Drug Interaction Flashcards
Calcium Channel Blockers
CYP3A4 Inhibitor
Antifungals (azoles)
CYP3A4 Inhibitors
Clarithromycin, Erythromycin
CYP EFFECT
CYP3A4 Inhibitor
Protease Inhibitors
CYP3A4 Inhibitor
Gastric Acid Suppressors
CYP3A4 Inhibitor
Grape Fruit Juice
CYP3A4 Inhibitor
Naficillin
CYP3A4 Inducers
Rifampin
CYP3A4 Inducers
Caspofungin
CYP3A4 Inducers
Anticonvulsants
CYP3A4 Inducers
Terbenafine
CYP3A4 Inducers
Octreotide
CYP3A4 Inducers
Ticlodipine
CYP3A4 Inducers
Bosentan
CYP3A4 Inducers
Orlistat
CYP3A4 Inducers
St Johns Wort
CYP3A4 Inducers
Echinacea
CYP3A4 Inducers
Inhibits MRP2 Transporter (2)–> Decrease Mycophenolate Concentrations
Cyclosporine
Tacrolimus (lower extent)
Bind MPA in the GI tract and lower AUC
Cholestyramine and Bile Acid Resins
Antibiotics which lower MPA AUC
Norfloxacin & Metronidazole
Amoxicillin with Clavulanic Acid
Rifampin
Ciprofloxacin
NARC
Compete with MPAG for tubular secretion. LEading to increase MPA concentrations.
Acyclovir
Ganacyclovir
Cotrimoxazole
____ lowers the efficacy of oral contraceptive.
Mycophenolate.
Phenytoin and Aspirin bind albumin increasing the concentration of ____
Mycophenolate
PK studies show that steroids increase ____ metabolism leading to lower concentrations.
MPA.
Glucocorticoid Inhibitors
Oral Contraceptives
Naproxen
Estrogens
Macrolides
Isoniazid
Cyclosporin
Ketoconazole
ONEMIC
Glucocorticoid Metabolism inducers
Phenytoin
Phenobarbital
Rifampin
Carbamazepine
Ephedrine
Drugs induced by glucocorticoids.
Tacrolimus
Mycophenolate
Cyclosporine
Drugs that increase hypokalemia risk with steroids.
Diuretics
Amphotericin
Digoxin.