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Concomitant use of digoxin and sympathomimetics increases the risk of cardiac arrhythmias.
digoxin
sympathomimetics
EFFECT
Digoxin_ddi.xml
DDI-DrugBank.d450.s10
DDI-DrugBank.d450.s10.p0
Barbiturates may decrease the effectiveness of oral contraceptives, certain antibiotics, quinidine, theophylline, corticosteroids, anticoagulants, and beta blockers.
Barbiturates
corticosteroids
EFFECT
Hexobarbital_ddi.xml
DDI-DrugBank.d457.s0
DDI-DrugBank.d457.s0.p4
Agents that have been found, or are expected to have decreased plasma levels in the presence of EQUETROTM due to induction of CYP enzymes are the following: Acetaminophen, alprazolam, amitriptyline, bupropion, buspirone, citalopram, clobazam, clonazepam, clozapine, cyclosporin, delavirdine, desipramine, diazepam, dicumarol, doxycycline, ethosuximide, felbamate, felodipine, glucocorticoids, haloperidol, itraconazole, lamotrigine, levothyroxine, lorazepam, methadone, midazolam, mirtazapine, nortriptyline, olanzapine, oral contraceptives(3), oxcarbazepine, Phenytoin(4), praziquantel, protease inhibitors, quetiapine, risperidone, theophylline, topiramate, tiagabine, tramadol, triazolam, valproate, warfarin(5) , ziprasidone, and zonisamide.
EQUETROTM
ethosuximide
MECHANISM
Carbamazepine_ddi.xml
DDI-DrugBank.d94.s11
DDI-DrugBank.d94.s11.p15
Agents that have been found, or are expected to have decreased plasma levels in the presence of EQUETROTM due to induction of CYP enzymes are the following: Acetaminophen, alprazolam, amitriptyline, bupropion, buspirone, citalopram, clobazam, clonazepam, clozapine, cyclosporin, delavirdine, desipramine, diazepam, dicumarol, doxycycline, ethosuximide, felbamate, felodipine, glucocorticoids, haloperidol, itraconazole, lamotrigine, levothyroxine, lorazepam, methadone, midazolam, mirtazapine, nortriptyline, olanzapine, oral contraceptives(3), oxcarbazepine, Phenytoin(4), praziquantel, protease inhibitors, quetiapine, risperidone, theophylline, topiramate, tiagabine, tramadol, triazolam, valproate, warfarin(5) , ziprasidone, and zonisamide.
EQUETROTM
Acetaminophen
MECHANISM
Carbamazepine_ddi.xml
DDI-DrugBank.d94.s11
DDI-DrugBank.d94.s11.p0
Antacids and kaolin: Antacids and kaolin can reduce absorption of chloroquine;
kaolin
chloroquine
MECHANISM
Chloroquine_ddi.xml
DDI-DrugBank.d429.s0
DDI-DrugBank.d429.s0.p9
- Non-steroidal Anti-inflammatory Drugs: In some patients, the administration of a non-steroidal anti-inflammatory agent can reduce the diuretic, natriuretic, and antihypertensive effects of loop, potassium-sparing and thiazide diuretics.
non-steroidal anti-inflammatory agent
loop diuretics
EFFECT
Chlorothiazide_ddi.xml
DDI-DrugBank.d46.s19
DDI-DrugBank.d46.s19.p4
If antacids are required during OMNICEF therapy, OMNICEF should be taken at least 2 hours before or after the antacid.
OMNICEF
antacid
ADVISE
Cefdinir_ddi.xml
DDI-DrugBank.d420.s3
DDI-DrugBank.d420.s3.p5
Intestinal adsorbents (e. g., charcoal) and digestive enzyme preparations containing carbohydrate-splitting enzymes (e. g., amylase, pancreatin) may reduce the effect of Acarbose and should not be taken concomitantly.
pancreatin
Acarbose
MECHANISM
Acarbose_ddi.xml
DDI-DrugBank.d536.s4
DDI-DrugBank.d536.s4.p14
Drugs that reportedly may increase oral anticoagulant response, ie, increased prothrombin response, in man include:alcohol*;allopurinol;aminosalicylic acid;amiodarone;anabolic steroids;antibiotics;bromelains;chloral hydrate*;chlorpropamide;chymotrypsin;cimetidine;cinchophen;clofibrate;dextran;dextrothyroxine;diazoxide;dietary deficiencies;diflunisal;disulfiram;drugs affecting blood elements;ethacrynic acid;fenoprofen;glucagon;hepatotoxic drugs;ibuprofen;indomethacin;influenza virus vaccine;inhalation anesthetics;mefenamic acid;methyldopa;methylphenidate;metronidazole;miconazole;monoamine oxidase inhibitors;nalidixic acid;naproxen;oxolinic acid;oxyphenbutazone;pentoxifylline;phenylbutazone;phenyramidol;phenytoin;prolonged hot weather;prolonged narcotics;pyrazolones;quinidine;quinine;ranitidine*;salicylates;sulfinpyrazone;sulfonamides, long acting;sulindac;thyroid drugs;tolbutamide;triclofos sodium;trimethoprim/sulfamethoxazole;unreliable prothrombin time determinations;warfarin sodium overdosage.
anticoagulant
monoamine oxidase inhibitors
EFFECT
Anisindione_ddi.xml
DDI-DrugBank.d64.s87
DDI-DrugBank.d64.s87.p30
The effects celecoxib on the pharmacokinetics and/or pharmacodynamics of glyburide, ketoconazole, methotrexate, phenytoin, tolbutamide, and warfarin have been studied in vivo and clinically important interactions have not been found.
celecoxib
ketoconazole
NONE
Celecoxib_ddi.xml
DDI-DrugBank.d172.s8
DDI-DrugBank.d172.s8.p1
Coadministration of phenytoin with 40 mg SULAR tablets in epileptic patients lowered the nisoldipine plasma concentrations to undetectable levels.
phenytoin
SULAR
MECHANISM
Nisoldipine_ddi.xml
DDI-DrugBank.d106.s3
DDI-DrugBank.d106.s3.p0
Because a similar interaction is likely, VIRACEPT should also not be administered concurrently with astemizole.
VIRACEPT
astemizole
ADVISE
Nelfinavir_ddi.xml
DDI-DrugBank.d340.s12
DDI-DrugBank.d340.s12.p0
Patients receiving other narcotic analgesics, general anesthetics, phenothiazines, tranquilizers, sedative-hypnotics, tricyclic antidepressants or other CNS depressants (including alcohol) concomitantly with DILAUDID may exhibit an additive CNS depression.
anesthetics
DILAUDID
EFFECT
Hydromorphone_ddi.xml
DDI-DrugBank.d26.s0
DDI-DrugBank.d26.s0.p14
Thyroid Physiology: The following agents may alter thyroid hormone or TSH levels, generally by effects on thyroid hormone synthesis, secretion, distribution, metabolism, hormone action, or elimination, or altered TSH secretion: aminoglutethimide, p-aminosalicylic acid, amiodarone, androgens and related anabolic hormones, complex anions (thiocyanate, perchlorate, pertechnetate), antithyroid drugs, b-adrenergic blocking agents, carbamazepine, chloral hydrate, diazepam, dopamine and dopamine agonists, ethionamide, glucocorticoids, heparin, hepatic enzyme inducers, insulin, iodinated cholestographic agents, iodine-containing compounds, levodopa, lovastatin, lithium, 6-mercaptopurine, metoclopramide, mitotane, nitroprusside, phenobarbital, phenytoin, resorcinol, rifampin, somatostatin analogs, sulfonamides, sulfonylureas, thiazide diuretics.
carbamazepine
resorcinol
NONE
Levothyroxine_ddi.xml
DDI-DrugBank.d411.s4
DDI-DrugBank.d411.s4.p279
Clidinium may decrease the effect of phenothiazines, levodopa, and ketoconazole.
Clidinium
levodopa
EFFECT
Clidinium_ddi.xml
DDI-DrugBank.d322.s1
DDI-DrugBank.d322.s1.p1
Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription products you may use, especially of: aminoglycosides (e.g., gentamicin, amikacin), amphotericin B, cyclosporine, non-steroidal anti-inflammatory drugs (e.g., ibuprofen), tacrolimus, vancomycin.
gentamicin
ibuprofen
NONE
Adefovir Dipivoxil_ddi.xml
DDI-DrugBank.d244.s0
DDI-DrugBank.d244.s0.p12
The addition of 540 mg/kg/day of cromolyn sodium (approximately 340 times the maximum recommended daily inhalation dose in adults on a mg/m2 basis) to 2.7 mg/kg/day of isoproterenol (approximately 7 times the maximum recommended daily inhalation dose in adults on a mg/m2 basis) appears to have increased the incidence of both resorptions and malformations.
cromolyn sodium
isoproterenol
EFFECT
Cromoglicate_ddi.xml
DDI-DrugBank.d229.s3
DDI-DrugBank.d229.s3.p0
Nabilone has been shown to have an additive CNS depressant effect when given with either diazepam, secobarbitone sodium, alcohol or codeine.
Nabilone
alcohol
EFFECT
Nabilone_ddi.xml
DDI-DrugBank.d552.s1
DDI-DrugBank.d552.s1.p2
Exaggerated hypertensive responses have been reported from the combined use of beta-adrenergic antagonists and alpha-adrenergic stimulants, including those contained in proprietary cold remedies and vasoconstrictive nasal drops.
beta-adrenergic antagonists
alpha-adrenergic stimulants
EFFECT
Acebutolol_ddi.xml
DDI-DrugBank.d388.s2
DDI-DrugBank.d388.s2.p0
Agents that have been found, or are expected to have decreased plasma levels in the presence of EQUETROTM due to induction of CYP enzymes are the following: Acetaminophen, alprazolam, amitriptyline, bupropion, buspirone, citalopram, clobazam, clonazepam, clozapine, cyclosporin, delavirdine, desipramine, diazepam, dicumarol, doxycycline, ethosuximide, felbamate, felodipine, glucocorticoids, haloperidol, itraconazole, lamotrigine, levothyroxine, lorazepam, methadone, midazolam, mirtazapine, nortriptyline, olanzapine, oral contraceptives(3), oxcarbazepine, Phenytoin(4), praziquantel, protease inhibitors, quetiapine, risperidone, theophylline, topiramate, tiagabine, tramadol, triazolam, valproate, warfarin(5) , ziprasidone, and zonisamide.
itraconazole
topiramate
NONE
Carbamazepine_ddi.xml
DDI-DrugBank.d94.s11
DDI-DrugBank.d94.s11.p751
Antacids: In a single dose study (n=6), ingestion of an antacid containing 1.7-gram of magnesium hydroxide with 500-mg of mefenamic acid increased the Cmax and AUC of mefenamic acid by 125% and 36%, respectively. A number of compounds are inhibitors of CYP2C9 including fluconazole, lovastatin and trimethoprim.
fluconazole
trimethoprim
NONE
Mefenamic acid_ddi.xml
DDI-DrugBank.d400.s14
DDI-DrugBank.d400.s14.p26
Corticosteroids: A relationship of functional antagonism exists between vitamin D analogues, which promote calcium absorption, and corticosteroids, which inhibit calcium absorption.
vitamin D analogues
corticosteroids
MECHANISM
Calcidiol_ddi.xml
DDI-DrugBank.d98.s11
DDI-DrugBank.d98.s11.p2
A similar association, though less marked, has been suggested with barbiturates, phenylbutazone, phenytoin sodium, carbamazepine, griseofulvin, topiramate, and possibly with ampicillin and tetracyclines 72.
carbamazepine
tetracyclines
NONE
Norgestimate_ddi.xml
DDI-DrugBank.d360.s1
DDI-DrugBank.d360.s1.p21
Thyroid administration to a digitalized, hypothyroid patient may increase the dose requirement of digoxin.
Thyroid
digoxin
ADVISE
Digoxin_ddi.xml
DDI-DrugBank.d450.s9
DDI-DrugBank.d450.s9.p0
Etonogestrel may interact with the following medications: acetaminophen (Tylenol), antibiotics such as ampicillin and tetracycline, anticonvulsants (Dilantin, Phenobarbital, Tegretol, Trileptal, Topamax, Felbatol), antifungals (Gris-PEG, Nizoral, Sporanox), atorvastatin (Lipitor), clofibrate (Atromid-S), cyclosporine (Neoral, Sandimmune), HIV drugs classified as protease inhibitors (Agenerase, Crixivan, Fortovase, Invirase, Kaletra, Norvir, Viracept), morphine (Astramorph, Kadian, MS Contin), phenylbutazone, prednisolone (Prelone), rifadin (rifampin), St. Johns wort, temazepam, theophylline (Theo-Dur), and vitamin C.
acetaminophen
temazepam
NONE
Etonogestrel_ddi.xml
DDI-DrugBank.d484.s0
DDI-DrugBank.d484.s0.p83
Drugs that have been associated with peripheral neuropathy include antiretroviral nucleoside analogues, chloramphenicol, cisplatin, dapsone, disulfiram, ethionamide, glutethimide, gold, hydralazine, iodoquinol, isoniazid, metronidazole, nitrofurantoin, phenytoin, ribavirin, and vincristine.
ethionamide
gold
NONE
Zalcitabine_ddi.xml
DDI-DrugBank.d263.s13
DDI-DrugBank.d263.s13.p66
Phase II clinical trial data, where IRESSA and vinorelbine have been used concomitantly, indicate that IRESSA may exacerbate the neutropenic effect of vinorelbine.
IRESSA
vinorelbine
EFFECT
Gefitinib_ddi.xml
DDI-DrugBank.d207.s8
DDI-DrugBank.d207.s8.p5
Warfarin: The effects of warfarin and NSAIDs on GI bleeding are synergistic, such that users of both drugs together have a risk of serious GI bleeding higher than that of users of either drug alone.
warfarin
NSAIDs
EFFECT
Etodolac_ddi.xml
DDI-DrugBank.d219.s22
DDI-DrugBank.d219.s22.p2
Agents that are CYP3A4 inhibitors that have been found, or are expected, to increase plasma levels of EQUETROTM are the following: Acetazolamide, azole antifungals, cimetidine, clarithromycin(1), dalfopristin, danazol, delavirdine, diltiazem, erythromycin(1), fluoxetine, fluvoxamine, grapefruit juice, isoniazid, itraconazole, ketoconazole, loratadine, nefazodone, niacinamide, nicotinamide, protease inhibitors, propoxyphene, quinine, quinupristin, troleandomycin, valproate(1), verapamil, zileuton.
loratadine
niacinamide
NONE
Carbamazepine_ddi.xml
DDI-DrugBank.d94.s4
DDI-DrugBank.d94.s4.p286
Data from in vitro studies of benzodiazepines other than alprazolam suggest a possible drug interaction for the following: ergotamine, cyclosporine, amiodarone, nicardipine, and nifedipine.
benzodiazepines
amiodarone
INT
Alprazolam_ddi.xml
DDI-DrugBank.d131.s10
DDI-DrugBank.d131.s10.p3
1- nc denotes a mean change of less than 10% 2- Pediatrics 3- Mean increase in adults at high Trileptal doses In vivo, the plasma levels of phenytoin increased by up to 40%, when Trileptal was given at doses above 1200 mg/day.
phenytoin
Trileptal
MECHANISM
Oxcarbazepine_ddi.xml
DDI-DrugBank.d307.s35
DDI-DrugBank.d307.s35.p2
Probenecid: Probenecid increases both free and bound ketoprofen by reducing the plasma clearance of ketoprofen to about one-third, as well as decreasing its protein binding.
Probenecid
ketoprofen
MECHANISM
Ketoprofen_ddi.xml
DDI-DrugBank.d499.s19
DDI-DrugBank.d499.s19.p3
Morphine: A literature article reported that when a 60-mg controlled-release morphine capsule was administered 2 hours prior to a 600-mg Neurontin capsule (N=12), mean gabapentin AUC increased by 44% compared to gabapentin administered without morphine.
morphine
Neurontin
MECHANISM
Gabapentin_ddi.xml
DDI-DrugBank.d438.s26
DDI-DrugBank.d438.s26.p5
Tetracycline, a bacteriostatic antibiotic, may antagonize the bactercidal effect of penicillin and concurrent use of these drugs should be avoided.
Tetracycline
penicillin
EFFECT
Dicloxacillin_ddi.xml
DDI-DrugBank.d517.s0
DDI-DrugBank.d517.s0.p1
Because of the low dietary cobalt concentration as compared to the iron contents of the diets, no effect of cobalt on iron absorption and excretion occurred.
iron
iron
NONE
7599505.xml
DDI-MedLine.d34.s11
DDI-MedLine.d34.s11.p4
Concomitant use of SPRYCEL and drugs that inhibit CYP3A4 (eg, ketoconazole, itraconazole, erythromycin, clarithromycin, ritonavir, atazanavir, indinavir, nefazodone, nelfinavir, saquinavir, telithromycin) may increase exposure to dasatinib and should be avoided.
erythromycin
nelfinavir
NONE
Dasatinib_ddi.xml
DDI-DrugBank.d48.s1
DDI-DrugBank.d48.s1.p38
Hypotension was more likely to occur if the calcium antagonist were a dihydropyridine derivative, e.g., nifedipine, while left ventricular failure and AV conduction disturbances, including complete heart block, were more likely to occur with either verapamil or diltiazem.
verapamil
diltiazem
NONE
Betaxolol_ddi.xml
DDI-DrugBank.d489.s7
DDI-DrugBank.d489.s7.p9
Binding to Serum Proteins: The following agents may either inhibit levothyroxine sodium binding to serum proteins or alter the concentrations of serum binding proteins: androgens and related anabolic hormones, asparaginase, clofibrate, estrogens and estrogen-containing compounds, 5-fluorouracil, furosemide, glucocorticoids, meclofenamic acid, mefenamic acid, methadone, perphenazine, phenylbutazone, phenytoin, salicylates, tamoxifen.
estrogen-containing compounds
5-fluorouracil
NONE
Levothyroxine_ddi.xml
DDI-DrugBank.d411.s3
DDI-DrugBank.d411.s3.p87
The hypoglycemic action of sulfonylureas may be potentiated by certain drugs including nonsteroidal anti-inflammatory agents and other drugs that are highly protein bound, salicylates, sulfonamides, chloramphenicol, probenecid, coumarins, monoamine oxidase inhibitors, and beta adrenergic blocking agents.
sulfonylureas
beta adrenergic blocking agents
EFFECT
Glibenclamide_ddi.xml
DDI-DrugBank.d178.s0
DDI-DrugBank.d178.s0.p7
In patients receiving nonselective monoamine oxidase inhibitors (MAOIs) (e.g., selegiline hydrochloride) in combination with serotoninergic agents (e.g., fluoxetine, fluvoxamine, paroxetine, sertraline, venlafaxine), there have been reports of serious, sometimes fatal, reactions.
MAOIs
fluoxetine
EFFECT
Dexfenfluramine_ddi.xml
DDI-DrugBank.d423.s0
DDI-DrugBank.d423.s0.p10
Amprenavir significantly decreases clearance of rifabutin and 25-O-desacetylrifabutin, and the combination is poorly tolerated.
Amprenavir
rifabutin
MECHANISM
11158747.xml
DDI-MedLine.d3.s14
DDI-MedLine.d3.s14.p0
therefore, coadministration of Aprepitant with drugs that strongly induce CYP3A4 activity (e.g., rifampin, carbamazepine, phenytoin) may result in reduced plasma concentrations of aprepitant that may result in decreased efficacy of Aprepitant.
Aprepitant
rifampin
MECHANISM
Aprepitant_ddi.xml
DDI-DrugBank.d382.s34
DDI-DrugBank.d382.s34.p0
Withdrawal of rifampin decreased the warfarin requirement by 50%.
rifampin
warfarin
MECHANISM
1115445.xml
DDI-MedLine.d116.s4
DDI-MedLine.d116.s4.p0
The results of a study of coadministration of ethambutol (50 mg/kg) with an aluminum hydroxide containing antacid to 13 patients with tuberculosis showed a reduction of mean serum concentrations and urinary excretion of ethambutol of approximately 20% and 13%, respectively, suggesting that the oral absorption of ethambutol may be reduced by these antacid products.
aluminum hydroxide
antacid
NONE
Ethambutol_ddi.xml
DDI-DrugBank.d160.s0
DDI-DrugBank.d160.s0.p5
Before taking glimepiride, tell your doctor if you are taking any of the following medicines: - aspirin or another salicylate such as magnesium/choline salicylate (Trilisate), salsalate (Disalcid, others), choline salicylate (Arthropan), magnesium salicylate (Magan), or bismuth subsalicylate (Pepto-Bismol);
glimepiride
magnesium salicylate
ADVISE
Glimepiride_ddi.xml
DDI-DrugBank.d521.s1
DDI-DrugBank.d521.s1.p8
The ECG changes and/or hypokalemia that may result from the administration of non-potassium sparing diuretics (such as loop or thiazide diuretics) can be acutely worsened by beta-agonists, especially when the recommended dose of the beta-agonist is exceeded.
loop diuretics
beta-agonists
EFFECT
Arformoterol_ddi.xml
DDI-DrugBank.d284.s4
DDI-DrugBank.d284.s4.p5
The most commonly occurring drug interactions are listed below: - Drugs that may increase plasma phenytoin concentrations include: acute alcohol intake, amiodarone, chboramphenicol, chlordiazepoxide, cimetidine, diazepam, dicumarol, disulfiram, estrogens, ethosuximide, fluoxetine, H2-antagonists, halothane, isoniazid, methylphenidate, phenothiazines, phenylbutazone, salicylates, succinimides, sulfonamides, tolbutamide, trazodone
phenytoin
trazodone
MECHANISM
Fosphenytoin_ddi.xml
DDI-DrugBank.d40.s10
DDI-DrugBank.d40.s10.p20
In a study of 15 male subjects (ages 19 to 35 years) who were extensive metabolizers of the CYP2D6 isoenzyme, daily doses of bupropion given as 150 mg twice daily followed by a single dose of 50 mg desipramine increased the Cmax, AUC, and t1/2 of desipramine by an average of approximately 2-, 5- and 2-fold, respectively.
bupropion
desipramine
NONE
Bupropion_ddi.xml
DDI-DrugBank.d5.s14
DDI-DrugBank.d5.s14.p1
The carbamazepine steady-state Cmin decreased 31% to 5 1 micrograms/mL when felbamate (3000 mg/day, divided into three doses) was coadministered.
carbamazepine
felbamate
MECHANISM
Felbamate_ddi.xml
DDI-DrugBank.d434.s19
DDI-DrugBank.d434.s19.p0
- Drugs that may either increase or decrease plasma phenytoin concentrations include: phenobarbital, vaiproic acid, and sodium valproate.
phenytoin
phenobarbital
MECHANISM
Fosphenytoin_ddi.xml
DDI-DrugBank.d40.s14
DDI-DrugBank.d40.s14.p0
Colchicine para-aminosalicylic acid and heavy alcohol intake for longer than 2 weeks may produce malabsorption of vitamin B12.
para-aminosalicylic acid
vitamin B12
MECHANISM
Cyanocobalamin_ddi.xml
DDI-DrugBank.d39.s1
DDI-DrugBank.d39.s1.p4
Other TNFa-blocking agents (including REMICADE) used in combination with anakinra may also result in similar toxicities.
TNFa-blocking agents
anakinra
EFFECT
Infliximab_ddi.xml
DDI-DrugBank.d45.s1
DDI-DrugBank.d45.s1.p1
Caution should be exercised when administering ETOPOPHOS with drugs that are known to inhibit phosphatase activities (e.g., levamisole hydrochloride).
ETOPOPHOS
levamisole hydrochloride
ADVISE
Etoposide_ddi.xml
DDI-DrugBank.d194.s0
DDI-DrugBank.d194.s0.p0
If the two drugs are coadministered, the beta blocker should be withdrawn several days before the gradual withdrawal of clonidine.
beta blocker
clonidine
ADVISE
Atenolol_ddi.xml
DDI-DrugBank.d73.s4
DDI-DrugBank.d73.s4.p0
In addition to bleeding associated with heparin and vitamin K antagonists, drugs that alter platelet function (such as acetylsalicylic acid, dipyridamole and Abciximab) may increase the risk of bleeding if administered prior to, during, or after Activase therapy.
acetylsalicylic acid
Activase
INT
Alteplase_ddi.xml
DDI-DrugBank.d508.s1
DDI-DrugBank.d508.s1.p11
Carbamazepine: Coadministration of carbamazepine (200 mg BID), a potent CYP3A4 inducer, with aripiprazole (30 mg QD) resulted in an approximate 70% decrease in Cmax and AUC values of both aripiprazole and its active metabolite, dehydro-aripiprazole.
carbamazepine
aripiprazole
MECHANISM
Aripiprazole_ddi.xml
DDI-DrugBank.d509.s19
DDI-DrugBank.d509.s19.p4
Methotrexate: An increased risk of hepatitis has been reported to result from combined use of methotrexate and etretinate.
methotrexate
etretinate
EFFECT
Acitretin_ddi.xml
DDI-DrugBank.d353.s8
DDI-DrugBank.d353.s8.p2
The administration of local anesthetic solutions containing epinephrine or norepinephrine to patients receiving monoamine oxidase inhibitors, tricyclic antidepressants or phenothiazines may produce severe, prolonged hypotension or hypertension.
epinephrine
monoamine oxidase inhibitors
EFFECT
Chloroprocaine_ddi.xml
DDI-DrugBank.d110.s0
DDI-DrugBank.d110.s0.p6
Simultaneous administration of SPRYCEL with antacids should be avoided.
SPRYCEL
antacids
ADVISE
Dasatinib_ddi.xml
DDI-DrugBank.d48.s9
DDI-DrugBank.d48.s9.p0
Amphetamines may decrease the hypotensive effect of antihypertensives.
Amphetamines
antihypertensives
EFFECT
Benzphetamine_ddi.xml
DDI-DrugBank.d477.s2
DDI-DrugBank.d477.s2.p0
Concomitant use of calcium supplements and L-lysine may increase calcium absorption
calcium
calcium
NONE
L-Lysine_ddi.xml
DDI-DrugBank.d344.s0
DDI-DrugBank.d344.s0.p1
Probenecid : Probenecid is known to interact with the metabolism or renal tubular excretion of many drugs (e.g., acetaminophen, acyclovir, angiotensin-converting enzyme inhibitors, aminosalicylic acid, barbiturates, benzodiazepines, bumetanide, clofibrate, methotrexate, famotidine, furosemide, nonsteroidal anti-inflammatory agents, theophylline, and zidovudine).
Probenecid
barbiturates
MECHANISM
Cidofovir_ddi.xml
DDI-DrugBank.d260.s0
DDI-DrugBank.d260.s0.p19
Phenytoin: Amphetamines may delay intestinal absorption of phenytoin;
Phenytoin
phenytoin
NONE
Dextroamphetamine_ddi.xml
DDI-DrugBank.d236.s25
DDI-DrugBank.d236.s25.p1
Binding to Serum Proteins: The following agents may either inhibit levothyroxine sodium binding to serum proteins or alter the concentrations of serum binding proteins: androgens and related anabolic hormones, asparaginase, clofibrate, estrogens and estrogen-containing compounds, 5-fluorouracil, furosemide, glucocorticoids, meclofenamic acid, mefenamic acid, methadone, perphenazine, phenylbutazone, phenytoin, salicylates, tamoxifen.
clofibrate
estrogen-containing compounds
NONE
Levothyroxine_ddi.xml
DDI-DrugBank.d411.s3
DDI-DrugBank.d411.s3.p63
Etonogestrel may interact with the following medications: acetaminophen (Tylenol), antibiotics such as ampicillin and tetracycline, anticonvulsants (Dilantin, Phenobarbital, Tegretol, Trileptal, Topamax, Felbatol), antifungals (Gris-PEG, Nizoral, Sporanox), atorvastatin (Lipitor), clofibrate (Atromid-S), cyclosporine (Neoral, Sandimmune), HIV drugs classified as protease inhibitors (Agenerase, Crixivan, Fortovase, Invirase, Kaletra, Norvir, Viracept), morphine (Astramorph, Kadian, MS Contin), phenylbutazone, prednisolone (Prelone), rifadin (rifampin), St. Johns wort, temazepam, theophylline (Theo-Dur), and vitamin C.
Etonogestrel
MS Contin
INT
Etonogestrel_ddi.xml
DDI-DrugBank.d484.s0
DDI-DrugBank.d484.s0.p34
Albuterol, Antihistamines, antidiabetic drugs, diuretics, digitalis.
antidiabetic drugs
diuretics
NONE
Beclomethasone_ddi.xml
DDI-DrugBank.d524.s0
DDI-DrugBank.d524.s0.p7
This interaction should be given consideration in patients taking NSAIDs concomitantly with ACE inhibitors.
NSAIDs
ACE inhibitors
ADVISE
Mefenamic acid_ddi.xml
DDI-DrugBank.d400.s5
DDI-DrugBank.d400.s5.p0
Recovery of hoof twitch from 50% to 75% took 7.7 +/- 0.7 min for atracurium alone and 11.5 +/- 2.7 min for atracurium plus gentamycin (P = 0.03).
atracurium
gentamycin
EFFECT
8542840.xml
DDI-MedLine.d90.s7
DDI-MedLine.d90.s7.p2
Monoamine Oxidase Inhibitors and Tricyclic Antidepressants: FORADIL should be administered with extreme caution in patients being treated with monoamine oxidase inhibitors or tricyclic antidepressants because the action of formoterol on the cardiovascular system may be potentiated by these agents.
FORADIL
tricyclic antidepressants
ADVISE
Formoterol_ddi.xml
DDI-DrugBank.d103.s3
DDI-DrugBank.d103.s3.p10
The daily dose of ENABLEX should not exceed 7.5 mg when coadministered with potent CYP3A4 inhibitors (e.g., ketoconazole, itraconazole, ritonavir, nelfinavir, clarithromycin and nefazadone) .
ENABLEX
ritonavir
ADVISE
Darifenacin_ddi.xml
DDI-DrugBank.d459.s0
DDI-DrugBank.d459.s0.p2
Concomitant administration of gemfibrozil with Targretin capsules is not recommended.
gemfibrozil
Targretin
ADVISE
Bexarotene_ddi.xml
DDI-DrugBank.d467.s6
DDI-DrugBank.d467.s6.p0
Butalbital, acetaminophen and caffeine may enhance the effects of: other narcotic analgesics, alcohol, general anesthetics, tranquilizers such as chlordiazepoxide, sedative-hypnotics, or other CNS depressants, causing increased CNS depression.
Butalbital
anesthetics
EFFECT
Butalbital_ddi.xml
DDI-DrugBank.d559.s1
DDI-DrugBank.d559.s1.p4
Example inducers include aminoglutethimide, carbamazepine, nafcillin, nevirapine, phenobarbital, phenytoin, and rifamycins.
carbamazepine
phenobarbital
NONE
Ethynodiol Diacetate_ddi.xml
DDI-DrugBank.d485.s22
DDI-DrugBank.d485.s22.p8
Drugs that reportedly may increase oral anticoagulant response, ie, increased prothrombin response, in man include:alcohol*;allopurinol;aminosalicylic acid;amiodarone;anabolic steroids;antibiotics;bromelains;chloral hydrate*;chlorpropamide;chymotrypsin;cimetidine;cinchophen;clofibrate;dextran;dextrothyroxine;diazoxide;dietary deficiencies;diflunisal;disulfiram;drugs affecting blood elements;ethacrynic acid;fenoprofen;glucagon;hepatotoxic drugs;ibuprofen;indomethacin;influenza virus vaccine;inhalation anesthetics;mefenamic acid;methyldopa;methylphenidate;metronidazole;miconazole;monoamine oxidase inhibitors;nalidixic acid;naproxen;oxolinic acid;oxyphenbutazone;pentoxifylline;phenylbutazone;phenyramidol;phenytoin;prolonged hot weather;prolonged narcotics;pyrazolones;quinidine;quinine;ranitidine*;salicylates;sulfinpyrazone;sulfonamides, long acting;sulindac;thyroid drugs;tolbutamide;triclofos sodium;trimethoprim/sulfamethoxazole;unreliable prothrombin time determinations;warfarin sodium overdosage.
monoamine oxidase inhibitors
sulindac
NONE
Anisindione_ddi.xml
DDI-DrugBank.d64.s87
DDI-DrugBank.d64.s87.p1225
Aspirin: Concurrent administration of aspirin and flurbiprofen resulted in 50% lower serum flurbiprofen concentrations.
aspirin
flurbiprofen
MECHANISM
Flurbiprofen_ddi.xml
DDI-DrugBank.d529.s4
DDI-DrugBank.d529.s4.p3
Agents that are CYP3A4 inhibitors that have been found, or are expected, to increase plasma levels of EQUETROTM are the following: Acetazolamide, azole antifungals, cimetidine, clarithromycin(1), dalfopristin, danazol, delavirdine, diltiazem, erythromycin(1), fluoxetine, fluvoxamine, grapefruit juice, isoniazid, itraconazole, ketoconazole, loratadine, nefazodone, niacinamide, nicotinamide, protease inhibitors, propoxyphene, quinine, quinupristin, troleandomycin, valproate(1), verapamil, zileuton.
azole antifungals
ketoconazole
NONE
Carbamazepine_ddi.xml
DDI-DrugBank.d94.s4
DDI-DrugBank.d94.s4.p62
Certain drugs, including nonsteroidal anti-inflammatory agents (NSAIDs), salicylates, monoamine oxidase inhibitors, and non-selective beta-adrenergic-blocking agents may potentiate the hypoglycemic action of Starlix and other oral antidiabetic drugs.
non-selective beta-adrenergic-blocking agents
Starlix
EFFECT
Nateglinide_ddi.xml
DDI-DrugBank.d460.s14
DDI-DrugBank.d460.s14.p18
Protein Binding In vitro, diclofenac interferes minimally or not at all with the protein binding of salicylic acid (20% decrease in binding), tolbutamide, prednisolone (10% decrease in binding), or warfarin.
diclofenac
tolbutamide
MECHANISM
Diclofenac_ddi.xml
DDI-DrugBank.d249.s18
DDI-DrugBank.d249.s18.p1
The physician should be cautious when administering flurbiprofen to patients taking anticoagulants.
flurbiprofen
anticoagulants
ADVISE
Flurbiprofen_ddi.xml
DDI-DrugBank.d529.s3
DDI-DrugBank.d529.s3.p0
Drugs that have been reported to diminish oral anticoagulant response, ie, decreased prothrom-bin time response, in man significantly include: adrenocortical steroids;alcohol*;antacids;antihistamines;barbiturates;carbamazepine;chloral hydrate*;chlordiazepoxide;cholestyramine;diet high in vitamin K;diuretics*;ethchlorvynol;glutethimide;griseofulvin;haloperidol;meprobamate;oral contraceptives;paraldehyde;primidone;ranitidine*;rifampin;unreliable prothrombin time determinations;vitamin C;warfarin sodium under-dosage.
diuretics
paraldehyde
NONE
Anisindione_ddi.xml
DDI-DrugBank.d64.s29
DDI-DrugBank.d64.s29.p204
Anticonvulsants (carbamazepine, felbamate, phenobarbital, phenytoin, topiramate): Increase the metabolism of ethinyl estradiol and/or some progestins, leading to possible decrease in contraceptive effectiveness.
phenytoin
ethinyl estradiol
MECHANISM
Ethynodiol Diacetate_ddi.xml
DDI-DrugBank.d485.s12
DDI-DrugBank.d485.s12.p23
Pretreatment of rats with allopurinol (100 mg/kg, ip) or Vitamin E (100 mg/kg per day, ig, for 3 days and a dose of 40 mg/kg on the 4th day) provided significant protection against the elevation of TBARS levels in cerebral and hepatic tissues, induced by single high dose of oral cypermethrin administration within 4 h.
Vitamin E
cypermethrin
EFFECT
11137320.xml
DDI-MedLine.d126.s6
DDI-MedLine.d126.s6.p2
however, in a study of 12 normal subjects, concurrent administration of aspirin decreased ketoprofen protein binding and increased ketoprofen plasma clearance from 0.07 L/kg/h without aspirin to 0.11 L/kg/h with aspirin.
aspirin
ketoprofen
MECHANISM
Ketoprofen_ddi.xml
DDI-DrugBank.d499.s6
DDI-DrugBank.d499.s6.p1
Aprepitant, when given as a regimen of 125 mg on Day 1 and 80 mg/day on Days 2 and 3, increased the AUC of methylprednisolone, a CYP3A4 substrate, by 1.34-fold on Day 1 and by 2.5-fold on Day 3, when methylprednisolone was coadministered intravenously as 125 mg on Day 1 and orally as 40 mg on Days 2 and 3.
Aprepitant
methylprednisolone
MECHANISM
Aprepitant_ddi.xml
DDI-DrugBank.d382.s13
DDI-DrugBank.d382.s13.p0
Toxicology studies of heroin-related deaths reveal frequent involvement of other central nervous system depressants, including alcohol, benzodiazepines such as diazepam (Valium), and, to a rising degree, methadone.
heroin
diazepam
EFFECT
Heroin_ddi.xml
DDI-DrugBank.d514.s2
DDI-DrugBank.d514.s2.p3
Because oral anticoagulants may interfere with the hepatic metabolism of phenytoin, toxic levels of the anticonvulsant may occur when an oral anticoagulant and phenytoin are administered concurrently.
anticoagulants
phenytoin
MECHANISM
Anisindione_ddi.xml
DDI-DrugBank.d64.s89
DDI-DrugBank.d64.s89.p0
astemizole, bepridil, sparfloxacin, and terodiline.
bepridil
sparfloxacin
NONE
Cisapride_ddi.xml
DDI-DrugBank.d237.s18
DDI-DrugBank.d237.s18.p3
Lithium generally should not be given with diuretics because they reduce its renal clearance and add a high risk of lithium toxicity.
Lithium
diuretics
MECHANISM
Ethacrynic acid_ddi.xml
DDI-DrugBank.d414.s0
DDI-DrugBank.d414.s0.p0
Patients receiving antihistamines should be advised against the concurrent use of other CNS depressant drugs.
antihistamines
CNS depressant drugs
ADVISE
Clemastine_ddi.xml
DDI-DrugBank.d309.s1
DDI-DrugBank.d309.s1.p0
The results of the ERMBT after 2 weeks of rifabutin and rifampin therapy were increased 187 and 156%, respectively.
rifabutin
rifampin
NONE
11158747.xml
DDI-MedLine.d3.s10
DDI-MedLine.d3.s10.p0
Inhibitors of this isoenzyme (e.g., macrolide antibiotics, azole antifungal agents, protease inhibitors, serotonin reuptake inhibitors, amiodarone, cannabinoids, diltiazem, grapefruit juice, nefazadone, norfloxacin, quinine, zafirlukast) should be cautiously coadministered with TIKOSYN as they can potentially increase dofetilide levels.
macrolide antibiotics
dofetilide
NONE
Dofetilide_ddi.xml
DDI-DrugBank.d558.s25
DDI-DrugBank.d558.s25.p11
Other drugs Drug interactions have been reported with concomitant administration of erythromycin and other medications, including cyclosporine, hexobarbital, carbamazepine, alfentanil, disopyramide, phenytoin, bromocriptine, valproate, astemizole, and lovastatin.
erythromycin
carbamazepine
INT
Dirithromycin_ddi.xml
DDI-DrugBank.d522.s24
DDI-DrugBank.d522.s24.p2
Antihypertensive Medications and Vasodilators: The following adverse events were experienced more commonly in patients receiving concomitant antihypertensive medications or vasodilators (n = 94) compared to patients not receiving these concomitant drugs (n = 456): hypotension 10% vs 4%, myocardial infarction 3% vs 1%, serious pneumonia 5% vs 3%, serious falls 9% vs 3%, and bone and joint injuries 6% vs 2%.
antihypertensive medications
vasodilators
EFFECT
Apomorphine_ddi.xml
DDI-DrugBank.d357.s1
DDI-DrugBank.d357.s1.p5
Using in situ hybridization, we observed that METH caused a rapid and transient dose-dependent increase in arc mRNA level in the striatum and cortex that was abolished by pretreatment with the specific dopamine D1 receptor antagonist SCH-23390 but not by an atypical neuroleptic clozapine.
METH
SCH-23390
EFFECT
11085305.xml
DDI-MedLine.d62.s4
DDI-MedLine.d62.s4.p0
Co-administration of MYOBLOC and aminoglycosides or other agents interfering with neuromuscular transmission (e.g., curare-like compounds) should only be performed with caution as the effect of the toxin may be potentiated.
MYOBLOC
curare-like compounds
ADVISE
Botulinum Toxin Type B_ddi.xml
DDI-DrugBank.d323.s0
DDI-DrugBank.d323.s0.p1
Methotrexate - There is one report that methotrexate may decrease the possible effectiveness of supplemental L-glutamine for chemotherapy-induced mucositis.
methotrexate
L-glutamine
EFFECT
L-Glutamine_ddi.xml
DDI-DrugBank.d66.s5
DDI-DrugBank.d66.s5.p2
Caution is warranted and therapeutic concentration monitoring is recommended for antiarrhythmics when coadministered with CRIXIVAN.
antiarrhythmics
CRIXIVAN
ADVISE
Indinavir_ddi.xml
DDI-DrugBank.d97.s59
DDI-DrugBank.d97.s59.p0
A drug-drug interaction study with rifampin in healthy volunteers has shown a 30% decrease in caspofungin trough concentrations.
rifampin
caspofungin
MECHANISM
Caspofungin_ddi.xml
DDI-DrugBank.d350.s10
DDI-DrugBank.d350.s10.p0
When Bezalip or Bezalip retard is used at the same time as other medicines or substances the following interactions must be taken into account: - Bezalip and Bezalip retard may enhance the action of anticoagulants of the coumarin type.
Bezalip
anticoagulants of the coumarin type
EFFECT
Bezafibrate_ddi.xml
DDI-DrugBank.d291.s0
DDI-DrugBank.d291.s0.p8
therefore, nitroglycerin or other nitrates (as used for management of angina) or other drugs having vasodilator activity should, if possible, be discontinued before starting captopril.
nitroglycerin
captopril
ADVISE
Captopril_ddi.xml
DDI-DrugBank.d175.s6
DDI-DrugBank.d175.s6.p1
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DDI Corpus Processed

Drug-Drug Interaction (DDI) detection dataset processed from the SemEval-2013 DDI Corpus.

Dataset Description

This dataset contains drug-drug interaction examples for 5-class classification:

  • MECHANISM: Mechanistic description of how drugs interact (e.g., inhibition, induction)
  • EFFECT: Clinical effect of concurrent use (e.g., increased toxicity, decreased efficacy)
  • ADVISE: Advisory or cautionary information about concurrent use
  • INT: General interaction without specific type
  • NONE: No interaction between the drug pair

Dataset Statistics

Split Total MECHANISM EFFECT ADVISE INT NONE
Train 5,744 1,319 (23%) 1,687 (29%) 826 (14%) 189 (3%) 1,723 (30%)
Test 1,398 302 (22%) 360 (26%) 221 (16%) 96 (7%) 419 (30%)

Data Format

Each example contains:

  • sentence: The original sentence containing drug mentions
  • drug1: First drug entity
  • drug2: Second drug entity
  • relation: Interaction type (MECHANISM, EFFECT, ADVISE, INT, or NONE)
  • source_file: Original XML source file
  • sentence_id: Original sentence ID
  • pair_id: Original pair ID

Usage

from datasets import load_dataset

dataset = load_dataset("MaziyarPanahi/DDI-Corpus-Processed")

Citation

If you use this dataset, please cite:

@article{herrero2013ddi,
  title={The DDI corpus: An annotated corpus with pharmacological substances and drug--drug interactions},
  author={Herrero-Zazo, Mar{\'\i}a and Segura-Bedmar, Isabel and Mart{\'\i}nez, Paloma and Declerck, Thierry},
  journal={Journal of Biomedical Informatics},
  volume={46},
  number={5},
  pages={914--920},
  year={2013}
}

License

CC BY-NC 4.0 (following original DDI Corpus license)

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