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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
|
End of preview. Expand
in Data Studio
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 mentionsdrug1: First drug entitydrug2: Second drug entityrelation: Interaction type (MECHANISM, EFFECT, ADVISE, INT, or NONE)source_file: Original XML source filesentence_id: Original sentence IDpair_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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