound) resembles {v} (Compound)", "Terazosin" ], [ "Terazosin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Empagliflozin" ], [ "Empagliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetracosactide" ] ], [ [ "Prazosin", "{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}", "Salmeterol" ], [ "Salmeterol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Tetracosactide" ] ], [ [ "Prazosin", "{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}", "Pentobarbital" ], [ "Pentobarbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetracosactide" ] ], [ [ "Prazosin", "{u} (Compound) resembles {v} (Compound)", "Doxazosin" ], [ "Doxazosin", "{u} (Compound) resembles {v} (Compound)", "Terazosin" ], [ "Terazosin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetracosactide" ] ], [ [ "Prazosin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bupropion" ], [ "Bupropion", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentobarbital" ], [ "Pentobarbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetracosactide" ] ] ]
Prazosin (Compound) resembles Terazosin (Compound) and Terazosin may cause a moderate interaction that could exacerbate diseases when taken with Tetracosactide Prazosin may cause a moderate interaction that could exacerbate diseases when taken with Empagliflozin and Empagliflozin may cause a moderate interaction that could exacerbate diseases when taken with Tetracosactide Prazosin 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 Tetracosactide Prazosin may cause a moderate interaction that could exacerbate diseases when taken with Bupropion and Bupropion may lead to a major life threatening interaction when taken with Tetracosactide Prazosin (Compound) resembles Terazosin (Compound) and Terazosin may cause a moderate interaction that could exacerbate diseases when taken with Empagliflozin and Empagliflozin may cause a moderate interaction that could exacerbate diseases when taken with Tetracosactide Prazosin 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 Salmeterol and Salmeterol may cause a minor interaction that can limit clinical effects when taken with Tetracosactide Prazosin 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 Pentobarbital and Pentobarbital may cause a moderate interaction that could exacerbate diseases when taken with Tetracosactide Prazosin (Compound) resembles Doxazosin (Compound) and Doxazosin (Compound) resembles Terazosin (Compound) and Terazosin may cause a moderate interaction that could exacerbate diseases when taken with Tetracosactide Prazosin may cause a moderate interaction that could exacerbate diseases when taken with Bupropion and Bupropion may cause a moderate interaction that could exacerbate diseases when taken with Pentobarbital and Pentobarbital may cause a moderate interaction that could exacerbate diseases when taken with Tetracosactide
DB09080
DB13139
144
1,032
[ "DDInter1331", "DDInter1063" ]
Olodaterol
Levosalbutamol
Olodaterol is a novel, long-acting beta2-adrenergic agonist (LABA) that exerts its pharmacological effect by binding and activating beta2-adrenergic receptors located primarily in the lungs. Beta2-adrenergic receptors are membrane-bound receptors that are normally activated by endogenous epinephrine whose signalling, via a downstream L-type calcium channel interaction, mediates smooth muscle relaxation and bronchodilation. Activation of the receptor stimulates an associated G protein which then activates adenylate cyclase, catalyzing the formation of cyclic adenosine monophosphate (cAMP) and protein kinase A (PKA). Elevation of these two molecules induces bronchodilation by relaxation of airway smooth muscles. It is by this mechanism that olodaterol is used for the treatment of chronic obstructive pulmonary disease (COPD) and the progressive airflow obstruction that is characteristic of it. Treatment with bronchodilators helps to mitigate associated
Levosalbutamol, or levalbuterol, is a short-acting β2 adrenergic receptor agonist used in the treatment of asthma and chronic obstructive pulmonary disease (COPD). [Salbutamol] has been marketed as a racemic mixture, although beta2-agonist activity resides almost exclusively in the (R)-enantiomer. The enantioselective disposition of salbutamol and the possibility that (S)-salbutamol has adverse effects have led to the development of an enantiomerically pure (R)-salbutamol formulation known as levosalbutamol (levalbuterol).
Moderate
1
[ [ [ 144, 24, 1032 ] ], [ [ 144, 63, 1618 ], [ 1618, 24, 1032 ] ], [ [ 144, 24, 124 ], [ 124, 24, 1032 ] ], [ [ 144, 24, 982 ], [ 982, 63, 1032 ] ], [ [ 144, 25, 351 ], [ 351, 25, 1032 ] ], [ [ 144, 64, 290 ], [ 290, 25, 1032 ] ], [ [ 144, 63, 1618 ], [ 1618, 63, 1220 ], [ 1220, 23, 1032 ] ], [ [ 144, 24, 124 ], [ 124, 64, 1220 ], [ 1220, 23, 1032 ] ], [ [ 144, 63, 1090 ], [ 1090, 24, 659 ], [ 659, 24, 1032 ] ], [ [ 144, 63, 594 ], [ 594, 64, 1220 ], [ 1220, 23, 1032 ] ] ]
[ [ [ "Olodaterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levosalbutamol" ] ], [ [ "Olodaterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cabozantinib" ], [ "Cabozantinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levosalbutamol" ] ], [ [ "Olodaterol", "{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}", "Levosalbutamol" ] ], [ [ "Olodaterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivosidenib" ], [ "Ivosidenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levosalbutamol" ] ], [ [ "Olodaterol", "{u} may lead to a major life threatening interaction when taken with {v}", "Ribociclib" ], [ "Ribociclib", "{u} may lead to a major life threatening interaction when taken with {v}", "Levosalbutamol" ] ], [ [ "Olodaterol", "{u} may lead to a major life threatening interaction when taken with {v}", "Cocaine" ], [ "Cocaine", "{u} may lead to a major life threatening interaction when taken with {v}", "Levosalbutamol" ] ], [ [ "Olodaterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cabozantinib" ], [ "Cabozantinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexamethasone" ], [ "Dexamethasone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Levosalbutamol" ] ], [ [ "Olodaterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glasdegib" ], [ "Glasdegib", "{u} may lead to a major life threatening interaction when taken with {v}", "Dexamethasone" ], [ "Dexamethasone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Levosalbutamol" ] ], [ [ "Olodaterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetryzoline" ], [ "Tetryzoline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vilanterol" ], [ "Vilanterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levosalbutamol" ] ], [ [ "Olodaterol", "{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}", "Dexamethasone" ], [ "Dexamethasone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Levosalbutamol" ] ] ]
Olodaterol may cause a moderate interaction that could exacerbate diseases when taken with Cabozantinib and Cabozantinib may cause a moderate interaction that could exacerbate diseases when taken with Levosalbutamol Olodaterol 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 Levosalbutamol Olodaterol may cause a moderate interaction that could exacerbate diseases when taken with Ivosidenib and Ivosidenib may cause a moderate interaction that could exacerbate diseases when taken with Levosalbutamol Olodaterol may lead to a major life threatening interaction when taken with Ribociclib and Ribociclib may lead to a major life threatening interaction when taken with Levosalbutamol Olodaterol may lead to a major life threatening interaction when taken with Cocaine and Cocaine may lead to a major life threatening interaction when taken with Levosalbutamol Olodaterol may cause a moderate interaction that could exacerbate diseases when taken with Cabozantinib and Cabozantinib may cause a moderate interaction that could exacerbate diseases when taken with Dexamethasone and Dexamethasone may cause a minor interaction that can limit clinical effects when taken with Levosalbutamol Olodaterol may cause a moderate interaction that could exacerbate diseases when taken with Glasdegib and Glasdegib may lead to a major life threatening interaction when taken with Dexamethasone and Dexamethasone may cause a minor interaction that can limit clinical effects when taken with Levosalbutamol Olodaterol may cause a moderate interaction that could exacerbate diseases when taken with Tetryzoline and Tetryzoline may cause a moderate interaction that could exacerbate diseases when taken with Vilanterol and Vilanterol may cause a moderate interaction that could exacerbate diseases when taken with Levosalbutamol Olodaterol 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 Dexamethasone and Dexamethasone may cause a minor interaction that can limit clinical effects when taken with Levosalbutamol
DB05154
DB09038
740
1,450
[ "DDInter1517", "DDInter636" ]
Pretomanid
Empagliflozin
Persistent forms of tuberculosis (TB) have proven to be a major cause of global morbidity and mortality and a cause for significant concern. Research in recent years has been geared toward the development of novel therapies that target persistent forms of this disease, which have shown resistance to standard therapy regimens. Pretomanid is an antimycobacterial agent that is administered with [Bedaquiline] and [Linezolid] to treat resistant forms of pulmonary TB. It was the first TB drug developed by a nonprofit organization, known as TB Alliance, and was granted FDA approval on August 14, 2019.[L8048,L8066] Unlike other therapeutic regimens for the treatment of resistant TB, which may take 18 months or longer and may not be effective, the pretomanid-containing regimen allows for a more efficacious and shorter duration of treatment with fewer drugs.
Empagliflozin is an inhibitor of sodium-glucose co-transporter-2 (SGLT2), the transporters primarily responsible for the reabsorption of glucose in the kidney. It is used clinically as an adjunct to diet and exercise, often in combination with other drug therapies,[L13673,L13679,L11479] for the management of type 2 diabetes mellitus. The first known inhibitor of SGLTs, phlorizin, was isolated from the bark of apple trees in 1835 and researched extensively into the 20th century, but was ultimately deemed inappropriate for clinical use given its lack of specificity and significant gastrointestinal side effects. Attempts at overcoming these limitations first saw the development of O-glucoside analogs of phlorizin (e.g. [remogliflozin etabonate]), but these molecules proved relatively pharmacokinetically unstable. The development of C-glucoside phlorizin analogs remedied the issues observed in the previous generation, and led to the FDA approval of [canagliflozin] in 2013 and both [dapagliflozin] and empagliflozin in 2014. As the most recently approved of the "flozin" drugs, empagliflozin carries the highest selectivity for SGLT2 over SGLT1 (approximately 2700-fold). Empagliflozin was further approved by the EMA in March 2022 and Health Canada in April 2022, making it the first and only approved treatment in Europe and Canada for adults with symptomatic chronic heart failure regardless of ejection fraction.[L40783,L13916]
Moderate
1
[ [ [ 740, 24, 1450 ] ], [ [ 740, 25, 1017 ], [ 1017, 63, 1450 ] ], [ [ 740, 24, 98 ], [ 98, 63, 1450 ] ], [ [ 740, 25, 129 ], [ 129, 24, 1450 ] ], [ [ 740, 64, 1220 ], [ 1220, 24, 1450 ] ], [ [ 740, 25, 1017 ], [ 1017, 63, 1028 ], [ 1028, 24, 1450 ] ], [ [ 740, 24, 98 ], [ 98, 24, 192 ], [ 192, 63, 1450 ] ], [ [ 740, 63, 372 ], [ 372, 62, 1467 ], [ 1467, 24, 1450 ] ], [ [ 740, 64, 1220 ], [ 1220, 40, 1103 ], [ 1103, 23, 1450 ] ], [ [ 740, 25, 1017 ], [ 1017, 63, 192 ], [ 192, 63, 1450 ] ] ]
[ [ [ "Pretomanid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Empagliflozin" ] ], [ [ "Pretomanid", "{u} may lead to a major life threatening interaction when taken with {v}", "Lorlatinib" ], [ "Lorlatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Empagliflozin" ] ], [ [ "Pretomanid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somatrem" ], [ "Somatrem", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Empagliflozin" ] ], [ [ "Pretomanid", "{u} may lead to a major life threatening interaction when taken with {v}", "Enzalutamide" ], [ "Enzalutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Empagliflozin" ] ], [ [ "Pretomanid", "{u} may lead to a major life threatening interaction when taken with {v}", "Dexamethasone" ], [ "Dexamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Empagliflozin" ] ], [ [ "Pretomanid", "{u} may lead to a major life threatening interaction when taken with {v}", "Lorlatinib" ], [ "Lorlatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Torasemide" ], [ "Torasemide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Empagliflozin" ] ], [ [ "Pretomanid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somatrem" ], [ "Somatrem", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Esterified estrogens" ], [ "Esterified estrogens", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Empagliflozin" ] ], [ [ "Pretomanid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofarabine" ], [ "Clofarabine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Enoxacin" ], [ "Enoxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Empagliflozin" ] ], [ [ "Pretomanid", "{u} may lead to a major life threatening interaction when taken with {v}", "Dexamethasone" ], [ "Dexamethasone", "{u} (Compound) resembles {v} (Compound)", "Amcinonide" ], [ "Amcinonide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Empagliflozin" ] ], [ [ "Pretomanid", "{u} may lead to a major life threatening interaction when taken with {v}", "Lorlatinib" ], [ "Lorlatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Esterified estrogens" ], [ "Esterified estrogens", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Empagliflozin" ] ] ]
Pretomanid may lead to a major life threatening interaction when taken with Lorlatinib and Lorlatinib may cause a moderate interaction that could exacerbate diseases when taken with Empagliflozin Pretomanid may cause a moderate interaction that could exacerbate diseases when taken with Somatrem and Somatrem may cause a moderate interaction that could exacerbate diseases when taken with Empagliflozin Pretomanid may lead to a major life threatening interaction when taken with Enzalutamide and Enzalutamide may cause a moderate interaction that could exacerbate diseases when taken with Empagliflozin Pretomanid may lead to a major life threatening interaction when taken with Dexamethasone and Dexamethasone may cause a moderate interaction that could exacerbate diseases when taken with Empagliflozin Pretomanid may lead to a major life threatening interaction when taken with Lorlatinib and Lorlatinib may cause a moderate interaction that could exacerbate diseases when taken with Torasemide and Torasemide may cause a moderate interaction that could exacerbate diseases when taken with Empagliflozin Pretomanid may cause a moderate interaction that could exacerbate diseases when taken with Somatrem and Somatrem may cause a moderate interaction that could exacerbate diseases when taken with Esterified estrogens and Esterified estrogens may cause a moderate interaction that could exacerbate diseases when taken with Empagliflozin Pretomanid may cause a moderate interaction that could exacerbate diseases when taken with Clofarabine and Clofarabine may cause a minor interaction that can limit clinical effects when taken with Enoxacin and Enoxacin may cause a moderate interaction that could exacerbate diseases when taken with Empagliflozin Pretomanid may lead to a major life threatening interaction when taken with Dexamethasone and Dexamethasone (Compound) resembles Amcinonide (Compound) and Amcinonide may cause a minor interaction that can limit clinical effects when taken with Empagliflozin Pretomanid may lead to a major life threatening interaction when taken with Lorlatinib and Lorlatinib may cause a moderate interaction that could exacerbate diseases when taken with Esterified estrogens and Esterified estrogens may cause a moderate interaction that could exacerbate diseases when taken with Empagliflozin
DB00365
DB00620
839
175
[ "DDInter842", "DDInter1855" ]
Grepafloxacin
Triamcinolone
Grepafloxacin is an oral broad-spectrum quinoline antibacterial agent used to treat bacterial infections. Due to the QTc-prolonging potential, as indicated by the changes in the QT interval on the electrocardiogram, and the risk for cardiovascular adverse events, grepafloxacin was withdrawn in the United States.
Triamcinolone is a corticosteroid used to treat various inflammatory conditions in the body from allergic rhinitis to acute exacerbations of multiple sclerosis. Triamcinolone can be used as a one time adjunct treatment of osteoarthritic knee pain, or first line as a topical treatment of corticosteroid responsive dermatoses. Triamcinolone is more commonly seen in the forms triamcinolone hexacetonide, triamcinolone acetonide, and triamcinolone diacetate.[L8246,L8249,L8252,L8255,L8258,L8261,L8264] Triamcinolone was granted FDA approval on 3 December 1957. In October 2021, a suspension of triamcinolone acetonide was approved for suprachoroidal injection - the first suprachoroidal injection to receive FDA approval - for the treatment of patients with macular edema associated with uveitis.
Major
2
[ [ [ 839, 25, 175 ] ], [ [ 839, 25, 1573 ], [ 1573, 1, 175 ] ], [ [ 839, 24, 617 ], [ 617, 40, 175 ] ], [ [ 839, 24, 455 ], [ 455, 62, 175 ] ], [ [ 839, 25, 1148 ], [ 1148, 62, 175 ] ], [ [ 839, 24, 1017 ], [ 1017, 63, 175 ] ], [ [ 839, 25, 1296 ], [ 1296, 63, 175 ] ], [ [ 839, 63, 1645 ], [ 1645, 24, 175 ] ], [ [ 839, 64, 600 ], [ 600, 24, 175 ] ], [ [ 839, 24, 1419 ], [ 1419, 24, 175 ] ] ]
[ [ [ "Grepafloxacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Triamcinolone" ] ], [ [ "Grepafloxacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Prednisone" ], [ "Prednisone", "{u} (Compound) resembles {v} (Compound)", "Triamcinolone" ] ], [ [ "Grepafloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Budesonide" ], [ "Budesonide", "{u} (Compound) resembles {v} (Compound)", "Triamcinolone" ] ], [ [ "Grepafloxacin", "{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}", "Triamcinolone" ] ], [ [ "Grepafloxacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Isoprenaline" ], [ "Isoprenaline", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Triamcinolone" ] ], [ [ "Grepafloxacin", "{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}", "Triamcinolone" ] ], [ [ "Grepafloxacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Insulin degludec" ], [ "Insulin degludec", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triamcinolone" ] ], [ [ "Grepafloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metformin" ], [ "Metformin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triamcinolone" ] ], [ [ "Grepafloxacin", "{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}", "Triamcinolone" ] ], [ [ "Grepafloxacin", "{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}", "Triamcinolone" ] ] ]
Grepafloxacin may lead to a major life threatening interaction when taken with Prednisone and Prednisone (Compound) resembles Triamcinolone (Compound) Grepafloxacin may cause a moderate interaction that could exacerbate diseases when taken with Budesonide and Budesonide (Compound) resembles Triamcinolone (Compound) Grepafloxacin 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 Triamcinolone Grepafloxacin may lead to a major life threatening interaction when taken with Isoprenaline and Isoprenaline may cause a minor interaction that can limit clinical effects when taken with Triamcinolone Grepafloxacin 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 Triamcinolone Grepafloxacin may lead to a major life threatening interaction when taken with Insulin degludec and Insulin degludec may cause a moderate interaction that could exacerbate diseases when taken with Triamcinolone Grepafloxacin may cause a moderate interaction that could exacerbate diseases when taken with Metformin and Metformin may cause a moderate interaction that could exacerbate diseases when taken with Triamcinolone Grepafloxacin 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 Triamcinolone Grepafloxacin 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 Triamcinolone
DB01259
DB12500
392
283
[ "DDInter1024", "DDInter714" ]
Lapatinib
Fedratinib
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.
Fedratinib, also known as SAR302503 and TG101348, is a tyrosine kinase inhibitor used to treat intermediate-2 and high risk primary and secondary myelofibrosis.[A183176,L8090] It is an anilinopyrimidine derivative. Fedratinib was granted FDA approval on August 16, 2019.
Moderate
1
[ [ [ 392, 24, 283 ] ], [ [ 392, 23, 271 ], [ 271, 23, 283 ] ], [ [ 392, 24, 466 ], [ 466, 62, 283 ] ], [ [ 392, 25, 351 ], [ 351, 23, 283 ] ], [ [ 392, 63, 122 ], [ 122, 23, 283 ] ], [ [ 392, 24, 805 ], [ 805, 23, 283 ] ], [ [ 392, 25, 1339 ], [ 1339, 62, 283 ] ], [ [ 392, 62, 479 ], [ 479, 23, 283 ] ], [ [ 392, 24, 69 ], [ 69, 63, 283 ] ], [ [ 392, 24, 327 ], [ 327, 24, 283 ] ] ]
[ [ [ "Lapatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ] ], [ [ "Lapatinib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Mirabegron" ], [ "Mirabegron", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Fedratinib" ] ], [ [ "Lapatinib", "{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}", "Fedratinib" ] ], [ [ "Lapatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Ribociclib" ], [ "Ribociclib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Fedratinib" ] ], [ [ "Lapatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Verapamil" ], [ "Verapamil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Fedratinib" ] ], [ [ "Lapatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dalfopristin" ], [ "Dalfopristin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Fedratinib" ] ], [ [ "Lapatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Berotralstat" ], [ "Berotralstat", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Fedratinib" ] ], [ [ "Lapatinib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Donepezil" ], [ "Donepezil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Fedratinib" ] ], [ [ "Lapatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pralsetinib" ], [ "Pralsetinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ] ], [ [ "Lapatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abametapir" ], [ "Abametapir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ] ] ]
Lapatinib may cause a minor interaction that can limit clinical effects when taken with Mirabegron and Mirabegron may cause a minor interaction that can limit clinical effects when taken with Fedratinib Lapatinib 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 Fedratinib Lapatinib may lead to a major life threatening interaction when taken with Ribociclib and Ribociclib may cause a minor interaction that can limit clinical effects when taken with Fedratinib Lapatinib may cause a moderate interaction that could exacerbate diseases when taken with Verapamil and Verapamil may cause a minor interaction that can limit clinical effects when taken with Fedratinib Lapatinib may cause a moderate interaction that could exacerbate diseases when taken with Dalfopristin and Dalfopristin may cause a minor interaction that can limit clinical effects when taken with Fedratinib Lapatinib may lead to a major life threatening interaction when taken with Berotralstat and Berotralstat may cause a minor interaction that can limit clinical effects when taken with Fedratinib Lapatinib may cause a minor interaction that can limit clinical effects when taken with Donepezil and Donepezil may cause a minor interaction that can limit clinical effects when taken with Fedratinib Lapatinib may cause a moderate interaction that could exacerbate diseases when taken with Pralsetinib and Pralsetinib may cause a moderate interaction that could exacerbate diseases when taken with Fedratinib Lapatinib may cause a moderate interaction that could exacerbate diseases when taken with Abametapir and Abametapir may cause a moderate interaction that could exacerbate diseases when taken with Fedratinib
DB00773
DB06372
896
259
[ "DDInter702", "DDInter1594" ]
Etoposide
Rilonacept
A semisynthetic derivative of podophyllotoxin that exhibits antitumor activity. Etoposide inhibits DNA synthesis by forming a complex with topoisomerase II and DNA. This complex induces breaks in double stranded DNA and prevents repair by topoisomerase II binding. Accumulated breaks in DNA prevent entry into the mitotic phase of cell division, and lead to cell death. Etoposide acts primarily in the G2 and S phases of the cell cycle.
Rilonacept is a dimeric fusion protein consisting of portions of IL-1R and the IL-1R accessory protein linked to the Fc portion of immunoglobulin G1. Rilonacept functions as an interleukin 1 inhibitor and is used in the treatment of CAPS, also known as cryopyrin-associated periodic syndromes, including familial cold auto-inflammatory syndrome (FCAS) and Muckle-Wells Syndrome (MWS), in adults and children greater than 12 years old.
Moderate
1
[ [ [ 896, 24, 259 ] ], [ [ 896, 63, 1461 ], [ 1461, 23, 259 ] ], [ [ 896, 24, 0 ], [ 0, 24, 259 ] ], [ [ 896, 24, 1619 ], [ 1619, 63, 259 ] ], [ [ 896, 63, 482 ], [ 482, 24, 259 ] ], [ [ 896, 62, 147 ], [ 147, 24, 259 ] ], [ [ 896, 25, 770 ], [ 770, 24, 259 ] ], [ [ 896, 74, 63 ], [ 63, 24, 259 ] ], [ [ 896, 25, 1011 ], [ 1011, 64, 259 ] ], [ [ 896, 25, 1377 ], [ 1377, 25, 259 ] ] ]
[ [ [ "Etoposide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rilonacept" ] ], [ [ "Etoposide", "{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}", "Rilonacept" ] ], [ [ "Etoposide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dactinomycin" ], [ "Dactinomycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rilonacept" ] ], [ [ "Etoposide", "{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}", "Rilonacept" ] ], [ [ "Etoposide", "{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}", "Rilonacept" ] ], [ [ "Etoposide", "{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}", "Rilonacept" ] ], [ [ "Etoposide", "{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}", "Rilonacept" ] ], [ [ "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 moderate interaction that could exacerbate diseases when taken with {v}", "Rilonacept" ] ], [ [ "Etoposide", "{u} may lead to a major life threatening interaction when taken with {v}", "Fingolimod" ], [ "Fingolimod", "{u} may lead to a major life threatening interaction when taken with {v}", "Rilonacept" ] ], [ [ "Etoposide", "{u} may lead to a major life threatening interaction when taken with {v}", "Leflunomide" ], [ "Leflunomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Rilonacept" ] ] ]
Etoposide 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 Rilonacept Etoposide may cause a moderate interaction that could exacerbate diseases when taken with Dactinomycin and Dactinomycin may cause a moderate interaction that could exacerbate diseases when taken with Rilonacept Etoposide 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 Rilonacept Etoposide 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 Rilonacept Etoposide 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 Rilonacept Etoposide 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 Rilonacept 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 moderate interaction that could exacerbate diseases when taken with Rilonacept Etoposide may lead to a major life threatening interaction when taken with Fingolimod and Fingolimod may lead to a major life threatening interaction when taken with Rilonacept Etoposide may lead to a major life threatening interaction when taken with Leflunomide and Leflunomide may lead to a major life threatening interaction when taken with Rilonacept
DB08889
DB08895
350
976
[ "DDInter299", "DDInter1825" ]
Carfilzomib
Tofacitinib
Carfilzomib is an injectable antineoplastic agent (IV only). Chemically, it is a modified tetrapeptidyl epoxide and an analog of epoxomicin. It is also a selective proteasome inhibitor. FDA approved carfilzomib in July 2012 for the treatment of adults with relapsed or refractory multiple myeloma as monotherapy or combination therapy.
Tofacitinib is an inhibitor of Janus kinases, a group of intracellular enzymes involved in signalling pathways that affect hematopoiesis and immune cell function. It is approved by the FDA for treatment of moderate to severe rheumatoid arthritis that responds inadequately to methotrexate or in those who are intolerant to methotrexate. Besides rheumatoid arthritis, tofacitinib has also been studied in clinical trials for the prevention of organ transplant rejection, and is currently under investigation for the treatment of psoriasis. Known adverse effects include nausea and headache as well as more serious immunologic and hematological adverse effects. Tofacitinib is marketed under the brand name Xeljanz by Pfizer.
Major
2
[ [ [ 350, 25, 976 ] ], [ [ 350, 63, 1461 ], [ 1461, 23, 976 ] ], [ [ 350, 24, 200 ], [ 200, 63, 976 ] ], [ [ 350, 63, 1252 ], [ 1252, 24, 976 ] ], [ [ 350, 64, 1011 ], [ 1011, 25, 976 ] ], [ [ 350, 63, 1555 ], [ 1555, 25, 976 ] ], [ [ 350, 24, 270 ], [ 270, 64, 976 ] ], [ [ 350, 25, 334 ], [ 334, 64, 976 ] ], [ [ 350, 63, 1461 ], [ 1461, 24, 1479 ], [ 1479, 24, 976 ] ], [ [ 350, 24, 200 ], [ 200, 24, 1316 ], [ 1316, 64, 976 ] ] ]
[ [ [ "Carfilzomib", "{u} may lead to a major life threatening interaction when taken with {v}", "Tofacitinib" ] ], [ [ "Carfilzomib", "{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}", "Tofacitinib" ] ], [ [ "Carfilzomib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ], [ "Candida albicans", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tofacitinib" ] ], [ [ "Carfilzomib", "{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}", "Tofacitinib" ] ], [ [ "Carfilzomib", "{u} may lead to a major life threatening interaction when taken with {v}", "Fingolimod" ], [ "Fingolimod", "{u} may lead to a major life threatening interaction when taken with {v}", "Tofacitinib" ] ], [ [ "Carfilzomib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxaliplatin" ], [ "Oxaliplatin", "{u} may lead to a major life threatening interaction when taken with {v}", "Tofacitinib" ] ], [ [ "Carfilzomib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ocrelizumab" ], [ "Ocrelizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Tofacitinib" ] ], [ [ "Carfilzomib", "{u} may lead to a major life threatening interaction when taken with {v}", "Mumps virus strain B level jeryl lynn live antigen" ], [ "Mumps virus strain B level jeryl lynn live antigen", "{u} may lead to a major life threatening interaction when taken with {v}", "Tofacitinib" ] ], [ [ "Carfilzomib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vitamin E" ], [ "Vitamin E", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acetylsalicylic acid" ], [ "Acetylsalicylic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tofacitinib" ] ], [ [ "Carfilzomib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ], [ "Candida albicans", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Durvalumab" ], [ "Durvalumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Tofacitinib" ] ] ]
Carfilzomib 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 Tofacitinib Carfilzomib may cause a moderate interaction that could exacerbate diseases when taken with Candida albicans and Candida albicans may cause a moderate interaction that could exacerbate diseases when taken with Tofacitinib Carfilzomib 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 Tofacitinib Carfilzomib may lead to a major life threatening interaction when taken with Fingolimod and Fingolimod may lead to a major life threatening interaction when taken with Tofacitinib Carfilzomib may cause a moderate interaction that could exacerbate diseases when taken with Oxaliplatin and Oxaliplatin may lead to a major life threatening interaction when taken with Tofacitinib Carfilzomib may cause a moderate interaction that could exacerbate diseases when taken with Ocrelizumab and Ocrelizumab may lead to a major life threatening interaction when taken with Tofacitinib Carfilzomib may lead to a major life threatening interaction when taken with Mumps virus strain B level jeryl lynn live antigen and Mumps virus strain B level jeryl lynn live antigen may lead to a major life threatening interaction when taken with Tofacitinib Carfilzomib may cause a moderate interaction that could exacerbate diseases when taken with Vitamin E and Vitamin E may cause a moderate interaction that could exacerbate diseases when taken with Acetylsalicylic acid and Acetylsalicylic acid may cause a moderate interaction that could exacerbate diseases when taken with Tofacitinib Carfilzomib may cause a moderate interaction that could exacerbate diseases when taken with Candida albicans and Candida albicans may cause a moderate interaction that could exacerbate diseases when taken with Durvalumab and Durvalumab may lead to a major life threatening interaction when taken with Tofacitinib
DB00348
DB09098
254
98
[ "DDInter1300", "DDInter1700" ]
Nitisinone
Somatrem
Nitisinone is a synthetic reversible inhibitor of 4-hydroxyphenylpyruvate dioxygenase. It is used in the treatment of hereditary tyrosinemia type 1. It is sold under the brand name Orfadin.
Despite the ability of almost all contemporary recombinant growth hormones to cause definite and demonstrable increases in growth rate in patients who are administered the drug, the use of these agents continues to be mired in persistent bioethical debate . Such discussion revolves around whether patients' natural disposition of short stature should be considered a medical condition justifying medical treatment with such hormone therapy - especially when these hormone agents have been proven effective at increasing the height of children with or without growth hormone deficiency .
Moderate
1
[ [ [ 254, 24, 98 ] ], [ [ 254, 24, 671 ], [ 671, 24, 98 ] ], [ [ 254, 24, 159 ], [ 159, 63, 98 ] ], [ [ 254, 63, 576 ], [ 576, 24, 98 ] ], [ [ 254, 23, 307 ], [ 307, 24, 98 ] ], [ [ 254, 63, 1101 ], [ 1101, 25, 98 ] ], [ [ 254, 24, 671 ], [ 671, 63, 168 ], [ 168, 23, 98 ] ], [ [ 254, 24, 336 ], [ 336, 24, 159 ], [ 159, 63, 98 ] ], [ [ 254, 24, 1671 ], [ 1671, 62, 168 ], [ 168, 23, 98 ] ], [ [ 254, 24, 1573 ], [ 1573, 24, 336 ], [ 336, 24, 98 ] ] ]
[ [ [ "Nitisinone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somatrem" ] ], [ [ "Nitisinone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fluvastatin" ], [ "Fluvastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somatrem" ] ], [ [ "Nitisinone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Larotrectinib" ], [ "Larotrectinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somatrem" ] ], [ [ "Nitisinone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methadone" ], [ "Methadone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somatrem" ] ], [ [ "Nitisinone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Modafinil" ], [ "Modafinil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somatrem" ] ], [ [ "Nitisinone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may lead to a major life threatening interaction when taken with {v}", "Somatrem" ] ], [ [ "Nitisinone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fluvastatin" ], [ "Fluvastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bortezomib" ], [ "Bortezomib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Somatrem" ] ], [ [ "Nitisinone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nifedipine" ], [ "Nifedipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Larotrectinib" ], [ "Larotrectinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somatrem" ] ], [ [ "Nitisinone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Flibanserin" ], [ "Flibanserin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Bortezomib" ], [ "Bortezomib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Somatrem" ] ], [ [ "Nitisinone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Prednisone" ], [ "Prednisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nifedipine" ], [ "Nifedipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somatrem" ] ] ]
Nitisinone may cause a moderate interaction that could exacerbate diseases when taken with Fluvastatin and Fluvastatin may cause a moderate interaction that could exacerbate diseases when taken with Somatrem Nitisinone may cause a moderate interaction that could exacerbate diseases when taken with Larotrectinib and Larotrectinib may cause a moderate interaction that could exacerbate diseases when taken with Somatrem Nitisinone may cause a moderate interaction that could exacerbate diseases when taken with Methadone and Methadone may cause a moderate interaction that could exacerbate diseases when taken with Somatrem Nitisinone may cause a minor interaction that can limit clinical effects when taken with Modafinil and Modafinil may cause a moderate interaction that could exacerbate diseases when taken with Somatrem Nitisinone may cause a moderate interaction that could exacerbate diseases when taken with Bexarotene and Bexarotene may lead to a major life threatening interaction when taken with Somatrem Nitisinone may cause a moderate interaction that could exacerbate diseases when taken with Fluvastatin and Fluvastatin may cause a moderate interaction that could exacerbate diseases when taken with Bortezomib and Bortezomib may cause a minor interaction that can limit clinical effects when taken with Somatrem Nitisinone may cause a moderate interaction that could exacerbate diseases when taken with Nifedipine and Nifedipine may cause a moderate interaction that could exacerbate diseases when taken with Larotrectinib and Larotrectinib may cause a moderate interaction that could exacerbate diseases when taken with Somatrem Nitisinone may cause a moderate interaction that could exacerbate diseases when taken with Flibanserin and Flibanserin may cause a minor interaction that can limit clinical effects when taken with Bortezomib and Bortezomib may cause a minor interaction that can limit clinical effects when taken with Somatrem Nitisinone may cause a moderate interaction that could exacerbate diseases when taken with Prednisone and Prednisone may cause a moderate interaction that could exacerbate diseases when taken with Nifedipine and Nifedipine may cause a moderate interaction that could exacerbate diseases when taken with Somatrem
DB00350
DB09128
1,214
1,241
[ "DDInter1226", "DDInter231" ]
Minoxidil
Brexpiprazole
A potent direct-acting peripheral vasodilator (vasodilator agents) that reduces peripheral resistance and produces a fall in blood pressure.
Brexpiprazole is an atypical antipsychotic and a novel D2 dopamine and serotonin 1A partial agonist called serotonin-dopamine activity modulator (SDAM). It has a high affinity for serotonin, dopamine and alpha (α)-adrenergic receptors. Although it is structurally similar to [aripiprazole], brexpiprazole has different binding affinities for dopamine and serotonin receptors. Compared to aripiprazole, brexpiprazole has less potential for partial agonist-mediated adverse effects such as extrapyramidal symptoms, which is attributed to lower intrinsic activity at the D2 receptor. It also displays stronger antagonism at the 5-HT1A and 5-HT2A receptors.[A182186, A38385, A259661] Brexpiprazole was first approved by the FDA on July 10, 2015. Currently approved for the treatment of depression, schizophrenia, and agitation associated with dementia due to Alzheimer’s disease, brexpiprazole has also been investigated in other psychiatric disorders, such as post-traumatic stress disorder.
Moderate
1
[ [ [ 1214, 24, 1241 ] ], [ [ 1214, 24, 549 ], [ 549, 24, 1241 ] ], [ [ 1214, 24, 407 ], [ 407, 63, 1241 ] ], [ [ 1214, 24, 593 ], [ 593, 25, 1241 ] ], [ [ 1214, 63, 475 ], [ 475, 25, 1241 ] ], [ [ 1214, 24, 549 ], [ 549, 24, 1296 ], [ 1296, 63, 1241 ] ], [ [ 1214, 24, 407 ], [ 407, 63, 543 ], [ 543, 24, 1241 ] ], [ [ 1214, 24, 1264 ], [ 1264, 24, 129 ], [ 129, 24, 1241 ] ], [ [ 1214, 24, 1344 ], [ 1344, 40, 549 ], [ 549, 24, 1241 ] ], [ [ 1214, 24, 433 ], [ 433, 63, 1296 ], [ 1296, 63, 1241 ] ] ]
[ [ [ "Minoxidil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brexpiprazole" ] ], [ [ "Minoxidil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dapagliflozin" ], [ "Dapagliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brexpiprazole" ] ], [ [ "Minoxidil", "{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}", "Brexpiprazole" ] ], [ [ "Minoxidil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bupropion" ], [ "Bupropion", "{u} may lead to a major life threatening interaction when taken with {v}", "Brexpiprazole" ] ], [ [ "Minoxidil", "{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}", "Brexpiprazole" ] ], [ [ "Minoxidil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dapagliflozin" ], [ "Dapagliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin degludec" ], [ "Insulin degludec", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brexpiprazole" ] ], [ [ "Minoxidil", "{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}", "Loperamide" ], [ "Loperamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brexpiprazole" ] ], [ [ "Minoxidil", "{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}", "Enzalutamide" ], [ "Enzalutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brexpiprazole" ] ], [ [ "Minoxidil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Canagliflozin" ], [ "Canagliflozin", "{u} (Compound) resembles {v} (Compound)", "Dapagliflozin" ], [ "Dapagliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brexpiprazole" ] ], [ [ "Minoxidil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ertugliflozin" ], [ "Ertugliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin degludec" ], [ "Insulin degludec", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brexpiprazole" ] ] ]
Minoxidil may cause a moderate interaction that could exacerbate diseases when taken with Dapagliflozin and Dapagliflozin may cause a moderate interaction that could exacerbate diseases when taken with Brexpiprazole Minoxidil 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 Brexpiprazole Minoxidil may cause a moderate interaction that could exacerbate diseases when taken with Bupropion and Bupropion may lead to a major life threatening interaction when taken with Brexpiprazole Minoxidil 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 Brexpiprazole Minoxidil may cause a moderate interaction that could exacerbate diseases when taken with Dapagliflozin and Dapagliflozin may cause a moderate interaction that could exacerbate diseases when taken with Insulin degludec and Insulin degludec may cause a moderate interaction that could exacerbate diseases when taken with Brexpiprazole Minoxidil 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 Loperamide and Loperamide may cause a moderate interaction that could exacerbate diseases when taken with Brexpiprazole Minoxidil 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 Enzalutamide and Enzalutamide may cause a moderate interaction that could exacerbate diseases when taken with Brexpiprazole Minoxidil may cause a moderate interaction that could exacerbate diseases when taken with Canagliflozin and Canagliflozin (Compound) resembles Dapagliflozin (Compound) and Dapagliflozin may cause a moderate interaction that could exacerbate diseases when taken with Brexpiprazole Minoxidil may cause a moderate interaction that could exacerbate diseases when taken with Ertugliflozin and Ertugliflozin may cause a moderate interaction that could exacerbate diseases when taken with Insulin degludec and Insulin degludec may cause a moderate interaction that could exacerbate diseases when taken with Brexpiprazole
DB00726
DB11130
1,164
407
[ "DDInter1876", "DDInter1344" ]
Trimipramine
Opium
Tricyclic antidepressant similar to imipramine, but with more antihistaminic and sedative properties.
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
[ [ [ 1164, 24, 407 ] ], [ [ 1164, 24, 662 ], [ 662, 24, 407 ] ], [ [ 1164, 35, 104 ], [ 104, 24, 407 ] ], [ [ 1164, 1, 576 ], [ 576, 24, 407 ] ], [ [ 1164, 63, 1214 ], [ 1214, 24, 407 ] ], [ [ 1164, 25, 222 ], [ 222, 24, 407 ] ], [ [ 1164, 24, 1609 ], [ 1609, 63, 407 ] ], [ [ 1164, 25, 1053 ], [ 1053, 25, 407 ] ], [ [ 1164, 1, 675 ], [ 675, 25, 407 ] ], [ [ 1164, 24, 662 ], [ 662, 63, 558 ], [ 558, 24, 407 ] ] ]
[ [ [ "Trimipramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ] ], [ [ "Trimipramine", "{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" ] ], [ [ "Trimipramine", "{u} (Compound) resembles {v} (Compound) and {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}", "Opium" ] ], [ [ "Trimipramine", "{u} (Compound) resembles {v} (Compound)", "Methadone" ], [ "Methadone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ] ], [ [ "Trimipramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Minoxidil" ], [ "Minoxidil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ] ], [ [ "Trimipramine", "{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}", "Opium" ] ], [ [ "Trimipramine", "{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" ] ], [ [ "Trimipramine", "{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" ] ], [ [ "Trimipramine", "{u} (Compound) resembles {v} (Compound)", "Dextropropoxyphene" ], [ "Dextropropoxyphene", "{u} may lead to a major life threatening interaction when taken with {v}", "Opium" ] ], [ [ "Trimipramine", "{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" ] ] ]
Trimipramine 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 Trimipramine (Compound) resembles Methdilazine (Compound) and Trimipramine 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 Opium Trimipramine (Compound) resembles Methadone (Compound) and Methadone may cause a moderate interaction that could exacerbate diseases when taken with Opium Trimipramine may cause a moderate interaction that could exacerbate diseases when taken with Minoxidil and Minoxidil may cause a moderate interaction that could exacerbate diseases when taken with Opium Trimipramine 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 Opium Trimipramine 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 Trimipramine 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 Trimipramine (Compound) resembles Dextropropoxyphene (Compound) and Dextropropoxyphene may lead to a major life threatening interaction when taken with Opium Trimipramine 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
DB01591
DB11978
667
124
[ "DDInter1696", "DDInter822" ]
Solifenacin
Glasdegib
Solifenacin is a competitive muscarinic receptor antagonist indicated to treat an overactive bladder with urinary incontinence, urgency, and frequency. It has a long duration of action as it is usually taken once daily. Solifenacin was granted FDA approval on 19 November 2004.
Glasdegib, also known as PF-04449913, is a small-molecule hedgehog signaling inhibitor selected under the group of benzimidazoles. In early research, benzimidazoles attracted large interest as they represented a class of inhibitors with low molecular weight, potent inhibitory activity, and lacking unstable functionality. The great lipophilicity of this group of compounds brought interest to further modification. This analysis concluded that the presence of p-cyano ureas presented good physicochemical and pharmacokinetic properties from which glasdegib was developed. Glasdegib was developed by Pfizer Inc and approved on November 21, 2018 by the FDA for the treatment of Acute Myeloid Leukemia (AML). Glasdegib targets cancerous cells by inhibiting the sonic hedgehog receptor smoothened (SMO), a transmembrane protein involved in the Hedgehog (Hh) signaling cascade. Aberrant of Hh signaling is one of the main pathophysiologies of AML, with observed overexpression or constitutive activation of SMO.[A258498,A258503] Although the efficacy of glasdegib monotherapy is limited, the landmark Phase 2 Bright AML 1003 trial showed a superior overall survival and complete response when glasdegib is combined with low dose cytarabine. Currently, the current gold standard of AML in older patients is still venetoclax with hypomethylation agents, new clinical combinations of glasdegib are being tested in hope of replacing venetoclax due to glasdegib's more favorable side effects profile.
Moderate
1
[ [ [ 667, 24, 124 ] ], [ [ 667, 62, 112 ], [ 112, 23, 124 ] ], [ [ 667, 63, 475 ], [ 475, 24, 124 ] ], [ [ 667, 24, 98 ], [ 98, 24, 124 ] ], [ [ 667, 24, 159 ], [ 159, 63, 124 ] ], [ [ 667, 64, 702 ], [ 702, 25, 124 ] ], [ [ 667, 25, 982 ], [ 982, 64, 124 ] ], [ [ 667, 25, 1154 ], [ 1154, 25, 124 ] ], [ [ 667, 24, 1040 ], [ 1040, 25, 124 ] ], [ [ 667, 63, 1220 ], [ 1220, 25, 124 ] ] ]
[ [ [ "Solifenacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glasdegib" ] ], [ [ "Solifenacin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Glasdegib" ] ], [ [ "Solifenacin", "{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}", "Glasdegib" ] ], [ [ "Solifenacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somatrem" ], [ "Somatrem", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glasdegib" ] ], [ [ "Solifenacin", "{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}", "Glasdegib" ] ], [ [ "Solifenacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Anagrelide" ], [ "Anagrelide", "{u} may lead to a major life threatening interaction when taken with {v}", "Glasdegib" ] ], [ [ "Solifenacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivosidenib" ], [ "Ivosidenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Glasdegib" ] ], [ [ "Solifenacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Pasireotide" ], [ "Pasireotide", "{u} may lead to a major life threatening interaction when taken with {v}", "Glasdegib" ] ], [ [ "Solifenacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dabrafenib" ], [ "Dabrafenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Glasdegib" ] ], [ [ "Solifenacin", "{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}", "Glasdegib" ] ] ]
Solifenacin may cause a minor interaction that can limit clinical effects when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Glasdegib Solifenacin 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 Glasdegib Solifenacin may cause a moderate interaction that could exacerbate diseases when taken with Somatrem and Somatrem may cause a moderate interaction that could exacerbate diseases when taken with Glasdegib Solifenacin 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 Glasdegib Solifenacin may lead to a major life threatening interaction when taken with Anagrelide and Anagrelide may lead to a major life threatening interaction when taken with Glasdegib Solifenacin may lead to a major life threatening interaction when taken with Ivosidenib and Ivosidenib may lead to a major life threatening interaction when taken with Glasdegib Solifenacin may lead to a major life threatening interaction when taken with Pasireotide and Pasireotide may lead to a major life threatening interaction when taken with Glasdegib Solifenacin may cause a moderate interaction that could exacerbate diseases when taken with Dabrafenib and Dabrafenib may lead to a major life threatening interaction when taken with Glasdegib Solifenacin 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 Glasdegib
DB00316
DB00501
474
752
[ "DDInter14", "DDInter380" ]
Acetaminophen
Cimetidine
Acetaminophen (paracetamol), also commonly known as _Tylenol_, is the most commonly taken analgesic worldwide and is recommended as first-line therapy in pain conditions by the World Health Organization (WHO). It is also used for its antipyretic effects, helping to reduce fever. This drug was initially approved by the U.S. FDA in 1951 and is available in a variety of forms including syrup form, regular tablets, effervescent tablets, injection, suppository, and other forms.[L5756,L5774,F4124,Label] Acetaminophen is often found combined with other drugs in more than 600 over the counter (OTC) allergy medications, cold medications, sleep medications, pain relievers, and other products. Confusion about dosing of this drug may be caused by the availability of different formulas, strengths, and dosage instructions for children of different ages. Due to the possibility of fatal overdose and liver
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.
Minor
0
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[ [ [ "Acetaminophen", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cimetidine" ] ], [ [ "Acetaminophen", "{u} (Compound) binds {v} (Gene)", "ABCB1" ], [ "ABCB1", "{u} (Gene) is bound by {v} (Compound)", "Cimetidine" ] ], [ [ "Acetaminophen", "{u} (Compound) causes {v} (Side Effect)", "Neutropenia" ], [ "Neutropenia", "{u} (Side Effect) is caused by {v} (Compound)", "Cimetidine" ] ], [ [ "Acetaminophen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Warfarin" ], [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cimetidine" ] ], [ [ "Acetaminophen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Anagrelide" ], [ "Anagrelide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cimetidine" ] ], [ [ "Acetaminophen", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ], [ "Teriflunomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cimetidine" ] ], [ [ "Acetaminophen", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Trospium" ], [ "Trospium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cimetidine" ] ], [ [ "Acetaminophen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Epirubicin" ], [ "Epirubicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Cimetidine" ] ], [ [ "Acetaminophen", "{u} (Compound) binds {v} (Gene)", "ABCB1" ], [ "ABCB1", "{u} (Gene) regulates {v} (Gene)", "COTL1" ], [ "COTL1", "{u} (Gene) is downregulated by {v} (Compound)", "Cimetidine" ] ], [ [ "Acetaminophen", "{u} (Compound) binds {v} (Gene)", "CYP1A2" ], [ "CYP1A2", "{u} (Gene) is bound by {v} (Compound)", "Albendazole" ], [ "Albendazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cimetidine" ] ] ]
Acetaminophen (Compound) binds ABCB1 (Gene) and ABCB1 (Gene) is bound by Cimetidine (Compound) Acetaminophen (Compound) causes Neutropenia (Side Effect) and Neutropenia (Side Effect) is caused by Cimetidine (Compound) Acetaminophen may cause a moderate interaction that could exacerbate diseases when taken with Warfarin and Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Cimetidine Acetaminophen may cause a moderate interaction that could exacerbate diseases when taken with Anagrelide and Anagrelide may cause a moderate interaction that could exacerbate diseases when taken with Cimetidine Acetaminophen may lead to a major life threatening interaction when taken with Teriflunomide and Teriflunomide may cause a moderate interaction that could exacerbate diseases when taken with Cimetidine Acetaminophen may cause a minor interaction that can limit clinical effects when taken with Trospium and Trospium may cause a moderate interaction that could exacerbate diseases when taken with Cimetidine Acetaminophen may cause a moderate interaction that could exacerbate diseases when taken with Epirubicin and Epirubicin may lead to a major life threatening interaction when taken with Cimetidine Acetaminophen (Compound) binds ABCB1 (Gene) and ABCB1 (Gene) regulates COTL1 (Gene) and COTL1 (Gene) is downregulated by Cimetidine (Compound) Acetaminophen (Compound) binds CYP1A2 (Gene) and CYP1A2 (Gene) is bound by Albendazole (Compound) and Albendazole may cause a minor interaction that can limit clinical effects when taken with Cimetidine
DB00072
DB10343
550
962
[ "DDInter1846", "DDInter160" ]
Trastuzumab
Bacillus calmette-guerin substrain tice live antigen
Produced in CHO cell cultures, trastuzumab is a recombinant IgG1 kappa, humanized monoclonal antibody that selectively binds with high affinity in a cell-based assay (Kd = 5 nM) to the extracellular domain of the human epidermal growth factor receptor protein (HER2). It is used as a treatment of human epidermal growth factor receptor (HER)-2+ metastatic breast cancer, where there is a proven amplification of the HER-2 oncogene or over-expression of the HER-2 protein in tumours. It is suggested that the overexpression or gene amplification of HER2 has been found in about 20–30% of breast cancers and elevated activation of HER2 triggers multiple downstream pathways leading to abnormal proliferation of cancer cells. Trastuzumab binds to HER2 and suppresses cancer cell growth, proliferation, and survival directly and indirectly. In December 2017, FDA approved OGIVRI (
Bacillus calmette-guerin substrain tice live antigen is a vaccine containing attenuated live culture preparation of the Bacillus of Calmette and Guerin (BCG) strain of *Mycobacterium bovis* for percutaneous use. It is administered to prevent the development of tuberculosis.
Major
2
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[ [ [ "Trastuzumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Bacillus calmette-guerin substrain tice live antigen" ] ], [ [ "Trastuzumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Etanercept" ], [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Bacillus calmette-guerin substrain tice live antigen" ] ], [ [ "Trastuzumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ocrelizumab" ], [ "Ocrelizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Bacillus calmette-guerin substrain tice live antigen" ] ], [ [ "Trastuzumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olaparib" ], [ "Olaparib", "{u} may lead to a major life threatening interaction when taken with {v}", "Bacillus calmette-guerin substrain tice live antigen" ] ], [ [ "Trastuzumab", "{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}", "Bacillus calmette-guerin substrain tice live antigen" ] ], [ [ "Trastuzumab", "{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}", "Bacillus calmette-guerin substrain tice live antigen" ] ], [ [ "Trastuzumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Anakinra" ], [ "Anakinra", "{u} may lead to a major life threatening interaction when taken with {v}", "Bacillus calmette-guerin substrain tice live antigen" ] ], [ [ "Trastuzumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Etanercept" ], [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Budesonide" ], [ "Budesonide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bacillus calmette-guerin substrain tice live antigen" ] ], [ [ "Trastuzumab", "{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}", "Budesonide" ], [ "Budesonide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bacillus calmette-guerin substrain tice live antigen" ] ], [ [ "Trastuzumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olaparib" ], [ "Olaparib", "{u} may lead to a major life threatening interaction when taken with {v}", "Etanercept" ], [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Bacillus calmette-guerin substrain tice live antigen" ] ] ]
Trastuzumab may lead to a major life threatening interaction when taken with Etanercept and Etanercept may lead to a major life threatening interaction when taken with Bacillus calmette-guerin substrain tice live antigen Trastuzumab may cause a moderate interaction that could exacerbate diseases when taken with Ocrelizumab and Ocrelizumab may lead to a major life threatening interaction when taken with Bacillus calmette-guerin substrain tice live antigen Trastuzumab may cause a moderate interaction that could exacerbate diseases when taken with Olaparib and Olaparib may lead to a major life threatening interaction when taken with Bacillus calmette-guerin substrain tice live antigen Trastuzumab 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 Bacillus calmette-guerin substrain tice live antigen Trastuzumab 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 Bacillus calmette-guerin substrain tice live antigen Trastuzumab may cause a moderate interaction that could exacerbate diseases when taken with Anakinra and Anakinra may lead to a major life threatening interaction when taken with Bacillus calmette-guerin substrain tice live antigen Trastuzumab may lead to a major life threatening interaction when taken with Etanercept and Etanercept may lead to a major life threatening interaction when taken with Budesonide and Budesonide may cause a moderate interaction that could exacerbate diseases when taken with Bacillus calmette-guerin substrain tice live antigen Trastuzumab 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 Budesonide and Budesonide may cause a moderate interaction that could exacerbate diseases when taken with Bacillus calmette-guerin substrain tice live antigen Trastuzumab may cause a moderate interaction that could exacerbate diseases when taken with Olaparib and Olaparib may lead to a major life threatening interaction when taken with Etanercept and Etanercept may lead to a major life threatening interaction when taken with Bacillus calmette-guerin substrain tice live antigen
DB00245
DB00427
357
1,233
[ "DDInter181", "DDInter1879" ]
Benzatropine
Triprolidine
Benztropine, with the chemical formula 3alpha-diphenylmethoxytropane, is a tropane-based dopamine inhibitor used for the symptomatic treatment of Parkinson's disease. It is a combination molecule between a tropane ring, similar to cocaine, and a diphenyl ether from the dialkylpiperazines determined to be a dopamine uptake inhibitor since 1970. The generation of structure-activity relationships proved that benztropine derivatives with the presence of a chlorine substituent in the para position in one of the phenyl rings produces an increased potency for dopamine uptake inhibition as well as a decreased inhibition of serotonin and norepinephrine. Benztropine was developed by USL Pharma and officially approved by the FDA on 1996.
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.
Moderate
1
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[ [ [ "Benzatropine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triprolidine" ] ], [ [ "Benzatropine", "{u} (Compound) resembles {v} (Compound)", "Cloperastine" ], [ "Cloperastine", "{u} (Compound) resembles {v} (Compound)", "Triprolidine" ] ], [ [ "Benzatropine", "{u} (Compound) binds {v} (Gene)", "CYP2D6" ], [ "CYP2D6", "{u} (Gene) is bound by {v} (Compound)", "Triprolidine" ] ], [ [ "Benzatropine", "{u} (Compound) resembles {v} (Compound)", "Orphenadrine" ], [ "Orphenadrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triprolidine" ] ], [ [ "Benzatropine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clidinium" ], [ "Clidinium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triprolidine" ] ], [ [ "Benzatropine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glycopyrronium" ], [ "Glycopyrronium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triprolidine" ] ], [ [ "Benzatropine", "{u} (Compound) resembles {v} (Compound)", "Fentanyl" ], [ "Fentanyl", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triprolidine" ] ], [ [ "Benzatropine", "{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}", "Triprolidine" ] ], [ [ "Benzatropine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trospium" ], [ "Trospium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triprolidine" ] ], [ [ "Benzatropine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hyoscyamine" ], [ "Hyoscyamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triprolidine" ] ] ]
Benzatropine (Compound) resembles Cloperastine (Compound) and Cloperastine (Compound) resembles Triprolidine (Compound) Benzatropine (Compound) binds CYP2D6 (Gene) and CYP2D6 (Gene) is bound by Triprolidine (Compound) Benzatropine (Compound) resembles Orphenadrine (Compound) and Orphenadrine may cause a moderate interaction that could exacerbate diseases when taken with Triprolidine Benzatropine (Compound) resembles Clidinium (Compound) and Benzatropine may cause a moderate interaction that could exacerbate diseases when taken with Clidinium and Clidinium may cause a moderate interaction that could exacerbate diseases when taken with Triprolidine Benzatropine may cause a moderate interaction that could exacerbate diseases when taken with Glycopyrronium and Glycopyrronium may cause a moderate interaction that could exacerbate diseases when taken with Triprolidine Benzatropine (Compound) resembles Fentanyl (Compound) and Fentanyl may cause a moderate interaction that could exacerbate diseases when taken with Triprolidine Benzatropine 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 Triprolidine Benzatropine (Compound) resembles Trospium (Compound) and Benzatropine may cause a moderate interaction that could exacerbate diseases when taken with Trospium and Trospium may cause a moderate interaction that could exacerbate diseases when taken with Triprolidine Benzatropine (Compound) resembles Hyoscyamine (Compound) and Benzatropine may cause a moderate interaction that could exacerbate diseases when taken with Hyoscyamine and Hyoscyamine may cause a moderate interaction that could exacerbate diseases when taken with Triprolidine
DB00570
DB01045
147
463
[ "DDInter1936", "DDInter1590" ]
Vinblastine
Rifampicin
Antitumor alkaloid isolated from Vinca rosea. (Merck, 11th ed.)
A semisynthetic antibiotic produced from Streptomyces mediterranei. It has a broad antibacterial spectrum, including activity against several forms of Mycobacterium. In susceptible organisms it inhibits DNA-dependent RNA polymerase activity by forming a stable complex with the enzyme. It thus suppresses the initiation of RNA synthesis. Rifampin is bactericidal, and acts on both intracellular and extracellular organisms. (From Gilman et al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 9th ed, p1160)
Moderate
1
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[ [ [ "Vinblastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rifampicin" ] ], [ [ "Vinblastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rifabutin" ], [ "Rifabutin", "{u} (Compound) resembles {v} (Compound)", "Rifampicin" ] ], [ [ "Vinblastine", "{u} (Compound) binds {v} (Gene)", "ABCC2" ], [ "ABCC2", "{u} (Gene) is bound by {v} (Compound)", "Rifampicin" ] ], [ [ "Vinblastine", "{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}", "Rifampicin" ] ], [ [ "Vinblastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dapsone" ], [ "Dapsone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rifampicin" ] ], [ [ "Vinblastine", "{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}", "Rifampicin" ] ], [ [ "Vinblastine", "{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}", "Rifampicin" ] ], [ [ "Vinblastine", "{u} may lead to a major life threatening interaction when taken with {v}", "Clarithromycin" ], [ "Clarithromycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rifampicin" ] ], [ [ "Vinblastine", "{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}", "Rifampicin" ] ], [ [ "Vinblastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ixazomib" ], [ "Ixazomib", "{u} may lead to a major life threatening interaction when taken with {v}", "Rifampicin" ] ] ]
Vinblastine may cause a moderate interaction that could exacerbate diseases when taken with Rifabutin and Rifabutin (Compound) resembles Rifampicin (Compound) Vinblastine (Compound) binds ABCC2 (Gene) and ABCC2 (Gene) is bound by Rifampicin (Compound) Vinblastine 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 Rifampicin Vinblastine may cause a moderate interaction that could exacerbate diseases when taken with Dapsone and Dapsone may cause a moderate interaction that could exacerbate diseases when taken with Rifampicin Vinblastine 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 Rifampicin Vinblastine 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 Rifampicin Vinblastine may lead to a major life threatening interaction when taken with Clarithromycin and Clarithromycin may cause a moderate interaction that could exacerbate diseases when taken with Rifampicin Vinblastine 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 Rifampicin Vinblastine may cause a moderate interaction that could exacerbate diseases when taken with Ixazomib and Ixazomib may lead to a major life threatening interaction when taken with Rifampicin
DB00321
DB00486
21
1,614
[ "DDInter78", "DDInter1253" ]
Amitriptyline
Nabilone
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.
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 found throughout the body . While both CBD and THC are used for medicinal purposes, they have different receptor activity, function, and physiological effects. If not provided in their activated form (such as through synthetic forms like Nabilone or ), THC and CBD are obtained through conversion from their precursors, tetrahydrocannabinolic acid-A (THCA-A) and cannabidiolic acid (CBDA), through decarboxylation reactions. This can be achieved through heating, smoking, vaporization, or baking of dried unfertilized female cannabis flowers. From a pharmacological perspective, Cannabis' diverse receptor profile explains its potential application for such a wide variety of medical conditions. Cannabis contains more than 400 different chemical compounds, of which 61 are considered cannabinoids, a class of compounds that act upon endogenous cannabinoid receptors of the body . The endocannabinoid system is widely distributed throughout the central and peripheral nervous system (via the Cannabinoid Receptors CB1 and CB2) and plays a role in many physiological processes such as inflammation, cardiovascular function, learning, pain, memory, stress and emotional regulation, and the sleep/wake cycle among many others . CB1 receptors are found in both the central and peripheral nervous system, and are most abundant in the hippocampus and amygdala, which are the areas of the brain responsible for short-term memory storage and emotional regulation. CB2 receptors are mainly located in the peripheral nervous system and can be found on lymphoid tissue where they are involved in regulation of immune function . In Canada, the United States, the United Kingdom and Mexico, nabilone is marketed as Cesamet. It was approved in 1985 by the United States FDA for treatment of chemotherapy-induced nausea and vomiting that has not responded to conventional antiemetics. Though it was approved by the FDA in 1985, the drug only began marketing in the United States in 2006. It is also approved for use in treatment of anorexia and weight loss in patients with AIDS. Nabilone is a racemate consisting of the (S,S) and the (R,R) isomers.
Moderate
1
[ [ [ 21, 24, 1614 ] ], [ [ 21, 24, 530 ], [ 530, 1, 1614 ] ], [ [ 21, 21, 28789 ], [ 28789, 60, 1614 ] ], [ [ 21, 24, 999 ], [ 999, 24, 1614 ] ], [ [ 21, 24, 516 ], [ 516, 63, 1614 ] ], [ [ 21, 35, 830 ], [ 830, 63, 1614 ] ], [ [ 21, 1, 1335 ], [ 1335, 63, 1614 ] ], [ [ 21, 1, 508 ], [ 508, 24, 1614 ] ], [ [ 21, 35, 1594 ], [ 1594, 24, 1614 ] ], [ [ 21, 63, 475 ], [ 475, 24, 1614 ] ] ]
[ [ [ "Amitriptyline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nabilone" ] ], [ [ "Amitriptyline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dronabinol" ], [ "Dronabinol", "{u} (Compound) resembles {v} (Compound)", "Nabilone" ] ], [ [ "Amitriptyline", "{u} (Compound) causes {v} (Side Effect)", "Loss of consciousness" ], [ "Loss of consciousness", "{u} (Side Effect) is caused by {v} (Compound)", "Nabilone" ] ], [ [ "Amitriptyline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Thiethylperazine" ], [ "Thiethylperazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nabilone" ] ], [ [ "Amitriptyline", "{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}", "Nabilone" ] ], [ [ "Amitriptyline", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenindamine" ], [ "Phenindamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nabilone" ] ], [ [ "Amitriptyline", "{u} (Compound) resembles {v} (Compound)", "Oxcarbazepine" ], [ "Oxcarbazepine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nabilone" ] ], [ [ "Amitriptyline", "{u} (Compound) resembles {v} (Compound)", "Promazine" ], [ "Promazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nabilone" ] ], [ [ "Amitriptyline", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxylamine" ], [ "Doxylamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nabilone" ] ], [ [ "Amitriptyline", "{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}", "Nabilone" ] ] ]
Amitriptyline may cause a moderate interaction that could exacerbate diseases when taken with Dronabinol and Dronabinol (Compound) resembles Nabilone (Compound) Amitriptyline (Compound) causes Loss of consciousness (Side Effect) and Loss of consciousness (Side Effect) is caused by Nabilone (Compound) Amitriptyline may cause a moderate interaction that could exacerbate diseases when taken with Thiethylperazine and Thiethylperazine may cause a moderate interaction that could exacerbate diseases when taken with Nabilone Amitriptyline 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 Nabilone Amitriptyline (Compound) resembles Phenindamine (Compound) and Amitriptyline may cause a moderate interaction that could exacerbate diseases when taken with Phenindamine and Phenindamine may cause a moderate interaction that could exacerbate diseases when taken with Nabilone Amitriptyline (Compound) resembles Oxcarbazepine (Compound) and Oxcarbazepine may cause a moderate interaction that could exacerbate diseases when taken with Nabilone Amitriptyline (Compound) resembles Promazine (Compound) and Promazine may cause a moderate interaction that could exacerbate diseases when taken with Nabilone Amitriptyline (Compound) resembles Doxylamine (Compound) and Amitriptyline may cause a moderate interaction that could exacerbate diseases when taken with Doxylamine and Doxylamine may cause a moderate interaction that could exacerbate diseases when taken with Nabilone Amitriptyline 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 Nabilone
DB00374
DB00575
1,061
1,020
[ "DDInter1852", "DDInter412" ]
Treprostinil
Clonidine
Treprostinil is a stable tricyclic analogue of prostacyclin that promotes the vasodilation of pulmonary and systemic arterial vascular beds and the inhibition of platelet aggregation.[L41855,L41860,L41865] It reduces symptoms in patients with pulmonary arterial hypertension (PAH) and pulmonary hypertension associated with interstitial lung disease.[L41855,L41860] The first agent approved for the treatment of PAH was [epoprostenol], a synthetic prostacyclin that significantly increases patients' quality of life. However, the use of epoprostenol is limited due to its short half-life (3-5 min) and instability at room temperature.[A248770,A248775] The use of more stable alternatives such as treprostinil provides patients with PAH with more treatment options. Treprostinil was approved by the FDA in 2002 for the treatment of pulmonary arterial hypertension. It is available in the following routes of administration: subcut
Clonidine is an imidazole derivate that acts as an agonist of alpha-2 adrenoceptors. This activity is useful for the treatment of hypertension, severe pain, and ADHD.[L7237,L7240,L7243,L7246] Clonidine was granted FDA approval on 3 September 1974.
Moderate
1
[ [ [ 1061, 24, 1020 ] ], [ [ 1061, 24, 1512 ], [ 1512, 40, 1020 ] ], [ [ 1061, 25, 876 ], [ 876, 40, 1020 ] ], [ [ 1061, 7, 3415 ], [ 3415, 46, 1020 ] ], [ [ 1061, 21, 28810 ], [ 28810, 60, 1020 ] ], [ [ 1061, 24, 433 ], [ 433, 63, 1020 ] ], [ [ 1061, 63, 1648 ], [ 1648, 24, 1020 ] ], [ [ 1061, 1, 885 ], [ 885, 63, 1020 ] ], [ [ 1061, 24, 1512 ], [ 1512, 6, 8374 ], [ 8374, 45, 1020 ] ], [ [ 1061, 24, 1617 ], [ 1617, 1, 1084 ], [ 1084, 40, 1020 ] ] ]
[ [ [ "Treprostinil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clonidine" ] ], [ [ "Treprostinil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diclofenac" ], [ "Diclofenac", "{u} (Compound) resembles {v} (Compound)", "Clonidine" ] ], [ [ "Treprostinil", "{u} may lead to a major life threatening interaction when taken with {v}", "Tizanidine" ], [ "Tizanidine", "{u} (Compound) resembles {v} (Compound)", "Clonidine" ] ], [ [ "Treprostinil", "{u} (Compound) upregulates {v} (Gene)", "EPHA3" ], [ "EPHA3", "{u} (Gene) is upregulated by {v} (Compound)", "Clonidine" ] ], [ [ "Treprostinil", "{u} (Compound) causes {v} (Side Effect)", "Gastrointestinal pain" ], [ "Gastrointestinal pain", "{u} (Side Effect) is caused by {v} (Compound)", "Clonidine" ] ], [ [ "Treprostinil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ertugliflozin" ], [ "Ertugliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clonidine" ] ], [ [ "Treprostinil", "{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}", "Clonidine" ] ], [ [ "Treprostinil", "{u} (Compound) resembles {v} (Compound)", "Epoprostenol" ], [ "Epoprostenol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clonidine" ] ], [ [ "Treprostinil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diclofenac" ], [ "Diclofenac", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Clonidine" ] ], [ [ "Treprostinil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apraclonidine" ], [ "Apraclonidine", "{u} (Compound) resembles {v} (Compound)", "Lofexidine" ], [ "Lofexidine", "{u} (Compound) resembles {v} (Compound)", "Clonidine" ] ] ]
Treprostinil may cause a moderate interaction that could exacerbate diseases when taken with Diclofenac and Diclofenac (Compound) resembles Clonidine (Compound) Treprostinil may lead to a major life threatening interaction when taken with Tizanidine and Tizanidine (Compound) resembles Clonidine (Compound) Treprostinil (Compound) upregulates EPHA3 (Gene) and EPHA3 (Gene) is upregulated by Clonidine (Compound) Treprostinil (Compound) causes Gastrointestinal pain (Side Effect) and Gastrointestinal pain (Side Effect) is caused by Clonidine (Compound) Treprostinil may cause a moderate interaction that could exacerbate diseases when taken with Ertugliflozin and Ertugliflozin may cause a moderate interaction that could exacerbate diseases when taken with Clonidine Treprostinil 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 Clonidine Treprostinil (Compound) resembles Epoprostenol (Compound) and Epoprostenol may cause a moderate interaction that could exacerbate diseases when taken with Clonidine Treprostinil may cause a moderate interaction that could exacerbate diseases when taken with Diclofenac and Diclofenac (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Clonidine (Compound) Treprostinil may cause a moderate interaction that could exacerbate diseases when taken with Apraclonidine and Apraclonidine (Compound) resembles Lofexidine (Compound) and Lofexidine (Compound) resembles Clonidine (Compound)
DB00916
DB01244
112
762
[ "DDInter1202", "DDInter192" ]
Metronidazole
Bepridil
Metronidazole is a commonly used antibiotic, belonging to the nitroimidazole class of antibiotics. It is frequently used to treat gastrointestinal infections as well as trichomoniasis and giardiasis, and amebiasis which are parasitic infections.[A181036,A181039] Metronidazole has been used as an antibiotic for several decades, with added antiparasitic properties that set it apart from many other antibacterial drugs, allowing it to treat a wide variety of infections. It is available in capsule form, tablet form, and topical form, and suppository preparations for the treatment of various infections.
A long-acting, non selective, calcium channel blocker with significant anti-anginal activity. The drug produces significant coronary vasodilation and modest peripheral effects. It has antihypertensive and selective anti-arrhythmia activities and acts as a calmodulin antagonist. It is no longer marketed in the United States, as it has been implicated in causing ventricular arrhythmias (ie. Torsade de pointes).
Minor
0
[ [ [ 112, 23, 762 ] ], [ [ 112, 62, 675 ], [ 675, 40, 762 ] ], [ [ 112, 21, 28698 ], [ 28698, 60, 762 ] ], [ [ 112, 24, 973 ], [ 973, 24, 762 ] ], [ [ 112, 24, 850 ], [ 850, 63, 762 ] ], [ [ 112, 23, 688 ], [ 688, 24, 762 ] ], [ [ 112, 24, 1593 ], [ 1593, 64, 762 ] ], [ [ 112, 62, 1010 ], [ 1010, 25, 762 ] ], [ [ 112, 23, 129 ], [ 129, 64, 762 ] ], [ [ 112, 23, 1520 ], [ 1520, 25, 762 ] ] ]
[ [ [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Bepridil" ] ], [ [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Dextropropoxyphene" ], [ "Dextropropoxyphene", "{u} (Compound) resembles {v} (Compound)", "Bepridil" ] ], [ [ "Metronidazole", "{u} (Compound) causes {v} (Side Effect)", "Insomnia" ], [ "Insomnia", "{u} (Side Effect) is caused by {v} (Compound)", "Bepridil" ] ], [ [ "Metronidazole", "{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}", "Bepridil" ] ], [ [ "Metronidazole", "{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}", "Bepridil" ] ], [ [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Salbutamol" ], [ "Salbutamol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bepridil" ] ], [ [ "Metronidazole", "{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}", "Bepridil" ] ], [ [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Mefloquine" ], [ "Mefloquine", "{u} may lead to a major life threatening interaction when taken with {v}", "Bepridil" ] ], [ [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Enzalutamide" ], [ "Enzalutamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Bepridil" ] ], [ [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Primaquine" ], [ "Primaquine", "{u} may lead to a major life threatening interaction when taken with {v}", "Bepridil" ] ] ]
Metronidazole may cause a minor interaction that can limit clinical effects when taken with Dextropropoxyphene and Dextropropoxyphene (Compound) resembles Bepridil (Compound) Metronidazole (Compound) causes Insomnia (Side Effect) and Insomnia (Side Effect) is caused by Bepridil (Compound) Metronidazole 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 Bepridil Metronidazole 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 Bepridil Metronidazole may cause a minor interaction that can limit clinical effects when taken with Salbutamol and Salbutamol may cause a moderate interaction that could exacerbate diseases when taken with Bepridil Metronidazole 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 Bepridil Metronidazole may cause a minor interaction that can limit clinical effects when taken with Mefloquine and Mefloquine may lead to a major life threatening interaction when taken with Bepridil Metronidazole may cause a minor interaction that can limit clinical effects when taken with Enzalutamide and Enzalutamide may lead to a major life threatening interaction when taken with Bepridil Metronidazole may cause a minor interaction that can limit clinical effects when taken with Primaquine and Primaquine may lead to a major life threatening interaction when taken with Bepridil
DB00446
DB01124
597
1,411
[ "DDInter351", "DDInter1828" ]
Chloramphenicol
Tolbutamide
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]
Tolbutamide is an oral antihyperglycemic agent used for the treatment of non-insulin-dependent diabetes mellitus (NIDDM). It is structurally similar to acetohexamide, chlorpropamide and tolazamide and belongs to the sulfonylurea class of insulin secretagogues, which act by stimulating β cells of the pancreas to release insulin. Sulfonylureas increase both basal insulin secretion and meal-stimulated insulin release. Medications in this class differ in their dose, rate of absorption, duration of action, route of elimination and binding site on their target pancreatic β cell receptor. Sulfonylureas also increase peripheral glucose utilization, decrease hepatic gluconeogenesis and may increase the number and sensitivity of insulin receptors. Sulfonylureas are associated with weight gain, though less so than insulin. Due to their mechanism of action, sulfonylureas may cause hypoglycemia and require consistent food intake to decrease this risk. The risk of hypoglycemia is increased in elderly, debilitated and malnourished individuals. Tolbutamide appears to be metabolized in the liver. Tolbutamide and its metabolites are excreted in urine (75-85%) and feces.
Moderate
1
[ [ [ 597, 24, 1411 ] ], [ [ 597, 24, 959 ], [ 959, 40, 1411 ] ], [ [ 597, 63, 245 ], [ 245, 40, 1411 ] ], [ [ 597, 6, 10215 ], [ 10215, 45, 1411 ] ], [ [ 597, 18, 9205 ], [ 9205, 57, 1411 ] ], [ [ 597, 21, 29455 ], [ 29455, 60, 1411 ] ], [ [ 597, 24, 1347 ], [ 1347, 23, 1411 ] ], [ [ 597, 25, 1478 ], [ 1478, 63, 1411 ] ], [ [ 597, 24, 126 ], [ 126, 24, 1411 ] ], [ [ 597, 24, 1017 ], [ 1017, 63, 1411 ] ] ]
[ [ [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tolbutamide" ] ], [ [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glipizide" ], [ "Glipizide", "{u} (Compound) resembles {v} (Compound)", "Tolbutamide" ] ], [ [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glimepiride" ], [ "Glimepiride", "{u} (Compound) resembles {v} (Compound)", "Tolbutamide" ] ], [ [ "Chloramphenicol", "{u} (Compound) binds {v} (Gene)", "CYP2C19" ], [ "CYP2C19", "{u} (Gene) is bound by {v} (Compound)", "Tolbutamide" ] ], [ [ "Chloramphenicol", "{u} (Compound) downregulates {v} (Gene)", "IFRD2" ], [ "IFRD2", "{u} (Gene) is downregulated by {v} (Compound)", "Tolbutamide" ] ], [ [ "Chloramphenicol", "{u} (Compound) causes {v} (Side Effect)", "Agranulocytosis" ], [ "Agranulocytosis", "{u} (Side Effect) is caused by {v} (Compound)", "Tolbutamide" ] ], [ [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clopidogrel" ], [ "Clopidogrel", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Tolbutamide" ] ], [ [ "Chloramphenicol", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivacaftor" ], [ "Ivacaftor", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tolbutamide" ] ], [ [ "Chloramphenicol", "{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}", "Tolbutamide" ] ], [ [ "Chloramphenicol", "{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}", "Tolbutamide" ] ] ]
Chloramphenicol may cause a moderate interaction that could exacerbate diseases when taken with Glipizide and Glipizide (Compound) resembles Tolbutamide (Compound) Chloramphenicol may cause a moderate interaction that could exacerbate diseases when taken with Glimepiride and Glimepiride (Compound) resembles Tolbutamide (Compound) Chloramphenicol (Compound) binds CYP2C19 (Gene) and CYP2C19 (Gene) is bound by Tolbutamide (Compound) Chloramphenicol (Compound) downregulates IFRD2 (Gene) and IFRD2 (Gene) is downregulated by Tolbutamide (Compound) Chloramphenicol (Compound) causes Agranulocytosis (Side Effect) and Agranulocytosis (Side Effect) is caused by Tolbutamide (Compound) Chloramphenicol may cause a moderate interaction that could exacerbate diseases when taken with Clopidogrel and Clopidogrel may cause a minor interaction that can limit clinical effects when taken with Tolbutamide Chloramphenicol may lead to a major life threatening interaction when taken with Ivacaftor and Ivacaftor may cause a moderate interaction that could exacerbate diseases when taken with Tolbutamide Chloramphenicol 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 Tolbutamide Chloramphenicol 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 Tolbutamide
DB04835
DB09054
1,655
384
[ "DDInter1125", "DDInter905" ]
Maraviroc
Idelalisib
Maraviroc (brand-named Selzentry, or Celsentri outside the U.S.) is a chemokine receptor antagonist drug developed by the drug company Pfizer that is designed to act against HIV by interfering with the interaction between HIV and CCR5. It was originally labelled as UK-427857 during development but was assigned the Maraviroc name as it entered trials. It was approved for use by the FDA in August, 2007.
Idelalisib is a phosphoinositide 3-kinase inhibitor indicated in the treatment of chronic lymphocytic leukemia (CLL), relapsed follicular B-cell non-Hodgkin lymphoma (FL), and relapsed small lymphocytic lymphoma (SLL). For the treatment of relapsed CLL, it is currently indicated as a second-line agent in combination with rituximab in patients for whom rituximab alone would be considered appropriate therapy due to other co-morbidities, while in the treatment of FL and SLL it is intended to be used in patients who have received at least two prior systemic therapies. More specifically, idelalisib targets P110δ, the delta isoform of the enzyme phosphatidylinositol-4,5-bisphosphate 3-kinase, also known as PI-3K. The PI-3Ks are a family of enzymes involved in cellular functions such as cell growth, proliferation, differentiation, motility, survival and intracellular trafficking, which in turn are involved in cancer. In contrast to the other class IA PI3Ks p110α and p110β, p110δ is principally expressed in leukocytes (white blood cells) and is important for the function of T cells, B cell, mast cells and neutrophils. By inhibiting this enzyme, idelalisib induces apoptosis of malignant cells and inhibits several cell signaling pathways, including B-cell receptor (BCR) signaling and C-X-C chemokine receptors type 5 and type 4 signalling, which are involved in trafficking and homing of B-cells to the lymph nodes and bone marrow. Treatment of lymphoma cells with idelalisib has been shown to result in inhibition of chemotaxis and adhesion, and reduced cell viability.
Major
2
[ [ [ 1655, 25, 384 ] ], [ [ 1655, 24, 1618 ], [ 1618, 24, 384 ] ], [ [ 1655, 63, 305 ], [ 305, 24, 384 ] ], [ [ 1655, 24, 1619 ], [ 1619, 63, 384 ] ], [ [ 1655, 64, 609 ], [ 609, 24, 384 ] ], [ [ 1655, 63, 392 ], [ 392, 25, 384 ] ], [ [ 1655, 25, 129 ], [ 129, 25, 384 ] ], [ [ 1655, 24, 159 ], [ 159, 64, 384 ] ], [ [ 1655, 24, 1593 ], [ 1593, 25, 384 ] ], [ [ 1655, 64, 1377 ], [ 1377, 25, 384 ] ] ]
[ [ [ "Maraviroc", "{u} may lead to a major life threatening interaction when taken with {v}", "Idelalisib" ] ], [ [ "Maraviroc", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cabozantinib" ], [ "Cabozantinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Idelalisib" ] ], [ [ "Maraviroc", "{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}", "Idelalisib" ] ], [ [ "Maraviroc", "{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}", "Idelalisib" ] ], [ [ "Maraviroc", "{u} may lead to a major life threatening interaction when taken with {v}", "Clarithromycin" ], [ "Clarithromycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Idelalisib" ] ], [ [ "Maraviroc", "{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}", "Idelalisib" ] ], [ [ "Maraviroc", "{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}", "Idelalisib" ] ], [ [ "Maraviroc", "{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}", "Idelalisib" ] ], [ [ "Maraviroc", "{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}", "Idelalisib" ] ], [ [ "Maraviroc", "{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}", "Idelalisib" ] ] ]
Maraviroc may cause a moderate interaction that could exacerbate diseases when taken with Cabozantinib and Cabozantinib may cause a moderate interaction that could exacerbate diseases when taken with Idelalisib Maraviroc 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 Idelalisib Maraviroc 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 Idelalisib Maraviroc may lead to a major life threatening interaction when taken with Clarithromycin and Clarithromycin may cause a moderate interaction that could exacerbate diseases when taken with Idelalisib Maraviroc 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 Idelalisib Maraviroc 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 Idelalisib Maraviroc 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 Idelalisib Maraviroc 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 Idelalisib Maraviroc 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 Idelalisib
DB05294
DB11915
1,069
1,293
[ "DDInter1917", "DDInter1909" ]
Vandetanib
Valbenazine
Vandetanib is an oral once-daily kinase inhibitor of tumour angiogenesis and tumour cell proliferation with the potential for use in a broad range of tumour types. On April 6 2011, vandetanib was approved by the FDA to treat nonresectable, locally advanced, or metastatic medullary thyroid cancer in adult patients.
Valbenazine is a modified metabolite of [tetrabenazine], and it is currently being approved for the treatment of various movement disorders, particularly tardive dyskinesia and chorea associated with Huntington's disease.[L47885,A261135] Tardive dyskinesia has long been regarded as a consequence of anti-dopamine receptor therapy, and until 2008 with the advent of [tetrabenazine], most treatments were ineffective. However, challenges in using [tetrabenazine] as a treatment of tardive dyskinesia included frequent dosing and safety and tolerability concerns. On April 2017, valbenazine was approved by the FDA under the brand name INGREZZA as the first and only approved treatment for adults with Tardive Dyskinesia (TD). On August 2023, valbenazine was again approved by the FDA for the treatment of chorea associated with Huntington's disease respectively. This approval was supported by positive results in multiple trials, including the KINECT-HD Phase 3 study and the ongoing KINECT-HD2 open-label extension trial. The reduction in chorea severity was observed as early as 2 weeks after starting treatment with an initial dose of 40 mg.
Major
2
[ [ [ 1069, 25, 1293 ] ], [ [ 1069, 62, 112 ], [ 112, 23, 1293 ] ], [ [ 1069, 24, 710 ], [ 710, 63, 1293 ] ], [ [ 1069, 64, 521 ], [ 521, 24, 1293 ] ], [ [ 1069, 24, 603 ], [ 603, 24, 1293 ] ], [ [ 1069, 25, 1383 ], [ 1383, 24, 1293 ] ], [ [ 1069, 63, 355 ], [ 355, 24, 1293 ] ], [ [ 1069, 36, 594 ], [ 594, 24, 1293 ] ], [ [ 1069, 25, 1619 ], [ 1619, 63, 1293 ] ], [ [ 1069, 25, 129 ], [ 129, 25, 1293 ] ] ]
[ [ [ "Vandetanib", "{u} may lead to a major life threatening interaction when taken with {v}", "Valbenazine" ] ], [ [ "Vandetanib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Valbenazine" ] ], [ [ "Vandetanib", "{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}", "Valbenazine" ] ], [ [ "Vandetanib", "{u} may lead to a major life threatening interaction when taken with {v}", "Goserelin" ], [ "Goserelin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Valbenazine" ] ], [ [ "Vandetanib", "{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}", "Valbenazine" ] ], [ [ "Vandetanib", "{u} may lead to a major life threatening interaction when taken with {v}", "Sodium sulfate" ], [ "Sodium sulfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Valbenazine" ] ], [ [ "Vandetanib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lactulose" ], [ "Lactulose", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Valbenazine" ] ], [ [ "Vandetanib", "{u} (Compound) resembles {v} (Compound) and {u} may lead to a major life threatening interaction when taken with {v}", "Bosutinib" ], [ "Bosutinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Valbenazine" ] ], [ [ "Vandetanib", "{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}", "Valbenazine" ] ], [ [ "Vandetanib", "{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}", "Valbenazine" ] ] ]
Vandetanib may cause a minor interaction that can limit clinical effects when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Valbenazine Vandetanib 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 Valbenazine Vandetanib may lead to a major life threatening interaction when taken with Goserelin and Goserelin may cause a moderate interaction that could exacerbate diseases when taken with Valbenazine Vandetanib 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 Valbenazine Vandetanib may lead to a major life threatening interaction when taken with Sodium sulfate and Sodium sulfate may cause a moderate interaction that could exacerbate diseases when taken with Valbenazine Vandetanib may cause a moderate interaction that could exacerbate diseases when taken with Lactulose and Lactulose may cause a moderate interaction that could exacerbate diseases when taken with Valbenazine Vandetanib (Compound) resembles Bosutinib (Compound) and Vandetanib may lead to a major life threatening interaction when taken with Bosutinib and Bosutinib may cause a moderate interaction that could exacerbate diseases when taken with Valbenazine Vandetanib 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 Valbenazine Vandetanib 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 Valbenazine
DB01267
DB01612
519
1,637
[ "DDInter1381", "DDInter92" ]
Paliperidone
Amyl Nitrite
Paliperidone is the primary active metabolite of risperidone. The mechanism of action is unknown but it is likely to act via a similar pathway to risperidone. It has been proposed that the drug's therapeutic activity in schizophrenia is mediated through a combination of central dopamine Type 2 (D2) and serotonin Type 2 (5HT2A) receptor antagonism. Paliperidone is also active as an antagonist at alpha 1 and alpha 2 adrenergic receptors and H1 histaminergic receptors, which may explain some of the other effects of the drug. Paliperidone was approved by the FDA for treatment of schizophrenia on December 20, 2006. It is available as an extended-release tablet, a once-monthly intramuscular injection, an every-three-month intramuscular injection, and a twice-yearly gluteal injection.[L16168,L37744,L4137,L37749]
Amyl Nitrite is an antihypertensive medicine. Amyl nitrite is employed medically to treat heart diseases such as angina and to treat cyanide poisoning. Its use as a prescription medicine comes from its ability to lower blood pressure. As an inhalant, it also has psychoactive effect which has led to illegal drug use.
Moderate
1
[ [ [ 519, 24, 1637 ] ], [ [ 519, 64, 475 ], [ 475, 24, 1637 ] ], [ [ 519, 63, 401 ], [ 401, 24, 1637 ] ], [ [ 519, 24, 407 ], [ 407, 63, 1637 ] ], [ [ 519, 40, 1664 ], [ 1664, 24, 1637 ] ], [ [ 519, 40, 924 ], [ 924, 63, 1637 ] ], [ [ 519, 64, 475 ], [ 475, 25, 946 ], [ 946, 24, 1637 ] ], [ [ 519, 63, 401 ], [ 401, 63, 946 ], [ 946, 24, 1637 ] ], [ [ 519, 64, 593 ], [ 593, 25, 180 ], [ 180, 63, 1637 ] ], [ [ 519, 24, 407 ], [ 407, 63, 946 ], [ 946, 24, 1637 ] ] ]
[ [ [ "Paliperidone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amyl Nitrite" ] ], [ [ "Paliperidone", "{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}", "Amyl Nitrite" ] ], [ [ "Paliperidone", "{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}", "Amyl Nitrite" ] ], [ [ "Paliperidone", "{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}", "Amyl Nitrite" ] ], [ [ "Paliperidone", "{u} (Compound) resembles {v} (Compound)", "Risperidone" ], [ "Risperidone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amyl Nitrite" ] ], [ [ "Paliperidone", "{u} (Compound) resembles {v} (Compound)", "Iloperidone" ], [ "Iloperidone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amyl Nitrite" ] ], [ [ "Paliperidone", "{u} may lead to a major life threatening interaction when taken with {v}", "Morphine" ], [ "Morphine", "{u} may lead to a major life threatening interaction when taken with {v}", "Buspirone" ], [ "Buspirone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amyl Nitrite" ] ], [ [ "Paliperidone", "{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}", "Buspirone" ], [ "Buspirone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amyl Nitrite" ] ], [ [ "Paliperidone", "{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}", "Oliceridine" ], [ "Oliceridine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amyl Nitrite" ] ], [ [ "Paliperidone", "{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}", "Buspirone" ], [ "Buspirone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amyl Nitrite" ] ] ]
Paliperidone 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 Amyl Nitrite Paliperidone 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 Amyl Nitrite Paliperidone 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 Amyl Nitrite Paliperidone (Compound) resembles Risperidone (Compound) and Risperidone may cause a moderate interaction that could exacerbate diseases when taken with Amyl Nitrite Paliperidone (Compound) resembles Iloperidone (Compound) and Iloperidone may cause a moderate interaction that could exacerbate diseases when taken with Amyl Nitrite Paliperidone may lead to a major life threatening interaction when taken with Morphine and Morphine may lead to a major life threatening interaction when taken with Buspirone and Buspirone may cause a moderate interaction that could exacerbate diseases when taken with Amyl Nitrite Paliperidone 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 Buspirone and Buspirone may cause a moderate interaction that could exacerbate diseases when taken with Amyl Nitrite Paliperidone 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 Oliceridine and Oliceridine may cause a moderate interaction that could exacerbate diseases when taken with Amyl Nitrite Paliperidone 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 Buspirone and Buspirone may cause a moderate interaction that could exacerbate diseases when taken with Amyl Nitrite
DB01115
DB01234
336
1,220
[ "DDInter1291", "DDInter513" ]
Nifedipine
Dexamethasone
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.
Dexamethasone, or MK-125, is a corticosteroid fluorinated at position 9 used to treat endocrine, rheumatic, collagen, dermatologic, allergic, ophthalmic, gastrointestinal, respiratory, hematologic, neoplastic, edematous, and other conditions. Developed in 1957, it is structurally similar to other corticosteroids like [hydrocortisone] and [prednisolone]. Dexamethasone was granted FDA approval on 30 October 1958. In a press release for the Randomized Evaluation of COVID-19 Therapy (RECOVERY) trial on 16 June 2020, dexamethasone was recommended for use in COVID-19 patients with severe respiratory symptoms. Dexamethasone reduced deaths by approximately one third in patients requiring ventilation and by one fifth in those requiring oxygen.
Moderate
1
[ [ [ 336, 24, 1220 ] ], [ [ 336, 63, 870 ], [ 870, 1, 1220 ] ], [ [ 336, 63, 175 ], [ 175, 40, 1220 ] ], [ [ 336, 24, 617 ], [ 617, 40, 1220 ] ], [ [ 336, 6, 21998 ], [ 21998, 45, 1220 ] ], [ [ 336, 7, 15515 ], [ 15515, 46, 1220 ] ], [ [ 336, 18, 8992 ], [ 8992, 46, 1220 ] ], [ [ 336, 18, 10375 ], [ 10375, 57, 1220 ] ], [ [ 336, 7, 8733 ], [ 8733, 57, 1220 ] ], [ [ 336, 21, 28835 ], [ 28835, 60, 1220 ] ] ]
[ [ [ "Nifedipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexamethasone" ] ], [ [ "Nifedipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fludrocortisone" ], [ "Fludrocortisone", "{u} (Compound) resembles {v} (Compound)", "Dexamethasone" ] ], [ [ "Nifedipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triamcinolone" ], [ "Triamcinolone", "{u} (Compound) resembles {v} (Compound)", "Dexamethasone" ] ], [ [ "Nifedipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Budesonide" ], [ "Budesonide", "{u} (Compound) resembles {v} (Compound)", "Dexamethasone" ] ], [ [ "Nifedipine", "{u} (Compound) binds {v} (Gene)", "CYP3A7-CYP3A51P" ], [ "CYP3A7-CYP3A51P", "{u} (Gene) is bound by {v} (Compound)", "Dexamethasone" ] ], [ [ "Nifedipine", "{u} (Compound) upregulates {v} (Gene)", "ADO" ], [ "ADO", "{u} (Gene) is upregulated by {v} (Compound)", "Dexamethasone" ] ], [ [ "Nifedipine", "{u} (Compound) downregulates {v} (Gene)", "GLRX" ], [ "GLRX", "{u} (Gene) is upregulated by {v} (Compound)", "Dexamethasone" ] ], [ [ "Nifedipine", "{u} (Compound) downregulates {v} (Gene)", "RPS4Y1" ], [ "RPS4Y1", "{u} (Gene) is downregulated by {v} (Compound)", "Dexamethasone" ] ], [ [ "Nifedipine", "{u} (Compound) upregulates {v} (Gene)", "PHGDH" ], [ "PHGDH", "{u} (Gene) is downregulated by {v} (Compound)", "Dexamethasone" ] ], [ [ "Nifedipine", "{u} (Compound) causes {v} (Side Effect)", "Hyperglycaemia" ], [ "Hyperglycaemia", "{u} (Side Effect) is caused by {v} (Compound)", "Dexamethasone" ] ] ]
Nifedipine may cause a moderate interaction that could exacerbate diseases when taken with Fludrocortisone and Fludrocortisone (Compound) resembles Dexamethasone (Compound) Nifedipine may cause a moderate interaction that could exacerbate diseases when taken with Triamcinolone and Triamcinolone (Compound) resembles Dexamethasone (Compound) Nifedipine may cause a moderate interaction that could exacerbate diseases when taken with Budesonide and Budesonide (Compound) resembles Dexamethasone (Compound) Nifedipine (Compound) binds CYP3A7-CYP3A51P (Gene) and CYP3A7-CYP3A51P (Gene) is bound by Dexamethasone (Compound) Nifedipine (Compound) upregulates ADO (Gene) and ADO (Gene) is upregulated by Dexamethasone (Compound) Nifedipine (Compound) downregulates GLRX (Gene) and GLRX (Gene) is upregulated by Dexamethasone (Compound) Nifedipine (Compound) downregulates RPS4Y1 (Gene) and RPS4Y1 (Gene) is downregulated by Dexamethasone (Compound) Nifedipine (Compound) upregulates PHGDH (Gene) and PHGDH (Gene) is downregulated by Dexamethasone (Compound) Nifedipine (Compound) causes Hyperglycaemia (Side Effect) and Hyperglycaemia (Side Effect) is caused by Dexamethasone (Compound)
DB00909
DB11130
306
407
[ "DDInter1971", "DDInter1344" ]
Zonisamide
Opium
Zonisamide is a sulfonamide anticonvulsant used as an adjunctive therapy in adults with partial-onset seizures.[L42530,L42535] Zonisamide may act by blocking repetitive firing of voltage-gated sodium channels, leading to a reduction of T-type calcium channel currents or by binding allosterically to GABA receptors. This latter action may inhibit the uptake of the inhibitory neurotransmitter GABA while enhancing the uptake of the excitatory neurotransmitter glutamate.[L42530,L42535] Zonisamide represents an alternative for patients that remain refractory to established antiepileptic drugs. In 1989, it was approved for commercial use in Japan. The US and Europe approved it in 2000 and 2005, respectively.[A1379,A1383]
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
[ [ [ 306, 24, 407 ] ], [ [ 306, 64, 662 ], [ 662, 24, 407 ] ], [ [ 306, 25, 849 ], [ 849, 24, 407 ] ], [ [ 306, 24, 516 ], [ 516, 24, 407 ] ], [ [ 306, 63, 475 ], [ 475, 24, 407 ] ], [ [ 306, 24, 1609 ], [ 1609, 63, 407 ] ], [ [ 306, 64, 662 ], [ 662, 63, 558 ], [ 558, 24, 407 ] ], [ [ 306, 64, 104 ], [ 104, 24, 409 ], [ 409, 24, 407 ] ], [ [ 306, 25, 849 ], [ 849, 63, 409 ], [ 409, 24, 407 ] ], [ [ 306, 24, 516 ], [ 516, 63, 558 ], [ 558, 24, 407 ] ] ]
[ [ [ "Zonisamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ] ], [ [ "Zonisamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Carbinoxamine" ], [ "Carbinoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ] ], [ [ "Zonisamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Mepyramine" ], [ "Mepyramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ] ], [ [ "Zonisamide", "{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}", "Opium" ] ], [ [ "Zonisamide", "{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}", "Opium" ] ], [ [ "Zonisamide", "{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" ] ], [ [ "Zonisamide", "{u} may lead to a major life threatening interaction 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" ] ], [ [ "Zonisamide", "{u} may lead to a major life threatening interaction 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" ] ], [ [ "Zonisamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Mepyramine" ], [ "Mepyramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Felodipine" ], [ "Felodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ] ], [ [ "Zonisamide", "{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}", "Zolpidem" ], [ "Zolpidem", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ] ] ]
Zonisamide may lead to a major life threatening interaction when taken with Carbinoxamine and Carbinoxamine may cause a moderate interaction that could exacerbate diseases when taken with Opium Zonisamide may lead to a major life threatening interaction when taken with Mepyramine and Mepyramine may cause a moderate interaction that could exacerbate diseases when taken with Opium Zonisamide 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 Opium Zonisamide 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 Opium Zonisamide 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 Zonisamide may lead to a major life threatening interaction 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 Zonisamide may lead to a major life threatening interaction 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 Zonisamide may lead to a major life threatening interaction when taken with Mepyramine and Mepyramine may cause a moderate interaction that could exacerbate diseases when taken with Felodipine and Felodipine may cause a moderate interaction that could exacerbate diseases when taken with Opium Zonisamide 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 Zolpidem and Zolpidem may cause a moderate interaction that could exacerbate diseases when taken with Opium
DB00196
DB00640
600
1,585
[ "DDInter743", "DDInter31" ]
Fluconazole
Adenosine
Fluconazole, commonly known as _Diflucan_, is an antifungal drug used for the treatment of both systemic and superficial fungal infections in a variety of tissues. It was initially approved by the FDA in 1990. This drug is an _azole_ antifungal, in the same drug family as [ketoconazole] and [itraconazole]. Fluconazole has many advantages over the other antifungal drugs including the option of oral administration. The side effect profile of this drug is minimal. It has been demonstrated as an efficacious treatment for vaginal yeast infections in one single dose.
The structure of adenosine was first described in 1931, though the vasodilating effects were not described in literature until the 1940s. Adenosine is indicated as an adjunct to thallium-201 in myocardial perfusion scintigraphy, though it is rarely used in this indication, having largely been replaced by [dipyridamole] and [regadenson].[A229833,A229838] Adenosine is also indicated in the treatment of supraventricular tachycardia. Adenosine was granted FDA approval on 30 October 1989.
Moderate
1
[ [ [ 600, 24, 1585 ] ], [ [ 600, 24, 372 ], [ 372, 1, 1585 ] ], [ [ 600, 21, 28676 ], [ 28676, 60, 1585 ] ], [ [ 600, 24, 578 ], [ 578, 62, 1585 ] ], [ [ 600, 25, 477 ], [ 477, 63, 1585 ] ], [ [ 600, 63, 521 ], [ 521, 24, 1585 ] ], [ [ 600, 24, 1264 ], [ 1264, 63, 1585 ] ], [ [ 600, 24, 79 ], [ 79, 24, 1585 ] ], [ [ 600, 23, 609 ], [ 609, 63, 1585 ] ], [ [ 600, 25, 351 ], [ 351, 64, 1585 ] ] ]
[ [ [ "Fluconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Adenosine" ] ], [ [ "Fluconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofarabine" ], [ "Clofarabine", "{u} (Compound) resembles {v} (Compound)", "Adenosine" ] ], [ [ "Fluconazole", "{u} (Compound) causes {v} (Side Effect)", "Nervousness" ], [ "Nervousness", "{u} (Side Effect) is caused by {v} (Compound)", "Adenosine" ] ], [ [ "Fluconazole", "{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}", "Adenosine" ] ], [ [ "Fluconazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Cilostazol" ], [ "Cilostazol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Adenosine" ] ], [ [ "Fluconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Goserelin" ], [ "Goserelin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Adenosine" ] ], [ [ "Fluconazole", "{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}", "Adenosine" ] ], [ [ "Fluconazole", "{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}", "Adenosine" ] ], [ [ "Fluconazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Clarithromycin" ], [ "Clarithromycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Adenosine" ] ], [ [ "Fluconazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Ribociclib" ], [ "Ribociclib", "{u} may lead to a major life threatening interaction when taken with {v}", "Adenosine" ] ] ]
Fluconazole may cause a moderate interaction that could exacerbate diseases when taken with Clofarabine and Clofarabine (Compound) resembles Adenosine (Compound) Fluconazole (Compound) causes Nervousness (Side Effect) and Nervousness (Side Effect) is caused by Adenosine (Compound) Fluconazole 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 Adenosine Fluconazole may lead to a major life threatening interaction when taken with Cilostazol and Cilostazol may cause a moderate interaction that could exacerbate diseases when taken with Adenosine Fluconazole may cause a moderate interaction that could exacerbate diseases when taken with Goserelin and Goserelin may cause a moderate interaction that could exacerbate diseases when taken with Adenosine Fluconazole 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 Adenosine Fluconazole 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 Adenosine Fluconazole may cause a minor interaction that can limit clinical effects when taken with Clarithromycin and Clarithromycin may cause a moderate interaction that could exacerbate diseases when taken with Adenosine Fluconazole may lead to a major life threatening interaction when taken with Ribociclib and Ribociclib may lead to a major life threatening interaction when taken with Adenosine
DB06772
DB12825
310
1,375
[ "DDInter259", "DDInter1032" ]
Cabazitaxel
Lefamulin
Cabazitaxel is a taxoid synthesized from 10-deacetylbaccatin III, a compound isolated from the yew tree. As a second-generation semisynthetic microtubule inhibitor, cabazitaxel stabilizes microtubules and induces tumour cell death. Due to its low affinity for the P-glycoprotein (P-gp) efflux pump, cabazitaxel can more readily penetrate the blood–brain barrier compared to other taxanes like [paclitaxel] and [docetaxel].[A7056, A260421, A260621] Cabazitaxel is used to treat metastatic castration-resistant prostate cancer. It was first approved by the FDA on June 17, 2010. It was also approved by the EMA on March 17, 2011 and Health Canada on December 17, 2019.
Lefamulin is a pleuromutilin antibiotic used for the treatment of bacterial community-acquired pneumonia. A pleuromotilin is a more recently developed type of antibiotic that is derived from the fungus, Pleurotus mutilus. Lefamulin is available in intravenous and oral preparations and was granted FDA approval in August 2019. This drug is the first semi-synthetic pleuromutilin that has been designed for systemic administration. Lefamulin features a novel mechanism of action that shows benefit against resistant bacteria that cause pneumonia. The chemical structure of lefamulin contains a tricyclic mutilin core that is necessary for some of its antimicrobial activity.
Moderate
1
[ [ [ 310, 24, 1375 ] ], [ [ 310, 63, 112 ], [ 112, 23, 1375 ] ], [ [ 310, 63, 309 ], [ 309, 24, 1375 ] ], [ [ 310, 25, 976 ], [ 976, 24, 1375 ] ], [ [ 310, 24, 98 ], [ 98, 24, 1375 ] ], [ [ 310, 25, 676 ], [ 676, 63, 1375 ] ], [ [ 310, 63, 609 ], [ 609, 25, 1375 ] ], [ [ 310, 24, 913 ], [ 913, 25, 1375 ] ], [ [ 310, 25, 1011 ], [ 1011, 25, 1375 ] ], [ [ 310, 24, 982 ], [ 982, 64, 1375 ] ] ]
[ [ [ "Cabazitaxel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lefamulin" ] ], [ [ "Cabazitaxel", "{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}", "Lefamulin" ] ], [ [ "Cabazitaxel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ixabepilone" ], [ "Ixabepilone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lefamulin" ] ], [ [ "Cabazitaxel", "{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}", "Lefamulin" ] ], [ [ "Cabazitaxel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somatrem" ], [ "Somatrem", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lefamulin" ] ], [ [ "Cabazitaxel", "{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}", "Lefamulin" ] ], [ [ "Cabazitaxel", "{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}", "Lefamulin" ] ], [ [ "Cabazitaxel", "{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}", "Lefamulin" ] ], [ [ "Cabazitaxel", "{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}", "Lefamulin" ] ], [ [ "Cabazitaxel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivosidenib" ], [ "Ivosidenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Lefamulin" ] ] ]
Cabazitaxel 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 Lefamulin Cabazitaxel may cause a moderate interaction that could exacerbate diseases when taken with Ixabepilone and Ixabepilone may cause a moderate interaction that could exacerbate diseases when taken with Lefamulin Cabazitaxel 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 Lefamulin Cabazitaxel may cause a moderate interaction that could exacerbate diseases when taken with Somatrem and Somatrem may cause a moderate interaction that could exacerbate diseases when taken with Lefamulin Cabazitaxel 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 Lefamulin Cabazitaxel 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 Lefamulin Cabazitaxel 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 Lefamulin Cabazitaxel 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 Lefamulin Cabazitaxel may cause a moderate interaction that could exacerbate diseases when taken with Ivosidenib and Ivosidenib may lead to a major life threatening interaction when taken with Lefamulin
DB00601
DB01191
453
1,039
[ "DDInter1073", "DDInter518" ]
Linezolid
Dexfenfluramine
Linezolid is a synthetic antibiotic which is used for the treatment of infections caused by aerobic Gram-positive bacteria. Its effects are bacteriostatic against both enterococci and staphylococci and bactericidal against most isolates of streptococci. Linezolid exerts its antibacterial activity by inhibiting the initiation of bacterial protein synthesis - more specifically, it binds to the 23S ribosomal RNA of the 50S subunit[A11227,A199050] and, in doing so, prevents the formation of the 70S initiation complex which is essential for bacterial reproduction. Linezolid was initially approved in 2000 and was the first member of the oxazolidinone antibiotic class. A second member of this class, [tedizolid], was approved by the FDA in 2014 and is considered generally more effective and tolerable than its predecessor.
Dexfenfluramine, also marketed under the name Redux, is a serotoninergic anorectic drug. For a fairly limited time during the middle of the nineties, the US FDA had approved it for use in managing weight loss. However, following multiple concerns about the cardiovascular side-effects of the drug, such approval was withdrawn.
Major
2
[ [ [ 453, 25, 1039 ] ], [ [ 453, 63, 1061 ], [ 1061, 24, 1039 ] ], [ [ 453, 24, 1144 ], [ 1144, 24, 1039 ] ], [ [ 453, 24, 1311 ], [ 1311, 63, 1039 ] ], [ [ 453, 64, 475 ], [ 475, 24, 1039 ] ], [ [ 453, 40, 792 ], [ 792, 63, 1039 ] ], [ [ 453, 25, 222 ], [ 222, 25, 1039 ] ], [ [ 453, 64, 121 ], [ 121, 25, 1039 ] ], [ [ 453, 25, 1629 ], [ 1629, 64, 1039 ] ], [ [ 453, 63, 1061 ], [ 1061, 6, 6017 ], [ 6017, 45, 1039 ] ] ]
[ [ [ "Linezolid", "{u} may lead to a major life threatening interaction when taken with {v}", "Dexfenfluramine" ] ], [ [ "Linezolid", "{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}", "Dexfenfluramine" ] ], [ [ "Linezolid", "{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}", "Dexfenfluramine" ] ], [ [ "Linezolid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metoclopramide" ], [ "Metoclopramide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexfenfluramine" ] ], [ [ "Linezolid", "{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}", "Dexfenfluramine" ] ], [ [ "Linezolid", "{u} (Compound) resembles {v} (Compound)", "Rivaroxaban" ], [ "Rivaroxaban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexfenfluramine" ] ], [ [ "Linezolid", "{u} may lead to a major life threatening interaction when taken with {v}", "Sibutramine" ], [ "Sibutramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Dexfenfluramine" ] ], [ [ "Linezolid", "{u} may lead to a major life threatening interaction when taken with {v}", "Fenfluramine" ], [ "Fenfluramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Dexfenfluramine" ] ], [ [ "Linezolid", "{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}", "Dexfenfluramine" ] ], [ [ "Linezolid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Treprostinil" ], [ "Treprostinil", "{u} (Compound) binds {v} (Gene)", "CYP2C9" ], [ "CYP2C9", "{u} (Gene) is bound by {v} (Compound)", "Dexfenfluramine" ] ] ]
Linezolid 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 Dexfenfluramine Linezolid 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 Dexfenfluramine Linezolid may cause a moderate interaction that could exacerbate diseases when taken with Metoclopramide and Metoclopramide may cause a moderate interaction that could exacerbate diseases when taken with Dexfenfluramine Linezolid 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 Dexfenfluramine Linezolid (Compound) resembles Rivaroxaban (Compound) and Rivaroxaban may cause a moderate interaction that could exacerbate diseases when taken with Dexfenfluramine Linezolid may lead to a major life threatening interaction when taken with Sibutramine and Sibutramine may lead to a major life threatening interaction when taken with Dexfenfluramine Linezolid may lead to a major life threatening interaction when taken with Fenfluramine and Fenfluramine may lead to a major life threatening interaction when taken with Dexfenfluramine Linezolid 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 Dexfenfluramine Linezolid may cause a moderate interaction that could exacerbate diseases when taken with Treprostinil and Treprostinil (Compound) binds CYP2C9 (Gene) and CYP2C9 (Gene) is bound by Dexfenfluramine (Compound)
DB01023
DB11348
409
1,065
[ "DDInter716", "DDInter279" ]
Felodipine
Calcium Phosphate
Felodipine is a long-acting 1,4-dihydropyridine calcium channel blocker (CCB)b. It acts primarily on vascular smooth muscle cells by stabilizing voltage-gated L-type calcium channels in their inactive conformation. By inhibiting the influx of calcium in smooth muscle cells, felodipine prevents calcium-dependent myocyte contraction and vasoconstriction. Felodipine is the most potent CCB in use and is unique in that it exhibits fluorescent activity. In addition to binding to L-type calcium channels, felodipine binds to a number of calcium-binding proteins, exhibits competitive antagonism of the mineralcorticoid receptor, inhibits the activity of calmodulin-dependent cyclic nucleotide phosphodiesterase, and blocks calcium influx through voltage-gated T-type calcium channels. Felodipine is used to treat mild to moderate essential hypertension.
Calcium phosphate is typically available as an over the counter supplement, antacid, or as an added ingredient in some toothpastes [FDA Label] .
Moderate
1
[ [ [ 409, 24, 1065 ] ], [ [ 409, 1, 336 ], [ 336, 24, 1065 ] ], [ [ 409, 40, 854 ], [ 854, 24, 1065 ] ], [ [ 409, 1, 336 ], [ 336, 1, 1081 ], [ 1081, 24, 1065 ] ], [ [ 409, 1, 1081 ], [ 1081, 40, 336 ], [ 336, 24, 1065 ] ], [ [ 409, 40, 854 ], [ 854, 1, 336 ], [ 336, 24, 1065 ] ], [ [ 409, 23, 1135 ], [ 1135, 23, 943 ], [ 943, 63, 1065 ] ], [ [ 409, 25, 1456 ], [ 1456, 24, 943 ], [ 943, 63, 1065 ] ], [ [ 409, 23, 1135 ], [ 1135, 62, 336 ], [ 336, 24, 1065 ] ], [ [ 409, 40, 84 ], [ 84, 40, 854 ], [ 854, 24, 1065 ] ] ]
[ [ [ "Felodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium Phosphate" ] ], [ [ "Felodipine", "{u} (Compound) resembles {v} (Compound)", "Nifedipine" ], [ "Nifedipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium Phosphate" ] ], [ [ "Felodipine", "{u} (Compound) resembles {v} (Compound)", "Nimodipine" ], [ "Nimodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium Phosphate" ] ], [ [ "Felodipine", "{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 Phosphate" ] ], [ [ "Felodipine", "{u} (Compound) resembles {v} (Compound)", "Nicardipine" ], [ "Nicardipine", "{u} (Compound) resembles {v} (Compound)", "Nifedipine" ], [ "Nifedipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium Phosphate" ] ], [ [ "Felodipine", "{u} (Compound) resembles {v} (Compound)", "Nimodipine" ], [ "Nimodipine", "{u} (Compound) resembles {v} (Compound)", "Nifedipine" ], [ "Nifedipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium Phosphate" ] ], [ [ "Felodipine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Naloxegol" ], [ "Naloxegol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sarecycline" ], [ "Sarecycline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium Phosphate" ] ], [ [ "Felodipine", "{u} may lead to a major life threatening interaction when taken with {v}", "Venetoclax" ], [ "Venetoclax", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sarecycline" ], [ "Sarecycline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium Phosphate" ] ], [ [ "Felodipine", "{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}", "Nifedipine" ], [ "Nifedipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium Phosphate" ] ], [ [ "Felodipine", "{u} (Compound) resembles {v} (Compound)", "Nisoldipine" ], [ "Nisoldipine", "{u} (Compound) resembles {v} (Compound)", "Nimodipine" ], [ "Nimodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium Phosphate" ] ] ]
Felodipine (Compound) resembles Nifedipine (Compound) and Nifedipine may cause a moderate interaction that could exacerbate diseases when taken with Calcium Phosphate Felodipine (Compound) resembles Nimodipine (Compound) and Nimodipine may cause a moderate interaction that could exacerbate diseases when taken with Calcium Phosphate Felodipine (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 Phosphate Felodipine (Compound) resembles Nicardipine (Compound) and Nicardipine (Compound) resembles Nifedipine (Compound) and Nifedipine may cause a moderate interaction that could exacerbate diseases when taken with Calcium Phosphate Felodipine (Compound) resembles Nimodipine (Compound) and Nimodipine (Compound) resembles Nifedipine (Compound) and Nifedipine may cause a moderate interaction that could exacerbate diseases when taken with Calcium Phosphate Felodipine may cause a minor interaction that can limit clinical effects when taken with Naloxegol and Naloxegol may cause a minor interaction that can limit clinical effects when taken with Sarecycline and Sarecycline may cause a moderate interaction that could exacerbate diseases when taken with Calcium Phosphate Felodipine may lead to a major life threatening interaction when taken with Venetoclax and Venetoclax may cause a moderate interaction that could exacerbate diseases when taken with Sarecycline and Sarecycline may cause a moderate interaction that could exacerbate diseases when taken with Calcium Phosphate Felodipine 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 Nifedipine and Nifedipine may cause a moderate interaction that could exacerbate diseases when taken with Calcium Phosphate Felodipine (Compound) resembles Nisoldipine (Compound) and Nisoldipine (Compound) resembles Nimodipine (Compound) and Nimodipine may cause a moderate interaction that could exacerbate diseases when taken with Calcium Phosphate
DB00708
DB11186
1,454
1,609
[ "DDInter1718", "DDInter1427" ]
Sufentanil
Pentoxyverine
Sufentanil is an opioid analgesic that is used as an adjunct in anesthesia, in balanced anesthesia, and as a primary anesthetic agent. It is administered by the intravenous, epidural and sublingual routes. Also known as _Dsuvia_, the sublingual form is used for the management of acute pain in adults that is severe to warrant the use of an opioid analgesic in certified medically supervised healthcare settings, including hospitals, surgical centers, and emergency departments. Consideration may be made in the future for the use of the sublingual form in the US military in cases where analgesia is required immediately. The sublingual form, manufactured by AcelRx Pharmaceuticals, Inc. (AcelRx), was approved on November 2, 2018. This route of administration is intended to be a simple, effective, non-invasive analgesic option to enable healthcare professionals to rapidly manage acute pain without difficult intravenous or epidural
Pentoxyverine, also referred to as carbetapentane, is a non-opioid central acting antitussive with antimuscarinic, anticonvulsant , and local anesthetic properties. It is an active ingredient in over-the-counter cough suppressants in combination with guaifenesin and H1-receptor antagonists . Pentoxyverine acts on sigma-1 receptors, as well as kappa and mu-opioid receptors. The FDA withdrew the use of all oral gel drug products containing pentoxyverine citrate. Other forms of pentoxyverine citrate continue to be marketed.
Moderate
1
[ [ [ 1454, 24, 1609 ] ], [ [ 1454, 24, 104 ], [ 104, 24, 1609 ] ], [ [ 1454, 63, 999 ], [ 999, 24, 1609 ] ], [ [ 1454, 1, 1322 ], [ 1322, 24, 1609 ] ], [ [ 1454, 25, 222 ], [ 222, 24, 1609 ] ], [ [ 1454, 25, 1053 ], [ 1053, 25, 1609 ] ], [ [ 1454, 24, 104 ], [ 104, 63, 314 ], [ 314, 24, 1609 ] ], [ [ 1454, 63, 999 ], [ 999, 24, 314 ], [ 314, 24, 1609 ] ], [ [ 1454, 1, 1322 ], [ 1322, 24, 104 ], [ 104, 24, 1609 ] ], [ [ 1454, 24, 1219 ], [ 1219, 24, 314 ], [ 314, 24, 1609 ] ] ]
[ [ [ "Sufentanil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentoxyverine" ] ], [ [ "Sufentanil", "{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}", "Pentoxyverine" ] ], [ [ "Sufentanil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Thiethylperazine" ], [ "Thiethylperazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentoxyverine" ] ], [ [ "Sufentanil", "{u} (Compound) resembles {v} (Compound)", "Alfentanil" ], [ "Alfentanil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentoxyverine" ] ], [ [ "Sufentanil", "{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}", "Pentoxyverine" ] ], [ [ "Sufentanil", "{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}", "Pentoxyverine" ] ], [ [ "Sufentanil", "{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}", "Nalbuphine" ], [ "Nalbuphine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentoxyverine" ] ], [ [ "Sufentanil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Thiethylperazine" ], [ "Thiethylperazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nalbuphine" ], [ "Nalbuphine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentoxyverine" ] ], [ [ "Sufentanil", "{u} (Compound) resembles {v} (Compound)", "Alfentanil" ], [ "Alfentanil", "{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}", "Pentoxyverine" ] ], [ [ "Sufentanil", "{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}", "Nalbuphine" ], [ "Nalbuphine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentoxyverine" ] ] ]
Sufentanil 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 Pentoxyverine Sufentanil may cause a moderate interaction that could exacerbate diseases when taken with Thiethylperazine and Thiethylperazine may cause a moderate interaction that could exacerbate diseases when taken with Pentoxyverine Sufentanil (Compound) resembles Alfentanil (Compound) and Alfentanil may cause a moderate interaction that could exacerbate diseases when taken with Pentoxyverine Sufentanil 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 Pentoxyverine Sufentanil 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 Pentoxyverine Sufentanil 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 Nalbuphine and Nalbuphine may cause a moderate interaction that could exacerbate diseases when taken with Pentoxyverine Sufentanil may cause a moderate interaction that could exacerbate diseases when taken with Thiethylperazine and Thiethylperazine may cause a moderate interaction that could exacerbate diseases when taken with Nalbuphine and Nalbuphine may cause a moderate interaction that could exacerbate diseases when taken with Pentoxyverine Sufentanil (Compound) resembles Alfentanil (Compound) and Alfentanil 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 Pentoxyverine Sufentanil 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 Nalbuphine and Nalbuphine may cause a moderate interaction that could exacerbate diseases when taken with Pentoxyverine
DB00604
DB01165
1,425
1,539
[ "DDInter385", "DDInter1325" ]
Cisapride
Ofloxacin
In many countries (including Canada) cisapride has been either withdrawn or has had its indications limited due to reports about long QT syndrome due to cisapride, which predisposes to arrhythmias. The FDA issued a warning letter regarding this risk to health care professionals and patients.
A synthetic fluoroquinolone (fluoroquinolones) antibacterial agent that inhibits the supercoiling activity of bacterial DNA gyrase, halting DNA replication.
Major
2
[ [ [ 1425, 25, 1539 ] ], [ [ 1425, 64, 1176 ], [ 1176, 1, 1539 ] ], [ [ 1425, 25, 956 ], [ 956, 40, 1539 ] ], [ [ 1425, 25, 246 ], [ 246, 1, 1539 ] ], [ [ 1425, 6, 7950 ], [ 7950, 45, 1539 ] ], [ [ 1425, 23, 112 ], [ 112, 23, 1539 ] ], [ [ 1425, 25, 484 ], [ 484, 63, 1539 ] ], [ [ 1425, 63, 355 ], [ 355, 24, 1539 ] ], [ [ 1425, 24, 286 ], [ 286, 63, 1539 ] ], [ [ 1425, 24, 688 ], [ 688, 24, 1539 ] ] ]
[ [ [ "Cisapride", "{u} may lead to a major life threatening interaction when taken with {v}", "Ofloxacin" ] ], [ [ "Cisapride", "{u} may lead to a major life threatening interaction when taken with {v}", "Moxifloxacin" ], [ "Moxifloxacin", "{u} (Compound) resembles {v} (Compound)", "Ofloxacin" ] ], [ [ "Cisapride", "{u} may lead to a major life threatening interaction when taken with {v}", "Norfloxacin" ], [ "Norfloxacin", "{u} (Compound) resembles {v} (Compound)", "Ofloxacin" ] ], [ [ "Cisapride", "{u} may lead to a major life threatening interaction when taken with {v}", "Gatifloxacin" ], [ "Gatifloxacin", "{u} (Compound) resembles {v} (Compound)", "Ofloxacin" ] ], [ [ "Cisapride", "{u} (Compound) binds {v} (Gene)", "CYP1A2" ], [ "CYP1A2", "{u} (Gene) is bound by {v} (Compound)", "Ofloxacin" ] ], [ [ "Cisapride", "{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}", "Ofloxacin" ] ], [ [ "Cisapride", "{u} may lead to a major life threatening interaction when taken with {v}", "Entrectinib" ], [ "Entrectinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ofloxacin" ] ], [ [ "Cisapride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lactulose" ], [ "Lactulose", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ofloxacin" ] ], [ [ "Cisapride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium hydroxide" ], [ "Magnesium hydroxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ofloxacin" ] ], [ [ "Cisapride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Salbutamol" ], [ "Salbutamol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ofloxacin" ] ] ]
Cisapride may lead to a major life threatening interaction when taken with Moxifloxacin and Moxifloxacin (Compound) resembles Ofloxacin (Compound) Cisapride may lead to a major life threatening interaction when taken with Norfloxacin and Norfloxacin (Compound) resembles Ofloxacin (Compound) Cisapride may lead to a major life threatening interaction when taken with Gatifloxacin and Gatifloxacin (Compound) resembles Ofloxacin (Compound) Cisapride (Compound) binds CYP1A2 (Gene) and CYP1A2 (Gene) is bound by Ofloxacin (Compound) Cisapride 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 Ofloxacin Cisapride may lead to a major life threatening interaction when taken with Entrectinib and Entrectinib may cause a moderate interaction that could exacerbate diseases when taken with Ofloxacin Cisapride may cause a moderate interaction that could exacerbate diseases when taken with Lactulose and Lactulose may cause a moderate interaction that could exacerbate diseases when taken with Ofloxacin Cisapride may cause a moderate interaction that could exacerbate diseases when taken with Magnesium hydroxide and Magnesium hydroxide may cause a moderate interaction that could exacerbate diseases when taken with Ofloxacin Cisapride may cause a moderate interaction that could exacerbate diseases when taken with Salbutamol and Salbutamol may cause a moderate interaction that could exacerbate diseases when taken with Ofloxacin
DB00843
DB11363
479
1,276
[ "DDInter583", "DDInter39" ]
Donepezil
Alectinib
In 2016, the global burden of dementia was estimated to be 43.8 million, demonstrating a significant increase from a global prevalence of 20.2 million in 1990. Donepezil, also known as Aricept, is a piperidine derivative acetylcholinesterase inhibitor used in the management of the dementia of Alzheimer's Disease, and in some cases, is used to manage other types of dementia. Donepezil was first approved by the FDA in 1996, and its extended-release form was approved in combination with [Memantine] in 2014 to manage moderate and severe forms of Alzheimer's dementia.[L7916,L7937] A donepezil transdermal delivery system, Adlarity, was approved by the FDA in March 2022 for the treatment of Alzheimer's dementia. Though it does not alter the progression of Alzheimer's disease, donepezil is effective in managing the symptoms of its associated dementia.
Alectinib is a second generation oral drug that selectively inhibits the activity of anaplastic lymphoma kinase (ALK) tyrosine kinase. It is specifically used in the treatment of non-small cell lung cancer (NSCLC) expressing the ALK-EML4 (echinoderm microtubule-associated protein-like 4) fusion protein that causes proliferation of NSCLC cells. Inhibition of ALK prevents phosphorylation and subsequent downstream activation of STAT3 and AKT resulting in reduced tumour cell viability. Approved under accelerated approval in 2015, alectinib is indicated for use in patients who have progressed on or were not tolerant of crizotinib, which is associated with the development of resistance.
Moderate
1
[ [ [ 479, 24, 1276 ] ], [ [ 479, 24, 61 ], [ 61, 24, 1276 ] ], [ [ 479, 62, 1424 ], [ 1424, 24, 1276 ] ], [ [ 479, 63, 322 ], [ 322, 24, 1276 ] ], [ [ 479, 24, 1476 ], [ 1476, 63, 1276 ] ], [ [ 479, 23, 384 ], [ 384, 24, 1276 ] ], [ [ 479, 24, 61 ], [ 61, 63, 190 ], [ 190, 24, 1276 ] ], [ [ 479, 24, 1011 ], [ 1011, 64, 819 ], [ 819, 24, 1276 ] ], [ [ 479, 62, 1424 ], [ 1424, 63, 190 ], [ 190, 24, 1276 ] ], [ [ 479, 63, 322 ], [ 322, 63, 305 ], [ 305, 24, 1276 ] ] ]
[ [ [ "Donepezil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alectinib" ] ], [ [ "Donepezil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Edrophonium" ], [ "Edrophonium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alectinib" ] ], [ [ "Donepezil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Quinine" ], [ "Quinine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alectinib" ] ], [ [ "Donepezil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Epirubicin" ], [ "Epirubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alectinib" ] ], [ [ "Donepezil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brigatinib" ], [ "Brigatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alectinib" ] ], [ [ "Donepezil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Idelalisib" ], [ "Idelalisib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alectinib" ] ], [ [ "Donepezil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Edrophonium" ], [ "Edrophonium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Succinylcholine" ], [ "Succinylcholine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alectinib" ] ], [ [ "Donepezil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fingolimod" ], [ "Fingolimod", "{u} may lead to a major life threatening interaction when taken with {v}", "Acebutolol" ], [ "Acebutolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alectinib" ] ], [ [ "Donepezil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Quinine" ], [ "Quinine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Succinylcholine" ], [ "Succinylcholine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alectinib" ] ], [ [ "Donepezil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Epirubicin" ], [ "Epirubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Asparaginase Escherichia coli" ], [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alectinib" ] ] ]
Donepezil may cause a moderate interaction that could exacerbate diseases when taken with Edrophonium and Edrophonium may cause a moderate interaction that could exacerbate diseases when taken with Alectinib Donepezil may cause a minor interaction that can limit clinical effects when taken with Quinine and Quinine may cause a moderate interaction that could exacerbate diseases when taken with Alectinib Donepezil may cause a moderate interaction that could exacerbate diseases when taken with Epirubicin and Epirubicin may cause a moderate interaction that could exacerbate diseases when taken with Alectinib Donepezil may cause a moderate interaction that could exacerbate diseases when taken with Brigatinib and Brigatinib may cause a moderate interaction that could exacerbate diseases when taken with Alectinib Donepezil may cause a minor interaction that can limit clinical effects when taken with Idelalisib and Idelalisib may cause a moderate interaction that could exacerbate diseases when taken with Alectinib Donepezil may cause a moderate interaction that could exacerbate diseases when taken with Edrophonium and Edrophonium may cause a moderate interaction that could exacerbate diseases when taken with Succinylcholine and Succinylcholine may cause a moderate interaction that could exacerbate diseases when taken with Alectinib Donepezil may cause a moderate interaction that could exacerbate diseases when taken with Fingolimod and Fingolimod may lead to a major life threatening interaction when taken with Acebutolol and Acebutolol may cause a moderate interaction that could exacerbate diseases when taken with Alectinib Donepezil may cause a minor interaction that can limit clinical effects when taken with Quinine and Quinine may cause a moderate interaction that could exacerbate diseases when taken with Succinylcholine and Succinylcholine may cause a moderate interaction that could exacerbate diseases when taken with Alectinib Donepezil may cause a moderate interaction that could exacerbate diseases when taken with Epirubicin and Epirubicin may cause a moderate interaction that could exacerbate diseases when taken with Asparaginase Escherichia coli and Asparaginase Escherichia coli may cause a moderate interaction that could exacerbate diseases when taken with Alectinib
DB00911
DB06273
458
980
[ "DDInter1811", "DDInter1824" ]
Tinidazole
Tocilizumab
A nitroimidazole antitrichomonal agent effective against _Trichomonas vaginalis_, _Entamoeba histolytica_, and _Giardia lamblia_ infections.
Tocilizumab is a recombinant humanized monoclonal antibody IL-6 receptor inhibitor used to treat inflammatory and autoimmune conditions. It was first described in the literature in 2003 when Chugai, a subsidiary of Roche began developing IL-6 inhibiting monoclonal antibodies. Tocilizumab was granted FDA approval on 8 January 2010 to treat a number of inflammatory and autoimmune disorders, such as different types of arthritis and cytokine release syndrome. It was later approved by Health Canada on 30 April 2010. After being investigated to treat severely ill patients with COVID-19,[A193278,L12837,L12843] tocilizumab was approved by the European Commission in December 2021 to treat COVID-19 in adults receiving systemic corticosteroids and supplemental oxygen or mechanical ventilation. Subsequently, it was granted approval by Health Canada and the FDA in October and December 2022, respectively. Tocilizumab-bavi, a biosimilar drug, was approved by the FDA in September 2023.
Moderate
1
[ [ [ 458, 24, 980 ] ], [ [ 458, 24, 309 ], [ 309, 24, 980 ] ], [ [ 458, 24, 110 ], [ 110, 63, 980 ] ], [ [ 458, 63, 467 ], [ 467, 24, 980 ] ], [ [ 458, 40, 112 ], [ 112, 24, 980 ] ], [ [ 458, 24, 375 ], [ 375, 64, 980 ] ], [ [ 458, 24, 1377 ], [ 1377, 25, 980 ] ], [ [ 458, 63, 581 ], [ 581, 25, 980 ] ], [ [ 458, 24, 309 ], [ 309, 63, 1461 ], [ 1461, 23, 980 ] ], [ [ 458, 24, 110 ], [ 110, 63, 309 ], [ 309, 24, 980 ] ] ]
[ [ [ "Tinidazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tocilizumab" ] ], [ [ "Tinidazole", "{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}", "Tocilizumab" ] ], [ [ "Tinidazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Polatuzumab vedotin" ], [ "Polatuzumab vedotin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tocilizumab" ] ], [ [ "Tinidazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Simvastatin" ], [ "Simvastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tocilizumab" ] ], [ [ "Tinidazole", "{u} (Compound) resembles {v} (Compound)", "Metronidazole" ], [ "Metronidazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tocilizumab" ] ], [ [ "Tinidazole", "{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}", "Tocilizumab" ] ], [ [ "Tinidazole", "{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}", "Tocilizumab" ] ], [ [ "Tinidazole", "{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}", "Tocilizumab" ] ], [ [ "Tinidazole", "{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}", "Vitamin E" ], [ "Vitamin E", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Tocilizumab" ] ], [ [ "Tinidazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Polatuzumab vedotin" ], [ "Polatuzumab vedotin", "{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}", "Tocilizumab" ] ] ]
Tinidazole 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 Tocilizumab Tinidazole may cause a moderate interaction that could exacerbate diseases when taken with Polatuzumab vedotin and Polatuzumab vedotin may cause a moderate interaction that could exacerbate diseases when taken with Tocilizumab Tinidazole may cause a moderate interaction that could exacerbate diseases when taken with Simvastatin and Simvastatin may cause a moderate interaction that could exacerbate diseases when taken with Tocilizumab Tinidazole (Compound) resembles Metronidazole (Compound) and Metronidazole may cause a moderate interaction that could exacerbate diseases when taken with Tocilizumab Tinidazole 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 Tocilizumab Tinidazole 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 Tocilizumab Tinidazole 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 Tocilizumab Tinidazole 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 Vitamin E and Vitamin E may cause a minor interaction that can limit clinical effects when taken with Tocilizumab Tinidazole may cause a moderate interaction that could exacerbate diseases when taken with Polatuzumab vedotin and Polatuzumab vedotin 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 Tocilizumab
DB00334
DB01211
867
609
[ "DDInter1326", "DDInter393" ]
Olanzapine
Clarithromycin
Olanzapine is a thienobenzodiazepine classified as an atypical or second-generation antipsychotic agent. The second-generation antipsychotics were introduced in the 90s and quickly gained traction due to their impressive efficacy, reduced risk for extrapyramidal side effects and reduced susceptibility to drug-drug interactions. Olanzapine very closely resembles [clozapine] and only differs by two additional methyl groups and the absence of a chloride moiety. It was discovered by scientists at Eli Lilly and approved to be marketed in the US in 1996.
Clarithromycin, a semisynthetic macrolide antibiotic derived from erythromycin, inhibits bacterial protein synthesis by binding to the bacterial 50S ribosomal subunit. Binding inhibits peptidyl transferase activity and interferes with amino acid translocation during the translation and protein assembly process. Clarithromycin may be bacteriostatic or bactericidal depending on the organism and drug concentration.
Moderate
1
[ [ [ 867, 24, 609 ] ], [ [ 867, 6, 4973 ], [ 4973, 45, 609 ] ], [ [ 867, 7, 18592 ], [ 18592, 46, 609 ] ], [ [ 867, 63, 600 ], [ 600, 23, 609 ] ], [ [ 867, 24, 222 ], [ 222, 23, 609 ] ], [ [ 867, 23, 112 ], [ 112, 23, 609 ] ], [ [ 867, 24, 770 ], [ 770, 24, 609 ] ], [ [ 867, 24, 1383 ], [ 1383, 63, 609 ] ], [ [ 867, 63, 1179 ], [ 1179, 24, 609 ] ], [ [ 867, 1, 695 ], [ 695, 24, 609 ] ] ]
[ [ [ "Olanzapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clarithromycin" ] ], [ [ "Olanzapine", "{u} (Compound) binds {v} (Gene)", "ABCB1" ], [ "ABCB1", "{u} (Gene) is bound by {v} (Compound)", "Clarithromycin" ] ], [ [ "Olanzapine", "{u} (Compound) upregulates {v} (Gene)", "TMEM110" ], [ "TMEM110", "{u} (Gene) is upregulated by {v} (Compound)", "Clarithromycin" ] ], [ [ "Olanzapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fluconazole" ], [ "Fluconazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Clarithromycin" ] ], [ [ "Olanzapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sibutramine" ], [ "Sibutramine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Clarithromycin" ] ], [ [ "Olanzapine", "{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}", "Clarithromycin" ] ], [ [ "Olanzapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Thalidomide" ], [ "Thalidomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clarithromycin" ] ], [ [ "Olanzapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium sulfate" ], [ "Sodium sulfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clarithromycin" ] ], [ [ "Olanzapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin lispro" ], [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clarithromycin" ] ], [ [ "Olanzapine", "{u} (Compound) resembles {v} (Compound)", "Clozapine" ], [ "Clozapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clarithromycin" ] ] ]
Olanzapine (Compound) binds ABCB1 (Gene) and ABCB1 (Gene) is bound by Clarithromycin (Compound) Olanzapine (Compound) upregulates TMEM110 (Gene) and TMEM110 (Gene) is upregulated by Clarithromycin (Compound) Olanzapine may cause a moderate interaction that could exacerbate diseases when taken with Fluconazole and Fluconazole may cause a minor interaction that can limit clinical effects when taken with Clarithromycin Olanzapine may cause a moderate interaction that could exacerbate diseases when taken with Sibutramine and Sibutramine may cause a minor interaction that can limit clinical effects when taken with Clarithromycin Olanzapine 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 Clarithromycin Olanzapine may cause a moderate interaction that could exacerbate diseases when taken with Thalidomide and Thalidomide may cause a moderate interaction that could exacerbate diseases when taken with Clarithromycin Olanzapine may cause a moderate interaction that could exacerbate diseases when taken with Sodium sulfate and Sodium sulfate may cause a moderate interaction that could exacerbate diseases when taken with Clarithromycin Olanzapine may cause a moderate interaction that could exacerbate diseases when taken with Insulin lispro and Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Clarithromycin Olanzapine (Compound) resembles Clozapine (Compound) and Clozapine may cause a moderate interaction that could exacerbate diseases when taken with Clarithromycin
DB00938
DB01069
455
401
[ "DDInter1635", "DDInter1533" ]
Salmeterol
Promethazine
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.
Promethazine, originally known as 3,277 R.P., is an N-dimethylaminopropyl derivative of [phenothiazine] that was developed in France in 1946. Promethazine antagonizes a variety of receptors, allowing it to be used for a number of indications including allergic reactions, pain, sedation, nausea, and vomiting.[A189907,A190153,A190159,A190150,A190171] Promethazine was granted FDA approval before 29 March 1951.[A190177,L4000]
Moderate
1
[ [ [ 455, 24, 401 ] ], [ [ 455, 24, 1264 ], [ 1264, 63, 401 ] ], [ [ 455, 63, 939 ], [ 939, 24, 401 ] ], [ [ 455, 21, 28787 ], [ 28787, 60, 401 ] ], [ [ 455, 64, 461 ], [ 461, 24, 401 ] ], [ [ 455, 24, 504 ], [ 504, 24, 401 ] ], [ [ 455, 25, 851 ], [ 851, 63, 401 ] ], [ [ 455, 25, 1056 ], [ 1056, 24, 401 ] ], [ [ 455, 63, 11 ], [ 11, 25, 401 ] ], [ [ 455, 24, 1069 ], [ 1069, 64, 401 ] ] ]
[ [ [ "Salmeterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promethazine" ] ], [ [ "Salmeterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ], [ "Doxepin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promethazine" ] ], [ [ "Salmeterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Benzphetamine" ], [ "Benzphetamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promethazine" ] ], [ [ "Salmeterol", "{u} (Compound) causes {v} (Side Effect)", "Dermatitis" ], [ "Dermatitis", "{u} (Side Effect) is caused by {v} (Compound)", "Promethazine" ] ], [ [ "Salmeterol", "{u} may lead to a major life threatening interaction when taken with {v}", "Timolol" ], [ "Timolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promethazine" ] ], [ [ "Salmeterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydrochlorothiazide" ], [ "Hydrochlorothiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promethazine" ] ], [ [ "Salmeterol", "{u} may lead to a major life threatening interaction when taken with {v}", "Nefazodone" ], [ "Nefazodone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promethazine" ] ], [ [ "Salmeterol", "{u} may lead to a major life threatening interaction when taken with {v}", "Telithromycin" ], [ "Telithromycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promethazine" ] ], [ [ "Salmeterol", "{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}", "Promethazine" ] ], [ [ "Salmeterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vandetanib" ], [ "Vandetanib", "{u} may lead to a major life threatening interaction when taken with {v}", "Promethazine" ] ] ]
Salmeterol may cause a moderate interaction that could exacerbate diseases when taken with Doxepin and Doxepin may cause a moderate interaction that could exacerbate diseases when taken with Promethazine Salmeterol may cause a moderate interaction that could exacerbate diseases when taken with Benzphetamine and Benzphetamine may cause a moderate interaction that could exacerbate diseases when taken with Promethazine Salmeterol (Compound) causes Dermatitis (Side Effect) and Dermatitis (Side Effect) is caused by Promethazine (Compound) Salmeterol may lead to a major life threatening interaction when taken with Timolol and Timolol may cause a moderate interaction that could exacerbate diseases when taken with Promethazine Salmeterol may cause a moderate interaction that could exacerbate diseases when taken with Hydrochlorothiazide and Hydrochlorothiazide may cause a moderate interaction that could exacerbate diseases when taken with Promethazine Salmeterol may lead to a major life threatening interaction when taken with Nefazodone and Nefazodone may cause a moderate interaction that could exacerbate diseases when taken with Promethazine Salmeterol may lead to a major life threatening interaction when taken with Telithromycin and Telithromycin may cause a moderate interaction that could exacerbate diseases when taken with Promethazine Salmeterol 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 Promethazine Salmeterol may cause a moderate interaction that could exacerbate diseases when taken with Vandetanib and Vandetanib may lead to a major life threatening interaction when taken with Promethazine
DB00424
DB00477
19
216
[ "DDInter896", "DDInter363" ]
Hyoscyamine
Chlorpromazine
Hyoscyamine is a tropane alkaloid and the levo-isomer of [atropine]. It is commonly extracted from plants in the _Solanaceae_ or nightshade family. Research into the action of hyoscyamine in published literature dates back to 1826. Hyoscyamine is used for a wide variety of treatments and therapeutics due to its antimuscarinic properties.[L31548,L31553] Although hyoscyamine is marketed in the United States, it is not FDA approved.[L31548,L31553]
The prototypical phenothiazine antipsychotic drug. Like the other drugs in this class, chlorpromazine's antipsychotic actions are thought to be due to long-term adaptation by the brain to blocking dopamine receptors. Chlorpromazine has several other actions and therapeutic uses, including as an antiemetic and in the treatment of intractable hiccup.
Moderate
1
[ [ [ 19, 24, 216 ] ], [ [ 19, 24, 1178 ], [ 1178, 1, 216 ] ], [ [ 19, 24, 662 ], [ 662, 63, 216 ] ], [ [ 19, 24, 684 ], [ 684, 40, 216 ] ], [ [ 19, 63, 508 ], [ 508, 40, 216 ] ], [ [ 19, 6, 2720 ], [ 2720, 45, 216 ] ], [ [ 19, 18, 4930 ], [ 4930, 57, 216 ] ], [ [ 19, 21, 28751 ], [ 28751, 60, 216 ] ], [ [ 19, 24, 13 ], [ 13, 24, 216 ] ], [ [ 19, 40, 1133 ], [ 1133, 63, 216 ] ] ]
[ [ [ "Hyoscyamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorpromazine" ] ], [ [ "Hyoscyamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trifluoperazine" ], [ "Trifluoperazine", "{u} (Compound) resembles {v} (Compound)", "Chlorpromazine" ] ], [ [ "Hyoscyamine", "{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}", "Chlorpromazine" ] ], [ [ "Hyoscyamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Thioridazine" ], [ "Thioridazine", "{u} (Compound) resembles {v} (Compound)", "Chlorpromazine" ] ], [ [ "Hyoscyamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promazine" ], [ "Promazine", "{u} (Compound) resembles {v} (Compound)", "Chlorpromazine" ] ], [ [ "Hyoscyamine", "{u} (Compound) binds {v} (Gene)", "CHRM3" ], [ "CHRM3", "{u} (Gene) is bound by {v} (Compound)", "Chlorpromazine" ] ], [ [ "Hyoscyamine", "{u} (Compound) downregulates {v} (Gene)", "DLD" ], [ "DLD", "{u} (Gene) is downregulated by {v} (Compound)", "Chlorpromazine" ] ], [ [ "Hyoscyamine", "{u} (Compound) causes {v} (Side Effect)", "Convulsion" ], [ "Convulsion", "{u} (Side Effect) is caused by {v} (Compound)", "Chlorpromazine" ] ], [ [ "Hyoscyamine", "{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}", "Chlorpromazine" ] ], [ [ "Hyoscyamine", "{u} (Compound) resembles {v} (Compound)", "Granisetron" ], [ "Granisetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorpromazine" ] ] ]
Hyoscyamine may cause a moderate interaction that could exacerbate diseases when taken with Trifluoperazine and Trifluoperazine (Compound) resembles Chlorpromazine (Compound) Hyoscyamine 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 Chlorpromazine Hyoscyamine may cause a moderate interaction that could exacerbate diseases when taken with Thioridazine and Thioridazine (Compound) resembles Chlorpromazine (Compound) Hyoscyamine may cause a moderate interaction that could exacerbate diseases when taken with Promazine and Promazine (Compound) resembles Chlorpromazine (Compound) Hyoscyamine (Compound) binds CHRM3 (Gene) and CHRM3 (Gene) is bound by Chlorpromazine (Compound) Hyoscyamine (Compound) downregulates DLD (Gene) and DLD (Gene) is downregulated by Chlorpromazine (Compound) Hyoscyamine (Compound) causes Convulsion (Side Effect) and Convulsion (Side Effect) is caused by Chlorpromazine (Compound) Hyoscyamine 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 Chlorpromazine Hyoscyamine (Compound) resembles Granisetron (Compound) and Granisetron may cause a moderate interaction that could exacerbate diseases when taken with Chlorpromazine
DB00059
DB06589
1,560
1,250
[ "DDInter1404", "DDInter1400" ]
Pegaspargase
Pazopanib
Pegaspargase is a conjugate of monomethoxypolyethylene glycol (mPEG) and L-asparaginase (L-asparagine amidohydrolase), an asparagine-specific enzyme that converts L-asparagine into aspartic acid and ammonia. Asparagine is an amino acid that is vital for cell survival. In humans, most normal tissues can produce asparagine through the action of asparagine synthetase. However, leukemia cells have low levels of this enzyme and depend on exogenous sources. Therefore, the use of pegaspargase results in leukemic cell death.[A103,A255912,L44667] Pegaspargase has the same mechanism of action as [L-asparaginase] derived from _Escherichia coli_, a previously developed enzyme used for the treatment of acute lymphoblastic leukemia (ALL). However, using L-asparaginase derived from _Escherich
Pazopanib is a small molecule inhibitor of multiple protein tyrosine kinases with potential antineoplastic activity. It is developed by GlaxoSmithKline and was FDA approved on October 19, 2009.
Moderate
1
[ [ [ 1560, 24, 1250 ] ], [ [ 1560, 24, 1247 ], [ 1247, 23, 1250 ] ], [ [ 1560, 24, 1151 ], [ 1151, 24, 1250 ] ], [ [ 1560, 24, 1270 ], [ 1270, 63, 1250 ] ], [ [ 1560, 25, 1101 ], [ 1101, 24, 1250 ] ], [ [ 1560, 63, 1257 ], [ 1257, 24, 1250 ] ], [ [ 1560, 24, 868 ], [ 868, 64, 1250 ] ], [ [ 1560, 25, 375 ], [ 375, 64, 1250 ] ], [ [ 1560, 24, 1176 ], [ 1176, 25, 1250 ] ], [ [ 1560, 25, 1070 ], [ 1070, 25, 1250 ] ] ]
[ [ [ "Pegaspargase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pazopanib" ] ], [ [ "Pegaspargase", "{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}", "Pazopanib" ] ], [ [ "Pegaspargase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sunitinib" ], [ "Sunitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pazopanib" ] ], [ [ "Pegaspargase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tuberculin purified protein derivative" ], [ "Tuberculin purified protein derivative", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pazopanib" ] ], [ [ "Pegaspargase", "{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}", "Pazopanib" ] ], [ [ "Pegaspargase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pegfilgrastim" ], [ "Pegfilgrastim", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pazopanib" ] ], [ [ "Pegaspargase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vemurafenib" ], [ "Vemurafenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Pazopanib" ] ], [ [ "Pegaspargase", "{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}", "Pazopanib" ] ], [ [ "Pegaspargase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Moxifloxacin" ], [ "Moxifloxacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Pazopanib" ] ], [ [ "Pegaspargase", "{u} may lead to a major life threatening interaction when taken with {v}", "Mipomersen" ], [ "Mipomersen", "{u} may lead to a major life threatening interaction when taken with {v}", "Pazopanib" ] ] ]
Pegaspargase 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 Pazopanib Pegaspargase may cause a moderate interaction that could exacerbate diseases when taken with Sunitinib and Sunitinib may cause a moderate interaction that could exacerbate diseases when taken with Pazopanib Pegaspargase may cause a moderate interaction that could exacerbate diseases when taken with Tuberculin purified protein derivative and Tuberculin purified protein derivative may cause a moderate interaction that could exacerbate diseases when taken with Pazopanib Pegaspargase 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 Pazopanib Pegaspargase may cause a moderate interaction that could exacerbate diseases when taken with Pegfilgrastim and Pegfilgrastim may cause a moderate interaction that could exacerbate diseases when taken with Pazopanib Pegaspargase may cause a moderate interaction that could exacerbate diseases when taken with Vemurafenib and Vemurafenib may lead to a major life threatening interaction when taken with Pazopanib Pegaspargase 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 Pazopanib Pegaspargase may cause a moderate interaction that could exacerbate diseases when taken with Moxifloxacin and Moxifloxacin may lead to a major life threatening interaction when taken with Pazopanib Pegaspargase may lead to a major life threatening interaction when taken with Mipomersen and Mipomersen may lead to a major life threatening interaction when taken with Pazopanib
DB00563
DB00879
663
1,279
[ "DDInter1174", "DDInter637" ]
Methotrexate
Emtricitabine
Methotrexate is a folate derivative that inhibits several enzymes responsible for nucleotide synthesis. This inhibition leads to suppression of inflammation as well as prevention of cell division. Because of these effects, methotrexate is often used to treat inflammation caused by arthritis or to control cell division in neoplastic diseases such as breast cancer and non-Hodgkin's lymphoma.[A180322,L7144,L7147,L7150,L7180] Due to the toxic effects of methotrexate, it is indicated for treatment of some forms of arthritis and severe psoriasis only if first line treatment has failed or patients are intolerant of those treatments. Methotrexate was granted FDA approval on 7 December 1953.
Emtricitabine is a nucleoside reverse transcriptase inhibitor (NRTI) indicated for the treatment of HIV infection in adults or combined with [tenofovir alafenamide] for the prevention of HIV-1 infection in high risk adolescents and adults. Emtricitabine is a cytidine analogue. The drug works by inhibiting HIV reverse transcriptase, preventing transcription of HIV RNA to DNA. Emtricitabine was granted FDA approval on 2 July 2003.
Moderate
1
[ [ [ 663, 24, 1279 ] ], [ [ 663, 63, 141 ], [ 141, 40, 1279 ] ], [ [ 663, 21, 28666 ], [ 28666, 60, 1279 ] ], [ [ 663, 63, 322 ], [ 322, 24, 1279 ] ], [ [ 663, 24, 384 ], [ 384, 63, 1279 ] ], [ [ 663, 24, 267 ], [ 267, 24, 1279 ] ], [ [ 663, 64, 1064 ], [ 1064, 24, 1279 ] ], [ [ 663, 25, 1377 ], [ 1377, 64, 1279 ] ], [ [ 663, 63, 141 ], [ 141, 1, 903 ], [ 903, 40, 1279 ] ], [ [ 663, 21, 28666 ], [ 28666, 60, 55 ], [ 55, 1, 1279 ] ] ]
[ [ [ "Methotrexate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Emtricitabine" ] ], [ [ "Methotrexate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Floxuridine" ], [ "Floxuridine", "{u} (Compound) resembles {v} (Compound)", "Emtricitabine" ] ], [ [ "Methotrexate", "{u} (Compound) causes {v} (Side Effect)", "Nervous system disorder" ], [ "Nervous system disorder", "{u} (Side Effect) is caused by {v} (Compound)", "Emtricitabine" ] ], [ [ "Methotrexate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Epirubicin" ], [ "Epirubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Emtricitabine" ] ], [ [ "Methotrexate", "{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}", "Emtricitabine" ] ], [ [ "Methotrexate", "{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}", "Emtricitabine" ] ], [ [ "Methotrexate", "{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}", "Emtricitabine" ] ], [ [ "Methotrexate", "{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}", "Emtricitabine" ] ], [ [ "Methotrexate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Floxuridine" ], [ "Floxuridine", "{u} (Compound) resembles {v} (Compound)", "Decitabine" ], [ "Decitabine", "{u} (Compound) resembles {v} (Compound)", "Emtricitabine" ] ], [ [ "Methotrexate", "{u} (Compound) causes {v} (Side Effect)", "Nervous system disorder" ], [ "Nervous system disorder", "{u} (Side Effect) is caused by {v} (Compound)", "Lamivudine" ], [ "Lamivudine", "{u} (Compound) resembles {v} (Compound)", "Emtricitabine" ] ] ]
Methotrexate may cause a moderate interaction that could exacerbate diseases when taken with Floxuridine and Floxuridine (Compound) resembles Emtricitabine (Compound) Methotrexate (Compound) causes Nervous system disorder (Side Effect) and Nervous system disorder (Side Effect) is caused by Emtricitabine (Compound) Methotrexate may cause a moderate interaction that could exacerbate diseases when taken with Epirubicin and Epirubicin may cause a moderate interaction that could exacerbate diseases when taken with Emtricitabine Methotrexate 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 Emtricitabine Methotrexate 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 Emtricitabine Methotrexate 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 Emtricitabine Methotrexate 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 Emtricitabine Methotrexate may cause a moderate interaction that could exacerbate diseases when taken with Floxuridine and Floxuridine (Compound) resembles Decitabine (Compound) and Decitabine (Compound) resembles Emtricitabine (Compound) Methotrexate (Compound) causes Nervous system disorder (Side Effect) and Nervous system disorder (Side Effect) is caused by Lamivudine (Compound) and Lamivudine (Compound) resembles Emtricitabine (Compound)
DB00488
DB14783
196
287
[ "DDInter57", "DDInter574" ]
Altretamine
Diroximel fumarate
An alkylating agent proposed as an antineoplastic. It also acts as a chemosterilant for male houseflies and other insects.
Multiple Sclerosis (MS) is a chronic, debilitating neurological disease that can lead to profound cognitive and physical symptoms, severely affecting quality of life. It is the main cause of neurological disability not caused by trauma in the young adult population of both North America and Europe. Relapsing-remitting forms of MS lead to neurological symptoms that resolve and recur periodically. More than 80% of patients suffering from this disease have relapsing-remitting MS. Diroximel fumarate is a new drug from the fumarate class formulated to treat various relapsing forms of MS. This drug is bioequivalent to [Dimethyl fumarate][A187544,L9626](initially manufactured in 2013), but is less likely to cause gastrointestinal side effects, owing to its unique chemical structure. Diroximel fumarate was formulated by Alkermes in collaboration with Biogen, and was approved by the FDA in October 2019 and by the EMA in November 2021.
Moderate
1
[ [ [ 196, 24, 287 ] ], [ [ 196, 63, 599 ], [ 599, 24, 287 ] ], [ [ 196, 24, 270 ], [ 270, 24, 287 ] ], [ [ 196, 25, 770 ], [ 770, 24, 287 ] ], [ [ 196, 25, 1510 ], [ 1510, 25, 287 ] ], [ [ 196, 64, 1066 ], [ 1066, 25, 287 ] ], [ [ 196, 25, 676 ], [ 676, 64, 287 ] ], [ [ 196, 24, 713 ], [ 713, 25, 287 ] ], [ [ 196, 63, 599 ], [ 599, 24, 1101 ], [ 1101, 24, 287 ] ], [ [ 196, 24, 270 ], [ 270, 63, 1101 ], [ 1101, 24, 287 ] ] ]
[ [ [ "Altretamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diroximel fumarate" ] ], [ [ "Altretamine", "{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}", "Diroximel fumarate" ] ], [ [ "Altretamine", "{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}", "Diroximel fumarate" ] ], [ [ "Altretamine", "{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}", "Diroximel fumarate" ] ], [ [ "Altretamine", "{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}", "Diroximel fumarate" ] ], [ [ "Altretamine", "{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}", "Diroximel fumarate" ] ], [ [ "Altretamine", "{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}", "Diroximel fumarate" ] ], [ [ "Altretamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dimethyl fumarate" ], [ "Dimethyl fumarate", "{u} may lead to a major life threatening interaction when taken with {v}", "Diroximel fumarate" ] ], [ [ "Altretamine", "{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}", "Bexarotene" ], [ "Bexarotene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diroximel fumarate" ] ], [ [ "Altretamine", "{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}", "Bexarotene" ], [ "Bexarotene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diroximel fumarate" ] ] ]
Altretamine 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 Diroximel fumarate Altretamine 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 Diroximel fumarate Altretamine 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 Diroximel fumarate Altretamine 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 Diroximel fumarate Altretamine 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 Diroximel fumarate Altretamine 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 Diroximel fumarate Altretamine may cause a moderate interaction that could exacerbate diseases when taken with Dimethyl fumarate and Dimethyl fumarate may lead to a major life threatening interaction when taken with Diroximel fumarate Altretamine 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 Bexarotene and Bexarotene may cause a moderate interaction that could exacerbate diseases when taken with Diroximel fumarate Altretamine 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 Bexarotene and Bexarotene may cause a moderate interaction that could exacerbate diseases when taken with Diroximel fumarate
DB01168
DB08895
1,053
976
[ "DDInter1526", "DDInter1825" ]
Procarbazine
Tofacitinib
An antineoplastic agent used primarily in combination with mechlorethamine, vincristine, and prednisone (the MOPP protocol) in the treatment of Hodgkin's disease.
Tofacitinib is an inhibitor of Janus kinases, a group of intracellular enzymes involved in signalling pathways that affect hematopoiesis and immune cell function. It is approved by the FDA for treatment of moderate to severe rheumatoid arthritis that responds inadequately to methotrexate or in those who are intolerant to methotrexate. Besides rheumatoid arthritis, tofacitinib has also been studied in clinical trials for the prevention of organ transplant rejection, and is currently under investigation for the treatment of psoriasis. Known adverse effects include nausea and headache as well as more serious immunologic and hematological adverse effects. Tofacitinib is marketed under the brand name Xeljanz by Pfizer.
Major
2
[ [ [ 1053, 25, 976 ] ], [ [ 1053, 63, 1461 ], [ 1461, 23, 976 ] ], [ [ 1053, 24, 200 ], [ 200, 63, 976 ] ], [ [ 1053, 63, 1020 ], [ 1020, 24, 976 ] ], [ [ 1053, 64, 314 ], [ 314, 24, 976 ] ], [ [ 1053, 25, 407 ], [ 407, 63, 976 ] ], [ [ 1053, 24, 699 ], [ 699, 24, 976 ] ], [ [ 1053, 25, 560 ], [ 560, 24, 976 ] ], [ [ 1053, 1, 848 ], [ 848, 24, 976 ] ], [ [ 1053, 25, 1011 ], [ 1011, 25, 976 ] ] ]
[ [ [ "Procarbazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Tofacitinib" ] ], [ [ "Procarbazine", "{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}", "Tofacitinib" ] ], [ [ "Procarbazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ], [ "Candida albicans", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tofacitinib" ] ], [ [ "Procarbazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clonidine" ], [ "Clonidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tofacitinib" ] ], [ [ "Procarbazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Nalbuphine" ], [ "Nalbuphine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tofacitinib" ] ], [ [ "Procarbazine", "{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}", "Tofacitinib" ] ], [ [ "Procarbazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nadolol" ], [ "Nadolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tofacitinib" ] ], [ [ "Procarbazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Oxymorphone" ], [ "Oxymorphone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tofacitinib" ] ], [ [ "Procarbazine", "{u} (Compound) resembles {v} (Compound)", "Ibuprofen" ], [ "Ibuprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tofacitinib" ] ], [ [ "Procarbazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Fingolimod" ], [ "Fingolimod", "{u} may lead to a major life threatening interaction when taken with {v}", "Tofacitinib" ] ] ]
Procarbazine 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 Tofacitinib Procarbazine may cause a moderate interaction that could exacerbate diseases when taken with Candida albicans and Candida albicans may cause a moderate interaction that could exacerbate diseases when taken with Tofacitinib Procarbazine may cause a moderate interaction that could exacerbate diseases when taken with Clonidine and Clonidine may cause a moderate interaction that could exacerbate diseases when taken with Tofacitinib Procarbazine may lead to a major life threatening interaction when taken with Nalbuphine and Nalbuphine may cause a moderate interaction that could exacerbate diseases when taken with Tofacitinib Procarbazine 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 Tofacitinib Procarbazine may cause a moderate interaction that could exacerbate diseases when taken with Nadolol and Nadolol may cause a moderate interaction that could exacerbate diseases when taken with Tofacitinib Procarbazine may lead to a major life threatening interaction when taken with Oxymorphone and Oxymorphone may cause a moderate interaction that could exacerbate diseases when taken with Tofacitinib Procarbazine (Compound) resembles Ibuprofen (Compound) and Ibuprofen may cause a moderate interaction that could exacerbate diseases when taken with Tofacitinib Procarbazine may lead to a major life threatening interaction when taken with Fingolimod and Fingolimod may lead to a major life threatening interaction when taken with Tofacitinib
DB09038
DB11255
1,450
1,371
[ "DDInter636", "DDInter374" ]
Empagliflozin
Chromium picolinate
Empagliflozin is an inhibitor of sodium-glucose co-transporter-2 (SGLT2), the transporters primarily responsible for the reabsorption of glucose in the kidney. It is used clinically as an adjunct to diet and exercise, often in combination with other drug therapies,[L13673,L13679,L11479] for the management of type 2 diabetes mellitus. The first known inhibitor of SGLTs, phlorizin, was isolated from the bark of apple trees in 1835 and researched extensively into the 20th century, but was ultimately deemed inappropriate for clinical use given its lack of specificity and significant gastrointestinal side effects. Attempts at overcoming these limitations first saw the development of O-glucoside analogs of phlorizin (e.g. [remogliflozin etabonate]), but these molecules proved relatively pharmacokinetically unstable. The development of C-glucoside phlorizin analogs remedied the issues
Chromium picolinate has a chemical formula CrPic3 and reddish-pink color. It is a coordination complex consisting of chromium(III) and picolinic acid. Chromium picolinate is used as a nutritional supplement for optimal insulin function in patients with Type 2 diabetes or promotion of weight loss. Chromium ions are shown to regulate insulin by promoting glucose utilization and increasing the sensitivity of the insulin receptor .
Moderate
1
[ [ [ 1450, 24, 1371 ] ], [ [ 1450, 63, 245 ], [ 245, 24, 1371 ] ], [ [ 1450, 24, 1296 ], [ 1296, 24, 1371 ] ], [ [ 1450, 63, 245 ], [ 245, 24, 5 ], [ 5, 24, 1371 ] ], [ [ 1450, 24, 1296 ], [ 1296, 63, 245 ], [ 245, 24, 1371 ] ], [ [ 1450, 63, 959 ], [ 959, 1, 245 ], [ 245, 24, 1371 ] ], [ [ 1450, 63, 1254 ], [ 1254, 63, 245 ], [ 245, 24, 1371 ] ], [ [ 1450, 63, 1551 ], [ 1551, 62, 245 ], [ 245, 24, 1371 ] ], [ [ 1450, 62, 1103 ], [ 1103, 62, 245 ], [ 245, 24, 1371 ] ], [ [ 1450, 63, 1551 ], [ 1551, 23, 959 ], [ 959, 24, 1371 ] ] ]
[ [ [ "Empagliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chromium picolinate" ] ], [ [ "Empagliflozin", "{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}", "Chromium picolinate" ] ], [ [ "Empagliflozin", "{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}", "Chromium picolinate" ] ], [ [ "Empagliflozin", "{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}", "Liraglutide" ], [ "Liraglutide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chromium picolinate" ] ], [ [ "Empagliflozin", "{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}", "Glimepiride" ], [ "Glimepiride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chromium picolinate" ] ], [ [ "Empagliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glipizide" ], [ "Glipizide", "{u} (Compound) resembles {v} (Compound)", "Glimepiride" ], [ "Glimepiride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chromium picolinate" ] ], [ [ "Empagliflozin", "{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}", "Glimepiride" ], [ "Glimepiride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chromium picolinate" ] ], [ [ "Empagliflozin", "{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}", "Glimepiride" ], [ "Glimepiride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chromium picolinate" ] ], [ [ "Empagliflozin", "{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}", "Glimepiride" ], [ "Glimepiride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chromium picolinate" ] ], [ [ "Empagliflozin", "{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}", "Glipizide" ], [ "Glipizide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chromium picolinate" ] ] ]
Empagliflozin 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 Chromium picolinate Empagliflozin 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 Chromium picolinate Empagliflozin 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 Liraglutide and Liraglutide may cause a moderate interaction that could exacerbate diseases when taken with Chromium picolinate Empagliflozin 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 Glimepiride and Glimepiride may cause a moderate interaction that could exacerbate diseases when taken with Chromium picolinate Empagliflozin may cause a moderate interaction that could exacerbate diseases when taken with Glipizide and Glipizide (Compound) resembles Glimepiride (Compound) and Glimepiride may cause a moderate interaction that could exacerbate diseases when taken with Chromium picolinate Empagliflozin 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 Glimepiride and Glimepiride may cause a moderate interaction that could exacerbate diseases when taken with Chromium picolinate Empagliflozin 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 Glimepiride and Glimepiride may cause a moderate interaction that could exacerbate diseases when taken with Chromium picolinate Empagliflozin 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 Glimepiride and Glimepiride may cause a moderate interaction that could exacerbate diseases when taken with Chromium picolinate Empagliflozin 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 Glipizide and Glipizide may cause a moderate interaction that could exacerbate diseases when taken with Chromium picolinate
DB00703
DB09038
997
1,450
[ "DDInter1167", "DDInter636" ]
Methazolamide
Empagliflozin
A carbonic anhydrase inhibitor that is used as a diuretic and in the treatment of glaucoma.
Empagliflozin is an inhibitor of sodium-glucose co-transporter-2 (SGLT2), the transporters primarily responsible for the reabsorption of glucose in the kidney. It is used clinically as an adjunct to diet and exercise, often in combination with other drug therapies,[L13673,L13679,L11479] for the management of type 2 diabetes mellitus. The first known inhibitor of SGLTs, phlorizin, was isolated from the bark of apple trees in 1835 and researched extensively into the 20th century, but was ultimately deemed inappropriate for clinical use given its lack of specificity and significant gastrointestinal side effects. Attempts at overcoming these limitations first saw the development of O-glucoside analogs of phlorizin (e.g. [remogliflozin etabonate]), but these molecules proved relatively pharmacokinetically unstable. The development of C-glucoside phlorizin analogs remedied the issues observed in the previous generation, and led to the FDA approval of [canagliflozin] in 2013 and both [dapagliflozin] and empagliflozin in 2014. As the most recently approved of the "flozin" drugs, empagliflozin carries the highest selectivity for SGLT2 over SGLT1 (approximately 2700-fold). Empagliflozin was further approved by the EMA in March 2022 and Health Canada in April 2022, making it the first and only approved treatment in Europe and Canada for adults with symptomatic chronic heart failure regardless of ejection fraction.[L40783,L13916]
Moderate
1
[ [ [ 997, 24, 1450 ] ], [ [ 997, 24, 659 ], [ 659, 63, 1450 ] ], [ [ 997, 63, 1061 ], [ 1061, 24, 1450 ] ], [ [ 997, 24, 1486 ], [ 1486, 24, 1450 ] ], [ [ 997, 40, 471 ], [ 471, 24, 1450 ] ], [ [ 997, 24, 659 ], [ 659, 64, 461 ], [ 461, 24, 1450 ] ], [ [ 997, 63, 1061 ], [ 1061, 63, 461 ], [ 461, 24, 1450 ] ], [ [ 997, 24, 1486 ], [ 1486, 63, 461 ], [ 461, 24, 1450 ] ], [ [ 997, 63, 1179 ], [ 1179, 23, 1103 ], [ 1103, 23, 1450 ] ], [ [ 997, 63, 870 ], [ 870, 1, 1103 ], [ 1103, 23, 1450 ] ] ]
[ [ [ "Methazolamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Empagliflozin" ] ], [ [ "Methazolamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vilanterol" ], [ "Vilanterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Empagliflozin" ] ], [ [ "Methazolamide", "{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}", "Empagliflozin" ] ], [ [ "Methazolamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methylprednisolone" ], [ "Methylprednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Empagliflozin" ] ], [ [ "Methazolamide", "{u} (Compound) resembles {v} (Compound)", "Acetazolamide" ], [ "Acetazolamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Empagliflozin" ] ], [ [ "Methazolamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vilanterol" ], [ "Vilanterol", "{u} may lead to a major life threatening interaction when taken with {v}", "Timolol" ], [ "Timolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Empagliflozin" ] ], [ [ "Methazolamide", "{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}", "Timolol" ], [ "Timolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Empagliflozin" ] ], [ [ "Methazolamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methylprednisolone" ], [ "Methylprednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Timolol" ], [ "Timolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Empagliflozin" ] ], [ [ "Methazolamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin lispro" ], [ "Insulin lispro", "{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}", "Empagliflozin" ] ], [ [ "Methazolamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fludrocortisone" ], [ "Fludrocortisone", "{u} (Compound) resembles {v} (Compound)", "Amcinonide" ], [ "Amcinonide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Empagliflozin" ] ] ]
Methazolamide may cause a moderate interaction that could exacerbate diseases when taken with Vilanterol and Vilanterol may cause a moderate interaction that could exacerbate diseases when taken with Empagliflozin Methazolamide 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 Empagliflozin Methazolamide may cause a moderate interaction that could exacerbate diseases when taken with Methylprednisolone and Methylprednisolone may cause a moderate interaction that could exacerbate diseases when taken with Empagliflozin Methazolamide (Compound) resembles Acetazolamide (Compound) and Acetazolamide may cause a moderate interaction that could exacerbate diseases when taken with Empagliflozin Methazolamide may cause a moderate interaction that could exacerbate diseases when taken with Vilanterol and Vilanterol may lead to a major life threatening interaction when taken with Timolol and Timolol may cause a moderate interaction that could exacerbate diseases when taken with Empagliflozin Methazolamide 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 Timolol and Timolol may cause a moderate interaction that could exacerbate diseases when taken with Empagliflozin Methazolamide may cause a moderate interaction that could exacerbate diseases when taken with Methylprednisolone and Methylprednisolone may cause a moderate interaction that could exacerbate diseases when taken with Timolol and Timolol may cause a moderate interaction that could exacerbate diseases when taken with Empagliflozin Methazolamide may cause a moderate interaction that could exacerbate diseases when taken with Insulin lispro and Insulin lispro 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 Empagliflozin Methazolamide may cause a moderate interaction that could exacerbate diseases when taken with Fludrocortisone and Fludrocortisone (Compound) resembles Amcinonide (Compound) and Amcinonide may cause a minor interaction that can limit clinical effects when taken with Empagliflozin
DB01072
DB09073
915
951
[ "DDInter129", "DDInter1379" ]
Atazanavir
Palbociclib
Atazanavir (formerly known as BMS-232632) is an antiretroviral drug of the protease inhibitor (PI) class. Like other antiretrovirals, it is used to treat infection of human immunodeficiency virus (HIV). Atazanavir is distinguished from other PIs in that it can be given once daily (rather than requiring multiple doses per day) and has lesser effects on the patient's lipid profile (the amounts of cholesterol and other fatty substances in the blood). Like other protease inhibitors, it is used only in combination with other HIV medications. The U.S. Food and Drug Administration (FDA) approved atazanavir on June 20, 2003.
Palbociclib is a piperazine pyridopyrimidine that acts in the cell cycle machinery. It is a second generation cyclin-dependent kinase inhibitor selected from a group of pyridopyrimidine compounds due to its favorable physical and pharmaceutical properties. Palbociclib was developed by Pfizer Inc after the discovery that identified the cyclin-dependent kinases as key regulators of cell growth. It was originally FDA approved on March 2015 for the treatment of HR-positive, HER2-negative advanced or metastatic breast cancer and its indications were updated in April 2019 to include male patients based on findings from postmarketing reports and electronic health records demonstrating safety and clinical efficacy.
Major
2
[ [ [ 915, 25, 951 ] ], [ [ 915, 25, 1476 ], [ 1476, 63, 951 ] ], [ [ 915, 24, 710 ], [ 710, 63, 951 ] ], [ [ 915, 64, 467 ], [ 467, 24, 951 ] ], [ [ 915, 25, 578 ], [ 578, 24, 951 ] ], [ [ 915, 24, 761 ], [ 761, 24, 951 ] ], [ [ 915, 63, 353 ], [ 353, 24, 951 ] ], [ [ 915, 24, 129 ], [ 129, 25, 951 ] ], [ [ 915, 25, 676 ], [ 676, 64, 951 ] ], [ [ 915, 25, 976 ], [ 976, 25, 951 ] ] ]
[ [ [ "Atazanavir", "{u} may lead to a major life threatening interaction when taken with {v}", "Palbociclib" ] ], [ [ "Atazanavir", "{u} may lead to a major life threatening interaction when taken with {v}", "Brigatinib" ], [ "Brigatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Palbociclib" ] ], [ [ "Atazanavir", "{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}", "Palbociclib" ] ], [ [ "Atazanavir", "{u} may lead to a major life threatening interaction when taken with {v}", "Simvastatin" ], [ "Simvastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Palbociclib" ] ], [ [ "Atazanavir", "{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}", "Palbociclib" ] ], [ [ "Atazanavir", "{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}", "Palbociclib" ] ], [ [ "Atazanavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Griseofulvin" ], [ "Griseofulvin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Palbociclib" ] ], [ [ "Atazanavir", "{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}", "Palbociclib" ] ], [ [ "Atazanavir", "{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}", "Palbociclib" ] ], [ [ "Atazanavir", "{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}", "Palbociclib" ] ] ]
Atazanavir may lead to a major life threatening interaction when taken with Brigatinib and Brigatinib may cause a moderate interaction that could exacerbate diseases when taken with Palbociclib Atazanavir 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 Palbociclib Atazanavir may lead to a major life threatening interaction when taken with Simvastatin and Simvastatin may cause a moderate interaction that could exacerbate diseases when taken with Palbociclib Atazanavir 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 Palbociclib Atazanavir 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 Palbociclib Atazanavir may cause a moderate interaction that could exacerbate diseases when taken with Griseofulvin and Griseofulvin may cause a moderate interaction that could exacerbate diseases when taken with Palbociclib Atazanavir 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 Palbociclib Atazanavir 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 Palbociclib Atazanavir 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 Palbociclib
DB00286
DB00673
380
723
[ "DDInter439", "DDInter112" ]
Conjugated estrogens
Aprepitant
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
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).
Moderate
1
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[ [ [ "Conjugated estrogens", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aprepitant" ] ], [ [ "Conjugated estrogens", "{u} (Compound) binds {v} (Gene)", "CYP1A2" ], [ "CYP1A2", "{u} (Gene) is bound by {v} (Compound)", "Aprepitant" ] ], [ [ "Conjugated estrogens", "{u} (Compound) palliates {v} (Disease)", "breast cancer" ], [ "breast cancer", "{u} (Disease) is palliated by {v} (Compound)", "Aprepitant" ] ], [ [ "Conjugated estrogens", "{u} (Compound) causes {v} (Side Effect)", "Myocardial infarction" ], [ "Myocardial infarction", "{u} (Side Effect) is caused by {v} (Compound)", "Aprepitant" ] ], [ [ "Conjugated estrogens", "{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}", "Aprepitant" ] ], [ [ "Conjugated estrogens", "{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}", "Aprepitant" ] ], [ [ "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}", "Aprepitant" ] ], [ [ "Conjugated estrogens", "{u} (Compound) resembles {v} (Compound)", "Estrone" ], [ "Estrone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aprepitant" ] ], [ [ "Conjugated estrogens", "{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}", "Aprepitant" ] ], [ [ "Conjugated estrogens", "{u} (Compound) resembles {v} (Compound)", "Estradiol" ], [ "Estradiol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aprepitant" ] ] ]
Conjugated estrogens (Compound) binds CYP1A2 (Gene) and CYP1A2 (Gene) is bound by Aprepitant (Compound) Conjugated estrogens (Compound) palliates breast cancer (Disease) and breast cancer (Disease) is palliated by Aprepitant (Compound) Conjugated estrogens (Compound) causes Myocardial infarction (Side Effect) and Myocardial infarction (Side Effect) is caused by Aprepitant (Compound) Conjugated estrogens 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 Aprepitant Conjugated estrogens 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 Aprepitant 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 Aprepitant Conjugated estrogens (Compound) resembles Estrone (Compound) and Estrone may cause a moderate interaction that could exacerbate diseases when taken with Aprepitant Conjugated estrogens 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 Aprepitant Conjugated estrogens (Compound) resembles Estradiol (Compound) and Estradiol may cause a moderate interaction that could exacerbate diseases when taken with Aprepitant
DB00902
DB01235
104
1,191
[ "DDInter1168", "DDInter1054" ]
Methdilazine
Levodopa
Methdilazine is a phenothiazine compound with antihistaminic activity. It is used in the treatment of various dermatoses to relieve pruritus.
Levodopa is a prodrug of dopamine that is administered to patients with Parkinson's due to its ability to cross the blood-brain barrier[Label]. Levodopa can be metabolised to dopamine on either side of the blood-brain barrier and so it is generally administered with a dopa decarboxylase inhibitor like carbidopa to prevent metabolism until after it has crossed the blood-brain barrier[Label,A177781]. Once past the blood-brain barrier, levodopa is metabolized to dopamine and supplements the low endogenous levels of dopamine to treat symptoms of Parkinson's[Label]. The first developed drug product that was approved by the FDA was a levodopa and carbidopa combined product called Sinemet that was approved on May 2, 1975[A177781,L6133].
Moderate
1
[ [ [ 104, 24, 1191 ] ], [ [ 104, 24, 584 ], [ 584, 1, 1191 ] ], [ [ 104, 63, 874 ], [ 874, 24, 1191 ] ], [ [ 104, 24, 817 ], [ 817, 40, 1191 ] ], [ [ 104, 23, 1283 ], [ 1283, 62, 1191 ] ], [ [ 104, 24, 1264 ], [ 1264, 23, 1191 ] ], [ [ 104, 24, 1376 ], [ 1376, 24, 1191 ] ], [ [ 104, 24, 1511 ], [ 1511, 63, 1191 ] ], [ [ 104, 25, 1311 ], [ 1311, 24, 1191 ] ], [ [ 104, 40, 820 ], [ 820, 63, 1191 ] ] ]
[ [ [ "Methdilazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levodopa" ] ], [ [ "Methdilazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levonordefrin" ], [ "Levonordefrin", "{u} (Compound) resembles {v} (Compound)", "Levodopa" ] ], [ [ "Methdilazine", "{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}", "Levodopa" ] ], [ [ "Methdilazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dopamine" ], [ "Dopamine", "{u} (Compound) resembles {v} (Compound)", "Levodopa" ] ], [ [ "Methdilazine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Magnesium oxide" ], [ "Magnesium oxide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Levodopa" ] ], [ [ "Methdilazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ], [ "Doxepin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Levodopa" ] ], [ [ "Methdilazine", "{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}", "Levodopa" ] ], [ [ "Methdilazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepenzolate" ], [ "Mepenzolate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levodopa" ] ], [ [ "Methdilazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Metoclopramide" ], [ "Metoclopramide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levodopa" ] ], [ [ "Methdilazine", "{u} (Compound) resembles {v} (Compound)", "Alimemazine" ], [ "Alimemazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levodopa" ] ] ]
Methdilazine may cause a moderate interaction that could exacerbate diseases when taken with Levonordefrin and Levonordefrin (Compound) resembles Levodopa (Compound) Methdilazine 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 Levodopa Methdilazine may cause a moderate interaction that could exacerbate diseases when taken with Dopamine and Dopamine (Compound) resembles Levodopa (Compound) Methdilazine may cause a minor interaction that can limit clinical effects when taken with Magnesium oxide and Magnesium oxide may cause a minor interaction that can limit clinical effects when taken with Levodopa Methdilazine may cause a moderate interaction that could exacerbate diseases when taken with Doxepin and Doxepin may cause a minor interaction that can limit clinical effects when taken with Levodopa Methdilazine 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 Levodopa Methdilazine may cause a moderate interaction that could exacerbate diseases when taken with Mepenzolate and Mepenzolate may cause a moderate interaction that could exacerbate diseases when taken with Levodopa Methdilazine may lead to a major life threatening interaction when taken with Metoclopramide and Metoclopramide may cause a moderate interaction that could exacerbate diseases when taken with Levodopa Methdilazine (Compound) resembles Alimemazine (Compound) and Alimemazine may cause a moderate interaction that could exacerbate diseases when taken with Levodopa