mibefradil

Brand Name :

Posicor

(United States) [DSC]
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Synonyms :

mibefradil

Class :

Calcium Antagonists

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Actions and Spectrum: 

Action: mibefradil selectively blocks T-type calcium channels in the heart and peripheral blood vessels. Doing so reduces the influx of calcium ions into these cells, leading to vasodilation (widening of blood vessels) and decreased cardiac contractility. The net effect is a reduction in blood pressure and a decrease in the workload on the heart, making it an effective antihypertensive and antianginal agent. 

Spectrum: mibefradil was initially approved to treat hypertension and chronic stable angina. Its unique mechanism of action, particularly its inhibition of T-type calcium channels, made it a promising alternative to other calcium channel blockers. 

 

 

DRUG INTERACTION

mibefradil

&

  • Pembrolizumab / Berahyaluronidase
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  • Afamitresgene Autoleucel
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  • sodium phosphate
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  • cromolyn sodium, intranasal
  • red blood cells(Blood component)
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  • sodium fusidate
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  • sodium metabisulfite
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  • taspoglutide
  • glyclopyramide
  • tolnaftate, gentamicin, iodochlorohydroxyquinoline, chlorocresol, betamethasone valerate
  • serratiopeptidase
  • sodium antimony gluconate
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  • tribenoside / lidocaine
  • triclocarban
  • triprolidine/dextromethorphan  
  • vitamins/minerals/omega-3 Fatty acids
  • soyabean oil
  • sucralfate/oxethazaine
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  • sodium cromoglycate
  • aloe vera/liquid paraffin/white soft paraffin
  • aloe vera/jojoba oil/vitamin E
  • allantoin/triclosan/vitamin e/zinc oxide
  • alpha-Lipoic acid/minerals/multivitamins
  • alprazolam/paracetamol
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  • azithromycin/ambroxol
  • atorvastatin/clopidogrel/aspirin
  • aceclofenac, paracetamol and serratiopeptidase
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  • alpha- lipoic acid, vitamin b complex and vitamin c
  • alpha-galactosidase and simethicone
  • alpha-galactosidase, amylase, proteases, lipase and lactase
  • amikacin and cefepime
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  • linoleic acid and sodium lactate
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  • spirulina
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  • lercanidipine/atenolol
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  • levarterenol
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  • gliclazide/metformin/pioglitazone
  • fluconazole/tinidazole
  • haemocoagulase
  • halometasone
  • hesperidin
  • imipramine/chlordiazepoxide
  • idebenone / l-arginine / zinc sulphate/selenium/proanthocyanidin
  • mecobalamin and piracetam
  • mesterolone
  • mosapride and pantoprazole
  • atorvastatin, co enzyme q10, vitamin e, zinc, and selenium
  • azithromycin and benzalkonium chloride
  • beta carotene, vitamin c, vitamin e, minerals, lutein, eicosapentaenoic acid, docosahexenoic acid and vit b12
  • alpha-galactosidase
  • aloe vera gel/vitamin e/lactic acid
  • aloe vera gel/jojoba/vitamin e/glycerine
  • famotidine and domperidone
  • faropenem medoxomil
  • nedosiran
  • fluconazole/ornidazole/azithromycin
  • ebastine/montelukast
  • eberconazole
  • dienogest/estradiol valerate
  • ambroxol/salbutamol
  • benzoic acid/salicylic acid/ichthammol/ triamcinolone acetonide
  • desloratadine/ambroxol
  • dexibuprofen/paracetamol
  • atorvastatin/ramipril
  • diastase
  • diastase and simethicone
  • diazepam and propranolol
  • dexrabeprazole / domperidone
  • dexrabeprazole
  • dexketoprofen /paracetamol
  • beta carotene/vitamin C/minerals
  • aloe vera gel/urea
  • aloe vera gel/glycerine
  • alpha-lipoic acid/benfotiamine/chromium/folic acid/mecobalamin / vit b6
  • alprazolam/propranolol
  • alprazolam /sertraline
  • ibuprofen/dextropropoxyphene
  • ambroxol/cetirizine/phenylephrine/ guaiphenesin/menthol
  • dextropropoxyphene/dexchlorpheniramine maleate/bromhexine
  • promegestone
  • batroxobin
  • bencyclane
  • benfluorex
  • acetylpheneturide
  • abarelix
  • abetimus
  • naftidrofuryl
  • nalorphine
  • oxiracetam
  • letosteine
  • lafutidine
  • leuprorelin
  • levodropropizine
  • glutaral
  • losartan/ramipril
  • gallopamil
  • lanatoside c
  • lauromacrogol
  • gestodene
  • aceclofenac/methyl salicylate/menthol/linseed oil/capsaicin
  • aceclofenac/paracetamol/tizanidine
  • alginic acid/magaldrate/simethicone
  • aceclofenac/paracetamol
  • aceclofenac/rabeprazole
  • alginic acid
  • pantoprazole and domperidone
  • urokinase
  • rimiterol
  • olanzapine/fluoxetine
  • normethadone/hydroxyephedrine
  • myrtol
  • moxonidine
  • propylhexedrine
  • sodium hypochlorite solution
  • sodium chloride/sodium citrate
  • Hepatitis B Vaccine (Recombinant [Adjuvanted])
  • Hepatitis B Vaccine (Recombinant)
  • aceclofenac and serratiopeptidase
  • levosulpiride
  • niaprazine
  • tromantadine
  • trimetazidine
  • vinburnine
  • mizoribine
  • molgramostim
  • mosapride
  • eugenol
  • tolperisone
  • etamsylate
  • etynodiol
  • mizolastine
  • metenolone
  • reproterol
  • rebamipide
  • mephenoxalone
  • metandienone
  • furosemide/spironolactone
  • hydroxycarbamide
  • tenonitrozole
  • fenoverine
  • fenquizone
  • tiapride
  • tibolone
  • furazolidone
  • furosemide & amiloride
  • fosfestrol
  • fluclorolone
  • flubendazole
  • tertatolol
  • tetracosactide
  • tetryzoline
  • tolciclate
  • trapidil
  • troxipide
  • temoporfin
  • telbivudine
  • teprenone
  • hexamidine
  • mebhydrolin
  • mepartricin
  • fencamfamin
  • medazepam
  • theodrenaline
  • thiamazole
  • thiocolchicoside
  • psilocybin
  • veralipride
  • pyritinol
  • opipramol
  • oprelvekin
  • betamethasone + gentamicin
  • betamethasone + neomycin
  • betamethasone + salicylic acid
  • oxedrine
  • bopindolol
  • orgotein (investigational)
  • oxaceprol
  • ormeloxifene
  • bevantolol
  • bifemelane
  • clebopride
  • demoxytocin
  • cicletanine
  • cefsulodin
  • chlortalidon
  • sisomicin
  • somatrem
  • carbazochrome
  • caroverine
  • cathine
  • ipriflavone
  • isepamicin
  • silymarin
  • simethicone
  • sermorelin
  • diloxanide
  • dimethindene
  • diosmin/hesperidin
  • calamine
  • canrenone
  • captodiame
  • imidapril
  • cefetamet
  • cefodizime
  • cefoperazone + sulbactam
  • ivermectin + albendazole
  • serrapeptase
  • bromisoval
  • beraprost
  • pridinol
  • proglumide
  • bamipine
  • barnidipine
  • bamifylline
  • benzbromarone
  • betamethasone/fusidic acid
  • para-chlorophenol
  • pantethine
  • nomifensine
  • pemoline
  • parnaparin
  • pentolinium
  • nialamide
  • novobiocin
  • nicergoline
  • octocrylene
  • octisalate
  • oftasceine
  • oxolamine
  • oxyphencyclimine
  • penfluridol
  • pentoxyverine
  • phenoxymethylpenicillin
  • picloxydine
  • pilsicainide hydrochloride
  • piperazine
  • pirarubicin
  • policresulen
  • prifinium bromide
  • prethcamide
  • pristinamycin
  • pirenzepine
  • piribedil
  • pimethixene
  • pargyline
  • phosphatidyl choline
  • phthalylsulfathiazole
  • phytomenadione
  • pranlukast
  • pinazepam
  • oxyphenonium
  • noxytiolin
  • periciazine
  • pethidine
  • phenindamine
  • histidine
  • isoleucine
  • proline
  • lauric acid
  • lymecycline
  • hypromellose
  • abiraterone acetate and niraparib
  • ichthammol
  • levamisole
  • naftazone
  • nefopam
  • oxprenolol
  • oxybuprocaine
  • elranatamab-bcmm
  • lapyrium
  • isoaminile
  • iotrolan
  • mazindol
  • masoprocol
  • lypressin
  • meradimate
  • molsidomine
  • monobenzone
  • mequinol/gluconolactone/ lactobionic acid/ arbutin
  • medifoxamine
  • mebutamate
  • metergoline
  • methantheline
  • methdilazine
  • metocurine
  • micronomicin
  • metaraminol
  • mephenesin
  • menadione
  • medrysone
  • metixene
  • levobetaxolol
  • guaiacol glycerol ether
  • eucalyptol
  • sodium tetradecyl sulfate
  • sugammadex
  • carbetocin
  • certoparin
  • chlorcyclizine/pseudoephedrine
  • cephapirin
  • indecainide
  • iobitridol
  • iomeprol
  • chlorphenesin
  • msud analog
  • msud maxamum
  • iceland moss
  • glutethimide
  • hexachlorophene
  • haloprogin
  • deferoxamine
  • ethchlorvynol
  • dexpanthenol topical
  • etilefrine
  • deslanoside
  • carbocromen
  • diazolidinylurea
  • dibenzepin
  • etofamide
  • guanoxan
  • halazepam
  • guanadrel sulfate
  • dapiprazole
  • soapwort
  • debrisoquine
  • l-tryptophan
  • chlormerodrin
  • chlorquinaldol
  • cetrimonium
  • carbocisteine
  • chlorcyclizine/codeine
  • technetium Tc-99m tetrofosmin
  • technetium Tc-99m disofenin
  • technetium Tc-99m gluceptate
  • technetium Tc-99m labeled red blood cells
  • amylmetacresol/dextromethorphan hydrobromide
  • anileridine phosphate
  • pyrethrins
  • pyrantel pamoate
  • quinagolide
  • spiramycin
  • standard hyperkalemic cardioplegia solution
  • technetium tc-99m mertiatide
  • technetium tc-99m medronate
  • bemotrizinol / bisoctrizole
  • benfotiamine
  • bemotrizinol + titanium dioxide + zinc oxide
  • technetium Tc-99m oxidronate
  • technetium Tc-99m pentetate
  • technetium Tc-99m pyrophosphate
  • benziodarone
  • octinoxate/bisoctrizole
  • bicisate dihydrochloride
  • technetium Tc-99m bicisate
  • norelgestromin/ethinyl estradiol
  • norgestimate/ethinyl estradiol
  • ximelagatran (investigational)
  • xamoterol
  • trioxsalen
  • poly-urea urethane
  • rilmenidine
  • pemirolast
  • oxitriptan
  • beclomethasone, intranasal
  • thimerosal
  • camphor gel
  • camphor
  • mumps virus vaccine, live
  • rubella virus vaccine, live
  • aluminum chloride (dental)
  • alum irrigation
  • framycetin, phenylephrine, and gramicidin
  • ombitasvir, paritaprevir, ritonavir, and dasabuvir
  • olipudase alfa
  • etonogestrel/ethinyl estradiol
  • mycophenolate
  • fluoroestradiol F 18
  • donor organ cardioplegia solution
  • fluciclovine F 18
  • fusidic acid (ophthalmic)
  • fusidic acid and hydrocortisone
  • framycetin, dexamethasone, and gramicidin
  • fludeoxyglucose F-18
  • fluorouracil/salicylic acid
  • indium In-111 oxyquinoline
  • indium In-111 pentetreotide
  • indium In-111 capromab pendetide
  • lusutrombopag
  • mitomycin (ophthalmic)
  • mifepristone and misoprostol
  • minoxidil (systemic)
  • methyl aminolevulinate (topical)
  • methyl folate, methylcobalamin, and acetylcysteine
  • ciclesonide/formoterol/tiotropium
  • nedocromil (Oral Inhalation)
  • batefenterol (Investigational)
  • neostigmine and glycopyrrolate
  • nepafenac ophthalmic
  • netupitant/palonosetron
  • meperidine and promethazine
  • mepivacaine and levonordefrin
  • maltodextrin
  • medical cannabis
  • medium chain triglycerides
  • mometasone/glycopyrrolate (glycopyrronium)/ indacaterol
  • moxifloxacin ophthalmic
  • neomycin/fluocinolone
  • nadroparin
  • iodine I-125 iothalamate
  • amikacin liposome (oral inhalation)
  • bupivacaine liposome
  • natamycin
  • lopinavir and ritonavir
  • lysine
  • macitentan and tadalafil
  • mitomycin pyelocalyceal
  • moclobemide
  • mometasone and indacaterol
  • efinaconazole
  • blue-green algae
  • indocyanine green
  • follitropin beta
  • lumasiran
  • glycerin/lidocaine
  • edrophonium/atropine
  • indigo carmine
  • lutropin alfa
  • instant glucose/intravenous dextrose
  • iobenguane I-123
  • ixekizumab
  • isosulfan blue dye
  • levofloxacin ophthalmic
  • levonorgestrel oral/ferrous bisglycinate/ ethinylestradiol
  • ethinyl estradiol/levonorgestrel transdermal
  • hydroquinone
  • hydroxypropyl methylcellulose
  • icodextrin
  • lipid emulsion (soybean, medium-chain triglyceride, olive, and fish oils; [SMOF])
  • iodinated I 125 albumin
  • iodinated I 131 albumin
  • lipid emulsion (plant oil-based)
  • levonorgestrel intrauterine
  • levonorgestrel/ethinyl estradiol
  • lactic acid and sodium-PCA
  • lactated Ringer solution
  • ketotifen (systemic)
  • lanolin
  • leuprolide and norethindrone
  • levodopa and benserazide
  • gonadorelin acetate
  • hemodialysis solutions
  • nirsevimab
  • gentian violet
  • gallium ga-68 dotatate
  • fusidic acid and betamethasone
  • gallium citrate Ga-67
  • gadopentetate dimeglumine
  • gadofosveset
  • follitropin delta
  • follitropin alfa and lutropin alfa
  • follitropin alfa
  • rocatinlimab
  • grass pollens allergen extract
  • flotufolastat F18
  • fluorescein ophthalmic
  • barium
  • balanced salt solution
  • air polymer type A intrauterine device
  • clodronate
  • bentoquatam
  • clobetasone
  • alfacalcidol
  • citric acid/glucono-delta-lactone/magnesium carbonate
  • benzoin
  • desirudin
  • immune globulin IV (IGIV)
  • dequalinium
  • pseudoephedrine/desloratadine
  • clofedanol
  • cyproterone and ethinyl estradiol
  • dextranomer and hyaluronic acid or derivatives
  • diatrizoate meglumine and diatrizoate sodium
  • glucosamine sulfate, chondroitin sulfate and Msm
  • squill
  • gotu kola
  • blessed thistle
  • bitter melon
  • apraclonidine
  • chlophedianol/dexbrompheniramine/pseudoephedrine
  • wild jujube
  • chitosan
  • cilazapril/hydrochlorothiazide
  • dexbrompheniramine and phenylephrine
  • diethylene triamine penta-acetic acid
  • dexchlorpheniramine and pseudoephedrine
  • lily of the valley
  • diflucortolone
  • corydalis
  • lemon balm
  • MSM
  • calcium polystyrene sulfonate
  • caprylidene
  • peppermint oil
  • efavirenz/lamivudine/tenofovir DF
  • emtricitabine/tenofovir DF /efavirenz
  • dutasteride/tamsulosin
  • milk thistle
  • centaury
  • horseweed
  • lycopus
  • agrimony
  • alfalfa
  • kava
  • cetrorelix
  • cetylpyridinium
  • chlophedianol and dexbrompheniramine
  • betahistine
  • choline C-11
  • boric acid vaginal suppository
  • aluminum acetate
  • aluminum chloride hexahydrate
  • 14-C urea breath test
  • absorbable collagen
  • valoctocogene roxaparvovec-rvox
  • amlodipine and celecoxib
  • aspirin and omeprazole
  • azilsartan and chlorthalidone
  • landiolol (Pending FDA approval)
  • isosorbide dinitrate/hydralazine
  • losartan/hydrochorothiazide
  • udenafil
  • dextromethorphan/quinidine
  • onasemnogene abeparvovec
  • orphenadrine/aspirin/caffeine
  • Trace elements
  • sodium phenylbutyrate/ taurursodiol
  • fish oil triglycerides
  • infant formula
  • glutamine
  • chloroquine phosphate
  • afatinib
  • quinidine gluconate
  • methylergonovine
  • prothrombin complex concentrate, human
  • BCG intravesical live
  • capivasertib
  • cedazuridine
  • carbonyl iron
  • iron dextran complex
  • lovotibeglogene autotemcel (FDA Approval Pending)
  • sodium benzoate/sodium phenylacetate
  • mineral oil otic
  • zolmitriptan transdermal
  • midazolam intranasal
  • fosinopril/hydrochlorothiazide
  • caplacizumab
  • arginine
  • sodium phenylbutyrate
  • meloxicam/rizatriptan
  • manganese
  • acetaminophen/pamabrom/pyridoxine
  • varicella zoster immune globulin, human
  • amitriptyline/perphenazine
  • narsoplimab (Pending FDA Approval)
  • amlodipine/perindopril
  • imiglucerase
  • canagliflozin/metformin
  • tafamidis meglumine
  • somatrogon-ghla
  • glimepiride/rosiglitazone
  • becaplermin
  • lithium
  • loxapine inhaled
  • nicotine transdermal
  • tixagevimab and cilgavimab (Investigational)
  • muromonab CD3
  • ansuvimab
  • coal tar bath products
  • fibrin sealant
  • arimoclomol (FDA Approval Pending)
  • varenicline intranasal
  • aducanumab
  • oxycodone/naloxone
  • ritlecitinib
  • sodium polystyrene sulfonate
  • calcipotriene/betamethasone
  • calcium hydroxylapatite
  • cantharidin topical
  • doxepin cream
  • clocortolone
  • formaldehyde topical
  • sodium sulfide topical
  • collagenase
  • selegiline transdermal
  • foscarbidopa/foslevodopa (FDA approval pending)
  • saxagliptin/metformin
  • linagliptin/metformin
  • linzagolix (FDA approval pending)
  • efgartigimod/hyaluronidase SC
  • Elamipretide
  • rozanolixizumab
  • diazoxide
  • glimepiride/pioglitazone
  • cipaglucosidase alfa
  • dihydroergotamine intranasal
  • delandistrogene moxeparvovec
  • beremagene geperpavec
  • hyaluronic acid and derivatives
  • hyaluronic acid, non-animal stabilized
  • eplontersen (FDA Approval Pending)
  • nitric oxide gas
  • sodium phenylbutyrate and taurursodiol
  • treprostinil SC
  • viltolarsen
  • albuterol/ipratropium
  • budesonide inhaled
  • budesonide rectal
  • palovarotene
  • sodium sulfate/potassium chloride/magnesium sulfate/polyethylene glycol
  • amino acids mixture
  • aminobenzoate potassium
  • elivaldogene autotemcel
  • naproxen and sumatriptan
  • sumatriptan intranasal
  • alglucerase
  • metformin/rosiglitazone
  • ertugliflozin/metformin
  • elosulfase alfa
  • calcium carbonate/magnesium hydroxide
  • starch suppository
  • abicipar pegol (FDA Approval Pending)
  • riboflavin 5′-phosphate ophthalmic
  • povidone ophthalmic
  • glycerin oropharyngeal
  • dimethicone topical
  • menthol topical, dimethicone topical
  • pramoxine topical, menthol topical and dimethicone topical
  • phosphorated carbohydrate
  • brilliant blue G ophthalmic
  • brolucizumab intravitreal
  • purified water, ophthalmic
  • hydroxyethyl cellulose ophthalmic
  • ranibizumab intravitreal implant
  • sodium chloride hypertonic, ophthalmic 
  • cetirizine ophthalmic
  • phentolamine ophthalmic
  • ganciclovir ophthalmic
  • triamcinolone intravitreal
  • ocriplasmin intravitreal
  • atoltivimab/maftivimab/odesivimab
  • pegcetacoplan intravitreal
  • triamcinolone acetonide extended-release injectable suspension
  • tobramycin/loteprednol ophthalmic
  • 2-octyl cyanoacrylate
  • vitamins A & D topical
  • diphenhydramine/allantoin topical
  • pyrethrins/piperonyl butoxide
  • lodoxamide ophthalmic
  • obeticholic acid
  • fluocinolone intravitreal implant
  • sincalide
  • linaclotide
  • nedocromil ophthalmic
  • cysteamine ophthalmic
  • avacincaptad pegol intravitreal
  • azelastine ophthalmic
  • bacitracin ophthalmic
  • propylene glycol ophthalmic
  • rimexolone ophthalmic
  • metoclopramide intranasal
  • mirikizumab
  • netarsudil ophthalmic
  • cenegermin
  • dexamethasone ophthalmic insert
  • prednisolone ophthalmic
  • phenylephrine and cocoa butter rectal
  • phenylephrine and witch hazel topical
  • phenylephrine, pramoxine, glycerin and petrolatum rectal
  • bisacodyl rectal
  • aluminum hydroxide/magnesium carbonate
  • aluminum hydroxide/magnesium hydroxide
  • hyoscyamine spray
  • methenamine/methylene blue/ hyoscyamine/ sodium phosphate monobasic/ phenyl salicylate
  • phenylephrine
  • chlorophyll
  • castor oil
  • cholic acid
  • phenol oropharyngeal
  • articaine/epinephrine
  • antithymocyte globulin equine
  • aluminum hydroxide/magnesium trisilicate
  • methenamine/hyoscyamine
  • hydrocortisone topical/pramoxine topical 
  • sodium fluoride topical
  • mesna
  • C1 esterase inhibitor recombinant
  • menthol and pectin
  • menthol oropharyngeal
  • pectin oropharyngeal
  • gepirone
  • Goldenseal
  • polyethylene glycol and electrolytes
  • polyethylene glycol/electrolytes/sodium ascorbate/ascorbic acid
  • brompheniramine/pseudoephedrine/dextromethorphan
  • brompheniramine phenylephrine
  • acetaminophen/doxylamine/phenylephrine
  • doxylamine/acetaminophen/pseudoephedrine/dextromethorphan
  • acetaminophen/doxylamine/dextromethorphan
  • acetaminophen/doxylamine/dextromethorphan/phenylephrine
  • eslicarbazepine
  • fluticasone and salmeterol
  • codeine, acetaminophen, butalbital and caffeine
  • codeine, chlorpheniramine and phenylephrine
  • iodine
  • povidone iodine
  • butalbital/aspirin/caffeine/codeine
  • polyethylene glycol 400/propylene glycol ophthalmic 
  • pegvaliase
  • amivantamab
  • iopamidol
  • codeine and pseudoephedrine
  • emtricitabine, rilpivirine, tenofovir DF
  • penicillin G aqueous
  • miconazole topical
  • miconazole vaginal
  • ciprofloxacin inhaled (Pending FDA approval)
  • ceftazidime/avibactam
  • ceftolozane/​tazobactam
  • aztreonam inhalation
  • amphotericin B cholesteryl sulfate
  • miconazole oral
  • elvitegravir/cobicistat/emtricitabine/tenofovir DF
  • isavuconazonium sulfate
  • dapivirine intravaginal (FDA Approval Pending)
  • lamivudine/raltegravir
  • codeine/triprolidine/pseudoephedrine
  • cadexomer iodine
  • brompheniramine/pseudoephedrine
  • codeine/acetaminophen
  • codeine/guaifenesin
  • beclomethasone inhaled
  • epoetin beta/methoxy polyethylene glycol
  • voreloxin(Orphan Drug)
  • rociletinib
  • pitcher plant
  • phosphatidylserine
  • telotristat ethyl
  • copper CU 64 dotatate
  • urea topical
  • exenatide subdermal implant
  • asenapine transdermal
  • ethiodized oil
  • urea oral
  • miglustat
  • acalisib(Investigational)
  • acetophenazine
  • guggul
  • aceneuramic acid
  • mestranol/norethindrone
  • reishi
  • lactitol
  • vonoprazan fumarate
  • motherwort
  • silver nitrate
  • salicylic acid/sulfur shampoo
  • salicylic acid topical
  • ketorolac ophthalmic
  • ketoconazole topical
  • Japanese encephalitis virus vaccine
  • dibucaine topical ointment
  • ketorolac intranasal
  • ketorolac/phenylephrine ophthalmic
  • rotavirus oral vaccine, live
  • guarana
  • hops
  • krill oil
  • salicylic acid/coal tar shampoo
  • sufentanil SL
  • pancrelipase
  • passion flower
  • pepdite one plus
  • nivolumab and relatlimab
  • relatlimab (Pending FDA Approval)
  • benzalkonium chloride/benzocaine
  • ketotifen, drug-eluting contact lens
  • calcitriol topical
  • oxymetazoline topical
  • alclometasone topical
  • capsaicin topical
  • diclofenac/misoprostol
  • diclofenac ophthalmic
  • diclofenac topical
  • pramoxine/calamine topical
  • veverimer
  • tolazoline
  • olopatadine ophthalmic
  • lutetium lu 177-dota-tate
  • lutetium lu 177 vipivotide tetraxetan
  • strontium 89 chloride
  • interferon alfa n3
  • lutetium Lu 177- Diethylenetriamine Pentaacetic acid-omburtamab (FDA Approval Pending)
  • samarium sm 153 lexidronam
  • cytomegalovirus immune globulin (CMV IG)
  • antithymocyte globulin rabbit
  • inolimomab (Pending FDA Approval)
  • olopatadine intranasal
  • olopatadine intranasal/​mometasone, intranasal
  • benzocaine/butamben/tetracaine topical
  • antipyrine/benzocaine/phenylephrine
  • dyclonine/menthol
  • surufatinib
  • fruquintinib
  • dostarlimab
  • hepatitis B immune globulin (HBIG)
  • remestemcel-L
  • benzocaine/menthol oropharyngeal
  • interferon beta 1b
  • tetracaine/oxymetazoline intranasal
  • benzocaine oropharyngeal
  • benzalkonium chloride/menthol/petrolatum topical
  • inamrinone
  • alpha 1 proteinase inhibitor
  • potassium bicarbonate/potassium citrate
  • potassium phosphate/sodium acid phosphate
  • asparaginase Erwinia chrysanthemi recombinant
  • motixafortide
  • pegloticase
  • etesevimab
  • Rho(D) immune globulin
  • tetanus immune globulin (TIG)
  • reltecimod (pending FDA approval)
  • avasopasem
  • trimethoprim/polymyxin B ophthalmic
  • naphazoline ophthalmic
  • sulfacetamide topical
  • sirolimus intravitreal (pending FDA approval)
  • sirolimus protein bound
  • sirolimus topical
  • glycopyrronium tosylate topical
  • sofpironium
  • olmesartan, amlodipine and hydrochlorothiazide
  • dovitinib (Pending FDA Approval)
  • epinephrine inhaled
  • quizartinib (Pending FDA Approval)
  • ranibizumab intravitreal injection
  • sodium hyaluronate
  • bacitracin and lidocaine topical
  • brimonidine topical
  • benzoyl peroxide and tretinoin topical
  • talquetamab
  • betrixaban
  • acetaminophen/caffeine/pyrilamine
  • fentanyl transmucosal
  • bacitracin topical
  • buprenorphine,long-acting injection
  • buprenorphine buccal
  • nalmefene intranasal
  • sulbactam/durlobactam
  • metronidazole topical 
  • daratumumab/hyaluronidase
  • glofitamab
  • rituximab-hyaluronidase
  • drospirenone/ethinyl estradiol/levomefolate
  • loncastuximab tesirine
  • ingenol mebutate topical
  • momelotinib
  • trastuzumab/deruxtecan
  • trastuzumab/hyaluronidase
  • trastuzumab duocarmazine
  • lifileucel
  • umbralisib
  • eflornithine/sulindac
  • cytarabine/daunorubicin liposomal
  • doxorubicin liposomal
  • epcoritamab
  • lanadelumab  
  • esomeprazole/naproxen 
  • terbinafine topical
  • ravulizumab
  • clotrimazole topical
  • choline magnesium trisalicylate
  • tacrolimus ointment
  • mechlorethamine topical
  • donislecel
  • pozelimab (Pending FDA Approval)
  • human rabies immune globulin (HRIG)
  • melphalan flufenamide
  • sintilimab (Pending FDA Approval)
  • oportuzumab monatox (Pending FDA Approval)
  • sotorasib
  • irinotecan liposomal
  • sulfur topical
  • silver sulfadiazine
  • capsaicin transdermal
  • sutimlimab
  • tretinoin topical
  • acetaminophen rectal
  • menthol topical
  • naftifine
  • oatmeal, colloidal topical
  • oxiconazole
  • methylsalicylate/menthol topical
  • C1 inhibitor human
  • lifitegrast ophthalmic
  • prednisolone/sulfacetamide ophthalmic
  • mannitol inhalation
  • ofloxacin otic
  • petrolatum & mineral oil topical
  • clascoterone topical
  • gefapixant (Pending FDA Approval)
  • colesevelam
  • technetium Tc 99m succimer
  • nebivolol/valsartan
  • ciprofloxacin/fluocinolone acetonide, otic
  • finafloxacin otic
  • magnesium hydroxide/mineral oil
  • phenylephrine/mineral oil/petrolatum rectal
  • carbamide peroxide oral
  • atropine ophthalmic
  • sodium sulfacetamide/sulfur
  • sulfacetamide ophthalmic
  • lucinactant
  • benzonatate
  • besifloxacin ophthalmic
  • benzhydrocodone/acetaminophen
  • beractant
  • trimagnesium citrate anhydrous
  • vitamin b2
  • carbamide peroxide otic
  • mineral oil topical
  • ethyl alcohol intranasal
  • boric acid/alcohol otic
  • absorbable gelatin compressed sponge, USP
  • absorbable gelatin sponge, USP
  • vincristine liposomal
  • technetium Tc 99m albumin aggregated injection
  • metaproterenol
  • budesonide inhaled/formoterol/glycopyrrolate inhaled
  • epinephrine racemic
  • umeclidinium bromide/vilanterol inhaled
  • indacaterol, inhaled/glycopyrrolate inhaled
  • betaine  
  • laronidase 
  • estrogens esterified/methyltestosterone            
  • cerliponase alfa
  • ertugliflozin/sitagliptin
  • hawthorn
  • shepherd’s purse
  • thiamine
  • naphazoline/glycerin ophthalmic
  • oxymetazoline ophthalmic
  • dorzolamide
  • dexamethasone intraocular
  • dexamethasone/ciprofloxacin
  • dexamethasone ophthalmic
  • metipranolol ophthalmic
  • timolol ophthalmic
  • boron
  • fezolinetant
  • pegunigalsidase alfa-iwxj
  • biotin
  • pantothenic acid
  • silicon
  • sodium acid phosphate
  • hypochlorous acid topical
  • methenamine/sodium acid phosphate
  • aviptadil 
  • bremelanotide
  • glucagon intranasal
  • metformin and repaglinide
  • bai ji
  • pau d’arco
  • juzentaihoto
  • mistletoe
  • quercetin
  • rosemary
  • sheng di huang
  • chasteberry
  • maitake
  • grapefruit
  • lentinan
  • juniper
  • nettle
  • parsley
  • rose hips
  • tongkat ali
  • horny goat weed
  • damiana
  • yohimbe
  • insulin NPH
  • aprocitentan
  • noni Juice
  • sodium iodide I-131
  • green tea
  • sea cucumber
  • wheat germ extract
  • fenofibrate micronized 
  • rogisen
  • danshen
  • lutein
  • witch hazel
  • dextroamphetamine transdermal
  • amphetamine/dextroamphetamine
  • hoodia
  • kolanut
  • boswellia
  • opuntia ficus indica
  • lavender
  • nadh
  • tea tree oil
  • metformin/sitagliptin 
  • dapagliflozin/ metformin/saxagliptin  
  • antihemophilic factor recombinant
  • inclisiran
  • bempedoic acid/ezetimibe
  • volanesorsen  
  • omega 3 carboxylic acids
  • pericyazine
  • levomepromazine (methotrimeprazine)
  • betaxolol ophthalmic
  • respiratory syncytial virus vaccine, adjuvanted
  • phenylephrine hydrochloride and tropicamide ophthalmic
  • alirocumab
  • neomycin/polymyxin B/gramicidin ophthalmic
  • factor IX
  • gentamicin topical
  • ansofaxine (Pending FDA Approval)
  • zuranolone
  • factor IX, recombinant
  • factor IX complex
  • factor XIII A-subunit, recombinant
  • factor X, human
  • mesalamine rectal
  • etrasimod
  • anti-inhibitor coagulant complex
  • factor IX, recombinant/albumin fusion protein
  • fibrinogen, human
  • aminocaproic acid
  • metyrosine
  • nonoxynol-9 vaginal
  • progesterone intravaginal gel
  • ipecac syrup
  • botulinum antitoxin, heptavalent
  • pentetate calcium trisodium
  • crotalidae polyvalent immune FAB (ovine)
  • dehydrated alcohol injection 
  • gold sodium thiomalate (Discontinued)
  • lactic acid/citric acid/potassium bitartrate vaginal
  • von Willebrand factor, recombinant
  • luspatercept
  • digoxin immune FAB (Antidote)
  • crotalidae immune FAB (equine)
  • magnesium (Antidote)
  • pyridoxine (Antidote)
  • edetate calcium disodium
  • albumin IV
  • nitroglycerin sublingual
  • obiltoxaximab
  • anthrax immune globulin
  • nitroglycerin topical
  • dextrose
  • nesiritide
  • estradiol vaginal
  • bazedoxifene/conjugated estrogens
  • botulism immune globulin iv
  • amoxicillin/omeprazole/rifabutin
  • synthetic human angiotensin II
  • nitroglycerin IV
  • nitroglycerin translingual
  • nitroprusside sodium
  • tetrahydrozoline/zinc sulfate/hypromellose ophthalmic
  • sodium citrate/citric acid
  • pemetrexate
  • Methicillin
  • plasminogen 
  • acai
  • american ginseng
  • cordyceps
  • tramadol/acetaminophen
  • belladonna alkaloids/phenobarbital
  • erythromycin topical/benzoyl peroxide
  • glucosamine sulfate
  • panax ginseng (suppl/herb)
  • tolnaftate
  • sulopenem etzadroxil/probenecid
  • sulfur hexafluoride
  • sotrovimab
  • arbaclofen
  • rifampin/isoniazid
  • clindamycin /tretinoin topical
  • benzoyl peroxide/clindamycin topical
  • apremilast
  • antivenins, centuroides (scorpion)
  • bamlanivimab and etesevimab
  • vilobelimab
  • gadobenate
  • pentosan polysulfate sodium
  • methylsalicylate/menthol/camphor topical
  • antivenin, black widow spider
  • benzoyl peroxide and hydrocortisone
  • clindamycin topical
  • isometheptene, dichloralphenazone and acetaminophen
  • acetaminophen and phenyltoloxamine
  • erythromycin topical
  • erythromycin ophthalmic
  • alpha hydroxy acids, topical
  • buprenorphine transdermal
  • butalbital/acetaminophen/caffeine
  • buprenorphine/samidorphan
  • buprenorphine subdermal implant
  • celecoxib/tramadol
  • drospirenone/ethinyl estradiol
  • resorcinol/sulfur
  • eflornithine
  • rifampin/isoniazid/pyrazinamide
  • tofersen
  • devil’s claw
  • ticarcillin/clavulanate
  • atropine/pralidoxime
  • aprepitant
  • suramin
  • phenelzine 
  • artichoke
  • american dogwood
  • attapulgite
  • atlantic cedar
  • axalimogene filolisbac
  • sodium thiosulfate & sodium nitrite
  • ataluren
  • omidubicel-onlv
  • capsicum
  • ginger
  • cryoprecipitate
  • bictegravir/emtricitabine/tenofovir DF
  • emtricitabine/tenofovir DF
  • fo-ti
  • siberian ginseng
  • granulocytes
  • zinc substituted heme C
  • zinc trihydroxide
  • ashwagandha 
  • cat’s claw
  • glandular products
  • SAMe
  • shark cartilage
  • altovis
  • feverfew
  • horse chestnut
  • magnesium aspartate
  • octacosanol
  • pleurisy root
  • star anise
  • butterbur
  • elderberry
  • licorice (Suppl/herb)
  • aconite
  • pentetate zinc trisodium
  • menthol topical/zinc oxide topical
  • corn-starch/kaolin/zinc oxide topical
  • 5-hydroxytryptophan (5-htp)
  • butcher’s broom
  • articulin
  • bearberry
  • goldenrod
  • progesterone, natural
  • black cohosh
  • wild yam
  • cranberry
  • dong quai
  • phytoestrogens
  • norethindrone
  • false Unicorn Root
  • raspberry Leaf
  • asafoetida
  • turmeric
  • dehydroepiandrosterone (DHEA)
  • hyaluronan
  • aliskiren/amlodipine
  • octreotide (Antidote)
  • tranexamic acid injection
  • duocal
  • neocate infant formula
  • pediatric Eo28
  • aloe
  • red clover
  • propolis
  • androstenedione
  • heartsease
  • comfrey
  • bilberry
  • chamomile
  • eyebright
  • calendula
  • sage
  • yucca
  • polypody
  • odevixibat
  • vinpocetine
  • olanzapine/samidorphan
  • creatine
  • yerba mate
  • spesolimab
  • azficel-T
  • tiludronate
  • estetrol and drospirenone
  • pseudoephedrine/fexofenadine
  • lincomycin
  • neomycin oral
  • fluocinolone acetonide, otic
  • tretinoin/ hydroquinone/ fluocinolone
  • halobetasol topical
  • hydrocortisone/​iodoquinol
  • penicillin G procaine /penicillin G benzathine
  • hydrocortisone probutate topical
  • colistin/neomycin/hydrocortisone/thonzonium otic
  • ebola zaire vaccine
  • hepatitis a/​b vaccine
  • vibegron
  • lindane
  • nystatin topical
  • respiratory syncytial virus (RSV) vaccine
  • chikungunya vaccine, live
  • tenecteplase
  • reteplase
  • anthrax vaccine adsorbed, adjuvanted
  • meningococcal ABCWY pentavalent vaccine
  • eculizumab
  • cholestyramine
  • tinzaparin
  • taurolidine/​citrate/​heparin
  • protein C concentrate
  • antithrombin alfa
  • antithrombin III
  • multivitamins, vision
  • ibuprofen/​chlorpheniramine/​pseudoephedrine
  • acetaminophen/ibuprofen
  • ibuprofen/pseudoephedrine
  • paclitaxel protein-bound
  • acetic acid vaginal
  • acetic acid otic
  • hydrocodone/ ibuprofen
  • methyl salicylate / isopropanol/ citronellyl acetate/ citric acid
  • ibuprofen and phenylephrine
  • acetylcysteine (Antidote)
  • iron/​folic acid/​vitamin/​mineral
  • iobenguane I-131
  • dolutegravir/rilpivirine
  • chlorhexidine topical
  • chlorhexidine oral
  • thyroid desiccated
  • proparacaine ophthalmic
  • podophyllum resin
  • phendimetrazine
  • phenoxybenzamine
  • polidocanol
  • phentermine and topiramate
  • piflufolastat F18
  • piperacillin/tazobactam
  • prednisolone and gentamicin ophthalmic
  • promethazine and codeine
  • poractant alfa
  • protamine sulfate
  • aflibercept intravitreal
  • prednicarbate
  • promethazine/dextromethorphan
  • codeine, phenylephrine, and promethazine
  • potassium phosphate
  • glatiramer acetate
  • gentamicin (Ophthalmic)
  • leniolisib
  • rezafungin
  • fluorometholone
  • dalfampridine
  • hydrocortisone topical 
  • empagliflozin and linagliptin
  • triamcinolone topical
  • minocycline topical
  • minocycline dental
  • ketotifen ophthalmic
  • darunavir and cobicistat
  • lidocaine topical
  • neomycin/polymyxin B/bacitracin/lidocaine (OTC)
  • lidocaine/ hydrocortisone
  • lidocaine anesthetic
  • lidocaine ophthalmic
  • lidocaine/tetracaine
  • desonide
  • dabigatran
  • fexofenadine
  • fluoride
  • decitabine and cedazuridine
  • dasiglucagon
  • hydroxypropyl cellulose ophthalmic
  • epoetin alfa
  • ibritumomab tiuxetan
  • trimethobenzamide
  • dexamethasone/ tobramycin
  • tafasitamab
  • valacyclovir
  • mebendazole
  • levoleucovorin
  • flaxseed
  • germanium
  • glutathione
  • lycopene
  • pygeum
  • horseradish
  • ziv-aflibercept
  • micafungin
  • trofinetide
  • taliglucerase alfa
  • tildrakizumab
  • sulopenem (Pending FDA Approval)
  • thyrotropin alfa
  • birch
  • thrombin, topical
  • tivozanib
  • tafluprost
  • methohexital
  • urea and hydrocortisone
  • unoprostone ophthalmic
  • trihexyphenidyl
  • ezetimibe
  • evolocumab
  • trifluridine and tipiracil
  • methenamine
  • misoprostol
  • miltefosine
  • rimantadine
  • maralixibat
  • coenzyme Q10
  • chlorella
  • garlic
  • forskolin
  • zavegepant
  • menotropins
  • margetuximab
  • meprobamate
  • melarsoprol
  • evening primrose oil
  • lemongrass
  • molindone
  • fenugreek
  • phytosterols
  • red yeast rice
  • uridine triacetate
  • tropicamide
  • incobotulinumtoxinA
  • Grape Seed Extract
  • carbachol ophthalmic
  • cosyntropin
  • cyclopentolate and phenylephrine
  • carteolol ophthalmic
  • pentazocine/naloxone
  • pentazocine/acetaminophen
  • casimersen
  • carisoprodol, aspirin, and codeine
  • carisoprodol
  • carboprost tromethamine
  • flurandrenolide
mibefradil + 

mibefradil

may enhance the QTc-prolonging effect of QT-prolonging agents

ibandronate

may enhance the QTc-prolonging effect of QT-prolonging agents

trazodone

may enhance the QTc-prolonging effect of QT-prolonging agents

isradipine

may enhance the QTc-prolonging effect of QT-prolonging agents

treprostinil

may enhance the QTc-prolonging effect of QT-prolonging agents

labetalol 

may increase the hypotensive effect of alpha1-blockers

epcoritamab

may enhance the serum concentration of each other when combined

adagrasib

may enhance the serum concentration of each other when combined

imiquimod topical

may enhance the serum concentration of each other when combined

fluorouracil topical

may enhance the serum concentration of each other when combined

peginterferon alfa-2b

may enhance the serum concentration of each other when combined

medroxyprogesterone

CYP3A4 Inhibitors: they may diminish the serum concentration of hormonal contraceptives

megestrol

CYP3A4 Inhibitors: they may diminish the serum concentration of hormonal contraceptives

levonorgestrel

CYP3A4 Inhibitors: they may diminish the serum concentration of hormonal contraceptives

lynestrenol

CYP3A4 Inhibitors: they may diminish the serum concentration of hormonal contraceptives

abiraterone

CYP3A Inhibitors: they may diminish the serum concentration of hormonal agents

lanreotide

CYP3A Inhibitors: they may diminish the serum concentration of hormonal agents

cyproterone

CYP3A Inhibitors: they may diminish the serum concentration of hormonal agents

triptorelin

CYP3A Inhibitors: they may diminish the serum concentration of hormonal agents

darolutamide

CYP3A Inhibitors: they may diminish the serum concentration of hormonal agents

ziv-aflibercept

may enhance the serum concentration of each other when it is combined

tivozanib

may enhance the serum concentration of each other when it is combined

lasmiditan

may enhance the serum concentration of each other when it is combined

gefitinib

may enhance the serum concentration of each other when it is combined

gilteritinib

may enhance the serum concentration of each other when it is combined

aceclofenac/rabeprazole

may enhance the serum concentration of each other when combined

tanshinone I

may enhance the serum concentration of each other when combined

rosmarinic acid

may enhance the serum concentration of each other when combined

caryophyllene

may enhance the serum concentration of each other when combined

ursolic acid

may enhance the serum concentration of each other when combined

delamanid

QT-prolonging Strong may enhance the QTc-prolonging effect of delamanid

dasatinib

dasatinib may enhance the QTc-prolonging effect of QT-prolonging

l-methylfolate-pyridoxal 5′-phosphate-methylcobalamine

may decrease the serum concentration of Quinolones

ceritinib

bradycardia-Causing Agents may enhance the bradycardic effect of Ceritinib

ponesimod

bradycardia-Causing Agents may enhance the bradycardic effect of ponesimod

fluorouracil

may enhance the QTc-prolonging effect of Fluorouracil Products

gilteritinib

gilteritinib may enhance the QTc-prolonging effect of QT-prolonging Agents

colchicine 

may increase the serum concentration of colchicine

domperidone 

may enhance the Qtc prolonging effect

ivacaftor/tezacaftor 

may increase the levels of serum concentration of ivacaftor/tezacaftor

deflazacort 

may enhance the serum concentrations of active metabolites

abiraterone

may enhance the QTc-prolonging effect of QT-prolonging agents

mibefradil

may enhance the QTc-prolonging effect of QT-prolonging agents

citalopram

may enhance the QTc-prolonging effect of QT-prolonging agents

efavirenz

may enhance the QTc-prolonging effect of QT-prolonging agents

isoniazid

may enhance the QTc-prolonging effect of QT-prolonging agents

avapritinib 

may enhance the serum concentration

risperidone 

may increase the serum concentration

risperidone 

may increase the QTc prolonging effect

gemifloxacin 

may increase the QTc prolonging effect

amifostine 

may increase the hypotensive effect of anti-hypertensive agents

obinutuzumab 

may increase the hypotensive effect of anti-hypertensive agents

ceritinib 

may increase the bradycardic effect of bradycardia-causing agents

tetrabenazine 

may enhance serum concentrations when combined with tetrabenazine

adagrasib 

may increase the level of serum concentration of adagrasib

fenfluramine 

may enhance the serum concentration when combined with fenfluramine

fenfluramine 

may enhance the serum concentration when combined with fenfluramine

fexinidazole 

may diminish the serum concentration when combined with CYP2D6 substrates

amisulpride 

may have an increased QTc-prolonging effect when combined with amisulpride (oral)

rimantadine 

may decrease the therapeutic effect of each other when combined

tizanidine 

may enhance the serum concentration

ibutilide 

may increase the QTc prolonging effect of QT-prolonging Class III Antiarrhythmics

ibutilide 

may increase the QTc prolonging effect of QT-prolonging agents

ibutilide 

may increase the QTc prolonging effect of QT-prolonging Class III Antiarrhythmics

fingolimod 

may have an increased bradycardic effect when combined with fingolimod

ponesimod 

may have an increased bradycardic effect when combined with ponesimod

siponimod 

may have an increased bradycardic effect when combined with siponimod

rasagiline 

may increase the serum concentration of Rasagiline

amiodarone 

may have an increased QTc-prolonging effect when combined with amiodarone

arsenic trioxide 

may have an increased QTc-prolonging effect when combined with arsenic trioxide

astemizole 

may have an increased QTc-prolonging effect when combined with astemizole

bedaquiline 

may have an increased QTc-prolonging effect when combined with bedaquiline

chloroquine 

may have an increased QTc-prolonging effect when combined with chloroquine

chlorpromazine 

may have an increased QTc-prolonging effect when combined with chlorpromazine

cisapride 

may have an increased QTc-prolonging effect when combined with cisapride

clofazimine 

may have an increased QTc-prolonging effect when combined with clofazimine

clomipramine 

may have an increased QTc-prolonging effect when combined with QT-prolonging agents

clozapine 

may have an increased QTc-prolonging effect when combined with clozapine

dabrafenib 

may have an increased QTc-prolonging effect when combined with QT-prolonging agents

dasatinib 

may have an increased QTc-prolonging effect when combined with dasatinib

delamanid 

may have an increased QTc-prolonging effect when combined with delamanid

doxepin 

may have an increased QTc-prolonging effect when combined with doxepin-containing products

sevoflurane 

may increase the QTc-prolonging effect of QT-prolonging Agents

ceritinib 

may have an increased bradycardic effect when combined with ceritinib

fingolimod 

may have an increased bradycardic effect when combined with fingolimod

ponesimod 

may have an increased bradycardic effect when combined with ponesimod

siponimod 

may have an increased bradycardic effect when combined with siponimod

theophylline 

may enhance the concentration of serum when combined with theophylline derivatives

voxelotor 

may diminish the serum concentration of Voxelotor

thioridazine 

may enhance the concentration of serum when combined with thioridazine

lonafarnib 

lonafarnib: they may enhance the serum concentration of CYP3A4 Inhibitors

pirfenidone 

pirfenidone: they may enhance the serum concentration of CYP1A2 Inhibitors

pomalidomide 

pomalidomide: they may enhance the serum concentration of CYP1A2 Inhibitors

propranolol 

propranolol: they may enhance the serum concentration of CYP1A2 Inhibitors

sirolimus 

sirolimus: they may enhance the serum concentration of CYP3A4 Inhibitors

budesonide inhaled 

budesonide: they may enhance the serum concentration of CYP3A4 Inhibitors

saquinavir 

may increase the QTc-prolonging effect of each other when combined

chloroquine phosphate 

May enhance the QTc-prolonging effect of each other when combined

dronedarone 

dronedarone: they may increase the QTc-prolonging effect of QTc-prolonging miscellaneous agents

encorafenib 

encorafenib: they may increase the QTc-prolonging effect of QTc-prolonging agents

escitalopram 

escitalopram: they may increase the QTc-prolonging effect of QTc-prolonging Agents

etelcalcetide 

etelcalcetide: they may increase the QTc-prolonging effect of QTc-prolonging agents

flecainide 

flecainide: they may increase the QTc-prolonging effect of QTc-prolonging Agents

fluconazole 

fluconazole: they may increase the QTc-prolonging effect of QTc-prolonging agents

gilteritinib 

gilteritinib: they may increase the QTc-prolonging effect of QTc-prolonging agents

halofantrine 

halofantrine: they may increase the QTc-prolonging effect of QTc-prolonging Agents

imipramine 

imipramine: they may increase the QTc-prolonging effect of QTc-prolonging agents

inotuzumab 

inotuzumab: they may enhance the QTc-prolonging effect of QTc-prolonging agents

pentobarbital

may increase the hypotensive effect of anti-hypertensive agents

lofexidine 

lofexidine: they may increase the QTc-prolonging effect of QTc-prolonging Agents

methadone 

methadone: they may increase the QTc-prolonging effect of QTc -prolonging agents

midostaurin 

midostaurin: they may increase the QTc-prolonging effect of QTc-prolonging Agents

olanzapine 

olanzapine: they may enhance the QTc-prolonging effect of QTc-prolonging Agents

osimertinib 

osimertinib: they may increase the QTc-prolonging effect of QTc-prolonging Agents

propafenone 

propafenone: they may increase the QTc-prolonging effect of QTc-prolonging Agents

propofol 

propofol: they may increase the QTc-prolonging effect of QTc-prolonging Agents

sunitinib 

sunitinib: they may increase the QTc-prolonging effect of QTc-prolonging Agents

toremifene 

toremifene: they may increase the QTc-prolonging effect of QTc-prolonging Agents

vemurafenib 

vemurafenib: they may increase the QTc-prolonging effect of QTc-prolonging Agents

ripretinib 

ripretinib: they may diminish the serum concentration of CYP3A4 Inducers

fluspirilene

may increase the QTc-prolonging effect of each other when combined

ziprasidone

may increase the QTc-prolonging effect of each other when combined

ketazolam

may increase the QTc-prolonging effect of each other when combined

zotepine

may increase the QTc-prolonging effect of each other when combined

lemborexant

may increase the QTc-prolonging effect of each other when combined

hydroxychloroquine

may enhance the QTc-prolonging effect of each other when combined

sparfloxacin

may enhance the QTc-prolonging effect of each other when combined

alfentanil 

alfentanil: they may enhance the serum concentration of CYP3A Inhibitors

avanafil 

avanafil: they may enhance the serum concentration of CYP3A Inhibitors

budesonide 

budesonide: they may enhance the serum concentration of CYP3A Inhibitors

bromocriptine 

bromocriptine: they may enhance the serum concentration of CYP3A Inhibitors

cilostazol 

cilostazol: they may enhance the serum concentration of CYP3A Inhibitors

cisapride 

cisapride: they may enhance the serum concentration of CYP3A Inhibitors

dapoxetine 

dapoxetine: they may enhance the serum concentration of CYP3A Inhibitors

daridorexant 

daridorexant: they may enhance the serum concentration of CYP3A Inhibitors

eliglustat 

eliglustat: they may enhance the serum concentration of CYP3A Inhibitors

encorafenib 

encorafenib: they may enhance the serum concentration of CYP3A Inhibitors

eplerenone 

eplerenone: they may enhance the serum concentration of CYP3A Inhibitors

fentanyl 

fentanyl: they may enhance the serum concentration of CYP3A Inhibitors

ivacaftor 

ivacaftor: they may enhance the serum concentration of CYP3A Inhibitors

lumateperone 

lumateperone: they may enhance the serum concentration of CYP3A Inhibitors

mitapivat 

mitapivat: they may enhance the serum concentration of CYP3A Inhibitors

naloxegol 

naloxegol: they may enhance the serum concentration of CYP3A Inhibitors

omaveloxolone 

omaveloxolone: they may enhance the serum concentration of CYP3A Inhibitors

pexidartinib 

pexidartinib: they may enhance the serum concentration of CYP3A Inhibitors

rimegepant 

rimegepant: they may enhance the serum concentration of CYP3A Inhibitors

suvorexant 

suvorexant: they may enhance the serum concentration of CYP3A Inhibitors

tolvaptan 

tolvaptan: they may enhance the serum concentration of CYP3A Inhibitors

zanubrutinib 

zanubrutinib: they may enhance the serum concentration of CYP3A Inhibitors

arginine 

arginine: they may enhance the serum concentration of CYP2D6 Inhibitors

nicardipine 

nicardipine: they may enhance the serum concentration of CYP2D6 Inhibitors

brimonidine 

brimonidine: they may enhance the serum concentration of CYP2D6 Inhibitors

cimetidine 

cimetidine: they may enhance the serum concentration of CYP2D6 Inhibitors

clopidogrel 

clopidogrel: they may enhance the serum concentration of CYP2D6 Inhibitors

dapoxetine 

dapoxetine: they may enhance the serum concentration of CYP2D6 Inhibitors

diazoxide 

diazoxide: they may enhance the serum concentration of CYP2D6 Inhibitors

eluxadoline 

eluxadoline: they may increase the CNS depressant effect of CNS Depressants

ceritinib 

ceritinib: they may increase the QTc-prolonging effect of QTc-prolonging Agents

afatinib 

afatinib: they may increase the QTc-prolonging effect of QTc-prolonging Agents

pilsicainide hydrochloride 

pilsicainide HCL: they may increase the QTc-prolonging effect of QTc-prolonging Agents

clozapine 

clozapine: they may increase the bradycardic effect of Bradycardia-Causing Agents

secretin 

secretin: they may increase the bradycardic effect of Bradycardia-Causing Agents

sincalide 

sincalide: they may increase the bradycardic effect of Bradycardia-Causing Agents

aclidinium 

aclidinium: they may increase the bradycardic effect of Bradycardia-Causing Agents

cimetropium 

cimetropium: they may increase the bradycardic effect of Bradycardia-Causing Agents

eluxadoline 

eluxadoline: they may increase the bradycardic effect of Bradycardia-Causing Agents

glycopyrrolate 

glycopyrrolate: they may increase the bradycardic effect of Bradycardia-Causing Agents

ipratropium 

ipratropium: they may increase the bradycardic effect of Bradycardia-Causing Agents

levosulpiride 

levosulpiride: they may increase the bradycardic effect of Bradycardia-Causing Agents

atropine 

atropine: they may increase the bradycardic effect of Bradycardia-Causing Agents

oxatomide 

oxatomide: they may increase the bradycardic effect of Bradycardia-Causing Agents

potassium chloride 

potassium chloride: they may increase the bradycardic effect of Bradycardia-Causing Agents

revefenacin 

revefenacin: they may increase the bradycardic effect of Bradycardia-Causing Agents

tiotropium 

tiotropium: they may increase the bradycardic effect of Bradycardia-Causing Agents

umeclidinium 

umeclidinium: they may increase the bradycardic effect of Bradycardia-Causing Agents

aripiprazole lauroxil 

aripiprazole lauroxil: they may enhance the serum concentration of CYP2D6 Inhibitors

brexpiprazole 

brexpiprazole: they may enhance the serum concentration of CYP2D6 Inhibitors

lemborexant 

lemborexant: they may enhance the serum concentration of CYP2D6 Inhibitors

pitolisant 

pitolisant: they may enhance the serum concentration of CYP2D6 Inhibitors

ubrogepant 

ubrogepant: they may enhance the serum concentration of CYP2D6 Inhibitors

caplacizumab 

caplacizumab: they may enhance the serum concentration of CYP2D6 Inhibitors

cilostazol 

cilostazol: they may enhance the serum concentration of CYP2D6 Inhibitors

eliglustat 

eliglustat: they may enhance the serum concentration of CYP2D6 Inhibitors

dextroamphetamine 

dextroamphetamine: they may enhance the serum concentration of CYP2D6 Inhibitors

enoxaparin 

enoxaparin: they may enhance the serum concentration of CYP2D6 Inhibitors

gilteritinib 

gilteritinib: they may enhance the serum concentration of CYP2D6 Inhibitors

fluoxetine 

fluoxetine: they may enhance the serum concentration of CYP2D6 Inhibitors

oxycodone 

oxycodone: they may enhance the serum concentration of CYP2D6 Inhibitors

lomitapide 

lomitamide: they may enhance the serum concentration of CYP2D6 Inhibitors

safinamide 

safinamide: they may enhance the serum concentration of CYP2D6 Inhibitors

aclidinium 

aclidinium: they may enhance the serum concentration of CYP3A Inhibitors

abacavir and lamivudine

may enhance the serum concentration of CYP3A4 inhibitors

lenacapavir

may enhance the serum concentration of CYP3A4 inhibitors

nirmatrelvir/ritonavir

may enhance the serum concentration of CYP3A4 inhibitors

peginterferon alfa-2b

may enhance the serum concentration of CYP3A4 inhibitors

abiraterone

may enhance the serum concentration of CYP3A4 inhibitors

calcium chloride 

calcium chloride: it may increase the risk or severity of QTc prolongation

calcium gluconate 

calcium gluconate: it may increase the risk or severity of QTc prolongation

dapagliflozin 

dapagliflozin: it may increase the risk or severity of QTc prolongation

darunavir 

darunavir: it may increase the risk or severity of QTc prolongation

alprazolam 

alprazolam: it may increase the risk or severity of QTc prolongation

cinnarizine and dimenhydrinate 

this is combination is contraindicated in patients with cardiovascular diosrdrs who are on antiarrhythmic drugs

betony 

betony along with antihypertensive drugs can lower blood pressure abruptly which is contraindicated

bloodroot 

bloodroot along with antihypertensive medications will result in amplified hypotensive effect

bloodroot 

bloodroot along with anti-arrhythmic medications will result in irregularity in heartbeat and bradycardia

deferiprone 

deferiprone: it may increase the bradycardic effect of Bradycardia-Causing Agents

thalidomide 

thalidomide: it may increase the bradycardic effect of Bradycardia-Causing Agents

dexamethasone 

dexamethasone: it may increase the bradycardic effect of Bradycardia-Causing Agents

azelastine 

azelastine: it may increase the bradycardic effect of Bradycardia-Causing Agents

carbinoxamine 

carbinoxamine: it may increase the risk of QTc prolongation agents

capsaicin 

capsaicin: it may increase the risk of QTc prolongation agents

benzydamine 

benzydamine: it may increase the risk of QTc prolongation agents

rosoxacin 

rosoxacin: it may increase the risk of QTc prolongation agents

indoramin

may enhance the antihypertensive effect of other alpha1-Blockers

bunazosin (Not available in the United States)

may enhance the antihypertensive effect of other alpha1-Blockers

terazosin

may enhance the antihypertensive effect of other alpha1-Blockers

prazosin

may enhance the antihypertensive effect of other alpha1-Blockers

alfuzosin

may enhance the antihypertensive effect of other alpha1-Blockers

moexipril

QTc-prolongers increase the effect of other QTc-prolonging agents

voriconazole

QTc-prolongers increase the effect of other QTc-prolonging agents

nelfinavir

QTc-prolongers increase the effect of other QTc-prolonging agents

alfuzosin

QTc-prolongers increase the effect of other QTc-prolonging agents

ergonovine

may increase the levels of serum concentration of ergot derivatives

cabergoline

may increase the levels of serum concentration of ergot derivatives

dihydroergocornine

may increase the levels of serum concentration of ergot derivatives

dihydroergocristine

may increase the levels of serum concentration of ergot derivatives

dihydroergotamine

may increase the levels of serum concentration of ergot derivatives

mibefradil

may increase the QTc-prolonging effect of each other when combined

fluconazole

may increase the QTc-prolonging effect of each other when combined

ritonavir

may increase the QTc-prolonging effect of each other when combined

foscarnet

may increase the QTc-prolonging effect of each other when combined

sorafenib

may increase the QTc-prolonging effect of each other when combined

pimecrolimus topical

may diminish the serum concentration of each other when combined

cyclosporine ophthalmic

may diminish the serum concentration of each other when combined

reslizumab

may diminish the serum concentration of each other when combined

diroximel fumarate

may diminish the serum concentration of each other when combined

efalizumab

may diminish the serum concentration of each other when combined

aceclofenac/rabeprazole

may enhance the serum concentration of each other when combined

dalafampridine

may have an increased hyperkalemic effect when combined with spironolactone

amifampridine

may have an increased hyperkalemic effect when combined with spironolactone

patiromer

may have an increased hyperkalemic effect when combined with spironolactone

terfenadine

it may enhance the QTc-prolonging effect of terfenadine

nilotinib

may enhance the QTc-prolonging effect of Nilotinib

bromeperidol

it decreases the effect of hypotension on blood-lowering agents

aripiprazole 

CYP2D6 inhibitors increase the concentration of aripiprazole in the serum

roflumilast 

they decrease the concentration of active metabolites of roflumilast in the serum

fexinidazole 

it increases the concentration of CYP3A4 substrates in the serum

fusidic acid 

it increases the concentration of CYP3A4 substrates in serum

eletriptan 

may increase the levels of serum concentration of eletriptan

alosetron 

they increase the concentration of alosetron in the serum

fexinidazole 

bradycardia causing agents increase the arrhythmia-causing effect of fexinidazole

moxifloxacin 

may increase the Qtc prolonging effect

acalabrutinib 

may enhance the serum concentration

bromeperidol 

may increase the hypotensive effect of anti-hypertensive agents

moexipril

QTc-prolongers increase the effect of other QTc-prolonging agents

voriconazole

QTc-prolongers increase the effect of other QTc-prolonging agents

nelfinavir

QTc-prolongers increase the effect of other QTc-prolonging agents

alfuzosin

QTc-prolongers increase the effect of other QTc-prolonging agents

dantrolene 

may have an increased hyperkalemic effect when combined with calcium channel blockers

indoramin

may have an increased hypotensive effect when combined with calcium channel blockers

bunazosin (Not available in the United States)

may have an increased hypotensive effect when combined with calcium channel blockers

terazosin

may have an increased hypotensive effect when combined with calcium channel blockers

labetalol 

may have an increased hypotensive effect when combined with calcium channel blockers

prazosin

may have an increased hypotensive effect when combined with calcium channel blockers

infigratinib 

they decrease the concentration of active metabolites of infigratinib in the serum

pimozide 

CYP3A4 inhibitors increase the concentration of pimozide in the serum

iloperidone 

they decrease the concentration of active metabolites of iloperidone in the serum

tafamidis 

may enhance the serum concentration of tafamidis

dantrolene 

May enhance the hyperkalemic effect when combined with Calcium Channel Blockers

citalopram 

may have an increased QTc-prolonging effect when combined with citalopram

entrectinib 

may have an increased QTc-prolonging effect when combined with QT-prolonging agents

fexinidazole 

may have an increased QTc-prolonging effect when combined with QT-prolonging agents

flupentixol 

may have an increased QTc-prolonging effect when combined with flupentixol

nilotinib 

may have an increased QTc-prolonging effect when combined with nilotinib

pazopanib 

may have an increased QTc-prolonging effect when combined with pazopanib

fezolinetant 

may enhance the serum concentration when combined

fexinidazole 

may decrease the therapeutic effect when combined with etofylline

lurbinectedin 

they decrease the concentration of lurbinectedin in the serum

clarithromycin 

QT-prolonging agents (Highest Risk) may increase clarithromycin's ability to prolong QTc

pimozide 

May increase the QTc-prolonging effect of QT-prolonging Agents

sertindole 

may increase the QTc-prolonging effect of QT-prolonging Agents

taurursodiol 

may diminish the concentration of serum when combined with CYP1A2 substrates

agomelatine 

agomelatine: they may enhance the serum concentration of CYP1A2 Inhibitors

duloxetine 

duloxetine: they may enhance the serum concentration of CYP1A2 Inhibitors

melatonin 

melatonin: they may enhance the serum concentration of CYP1A2 Inhibitors

mexiletine 

mexiletine: they may enhance the serum concentration of CYP1A2 Inhibitors

ramelteon 

ramelteon: they may enhance the serum concentration of CYP1A2 Inhibitors

tasimelteon 

tasimelteon: they may enhance the serum concentration of CYP1A2 Inhibitors

promazine 

thiazide and it’s like diuretics increase the effect of QTc prolongation

quinidine gluconate 

May enhance the QTc-prolonging effect of QT-prolonging Class IA Antiarrhythmics

quinidine gluconate 

may increase the serum concentration of each other when combined

nandrolone decanoate

may increase the hypertensive effect when combined with androgens

piperaquine 

piperaquine: they may increase the QTc-prolonging effect of QTc-prolonging Agents

probucol 

probucol: they may increase the QTc-prolonging effect of QTc-prolonging Agents

quetiapine 

quetiapine: they may increase the QTc-prolonging effect of QTc-prolonging Agents

ribociclib 

ribociclib: they may increase the QTc-prolonging effect of QTc-prolonging Agents

sparfloxacin 

sparfloxacin: they may increase the QTc-prolonging effect of QTc-prolonging Agents

thioridazine 

thioridazine: they may increase the QTc-prolonging effect of QTc-prolonging Agents

fexinidazole 

fexinidazole: they may enhance the serum concentration of CYP3A4 inhibitors

fusidic acid 

fusidic acid: they may enhance the serum concentration of CYP3A inhibitors

pyronaridine

May increase the QTc-prolonging effect of each other when combined

atovaquone and proguanil

May increase the QTc-prolonging effect of each other when combined

artemether/lumefantrine

May increase the QTc-prolonging effect of each other when combined

amobarbital

May increase the QTc-prolonging effect of each other when combined

dapsone

May increase the QTc-prolonging effect of each other when combined

mibefradil

may increase the QTc-prolonging effect of each other when combined

magnesium sulfate 

may increase the QTc-prolonging effect of each other when combined

ajmaline

may increase the QTc-prolonging effect of each other when combined

acebutolol

may increase the QTc-prolonging effect of each other when combined

digitoxin

may increase the QTc-prolonging effect of each other when combined

trabectedin 

trabectedin: they may diminish the serum concentration of CYP3A Inhibitors

aprepitant 

aprepitant: they may enhance the serum concentration of CYP3A Inhibitors

asunaprevir 

asunaprevir: they may enhance the serum concentration of CYP3A Inhibitors

bosutinib 

bosutinib: they may enhance the serum concentration of CYP3A Inhibitors

domperidone 

domperidone: they may enhance the serum concentration of CYP3A Inhibitors

elacestrant 

elacestrant: they may enhance the serum concentration of CYP3A Inhibitors

fosaprepitant 

fosaprepitant: they may enhance the serum concentration of CYP3A Inhibitors

ivabradine 

ivabradine: they may enhance the serum concentration of CYP3A Inhibitors

lemborexant 

lemborexant: they may enhance the serum concentration of CYP3A Inhibitors

lomitapide 

lomitapide: they may enhance the serum concentration of CYP3A Inhibitors

methysergide 

methysergide: they may enhance the serum concentration of CYP3A Inhibitors

pacritinib 

pacritinib: they may enhance the serum concentration of CYP3A Inhibitors

sertindole 

sertindole: they may enhance the serum concentration of CYP3A Inhibitors

simeprevir 

simeprevir: they may enhance the serum concentration of CYP3A Inhibitors

sincalide 

sincalide: they may enhance the serum concentration of CYP2D6 Inhibitors

obinutuzumab 

obinutuzumab: they may enhance the serum concentration of CYP2D6 Inhibitors

doxorubicin 

doxorubicin: they may enhance the serum concentration of CYP2D6 Inhibitors

pimozide 

pimozide: they may enhance the serum concentration of CYP2D6 Inhibitors

aclidinium 

aclidinium: they may enhance the serum concentration of CYP2D6 Inhibitors

bromopride 

bromopride: they may enhance the serum concentration of CYP2D6 Inhibitors

cimetropium 

cimetropium: they may enhance the serum concentration of CYP2D6 Inhibitors

glycopyrrolate 

glycopyrrolate: they may enhance the serum concentration of CYP2D6 Inhibitors

ipratropium 

ipratropium: they may enhance the serum concentration of CYP2D6 Inhibitors

levosulpiride 

levosulpiride: they may enhance the serum concentration of CYP2D6 Inhibitors

mavacamten 

mavacamten: they may enhance the serum concentration of CYP2D6 Inhibitors

olopatadine 

olopatadine: they may enhance the serum concentration of CYP2D6 Inhibitors

rasagiline 

rasagiline: they may enhance the serum concentration of CYP2D6 Inhibitors

selegiline 

selegiline: they may enhance the serum concentration of CYP2D6 Inhibitors

amoxicillin 

amoxicillin: it may increase the risk of QTc prolongation agents

anagrelide 

anagrelide: it may increase the risk of QTc prolongation agents

antipyrine 

antipyrine: it may increase the risk of QTc prolongation agents

benzthiazide 

benzthiazide: it may increase the risk of adverse effects with CYP3A inhibitors

betaine   

betaine: it may increase the risk of adverse effects with CYP3A inhibitors

carboplatin 

carboplatin: it may increase the risk of adverse effects with CYP3A inhibitors

carfilzomib 

carfilzomib: it may increase the risk of adverse effects with CYP3A inhibitors

dactinomycin 

dactinomycin: it may increase the risk of adverse effects with CYP3A inhibitors

dapagliflozin 

dapagliflozin: it may increase the risk of adverse effects with CYP3A inhibitors

levodopa

it may enhance the QTc-prolonging effect of QT-Prolonging Anesthetics

ketamine

it may enhance the QTc-prolonging effect of QT-Prolonging Anesthetics

lidocaine

it may enhance the QTc-prolonging effect of QT-Prolonging Anesthetics

morphine

it may enhance the QTc-prolonging effect of QT-Prolonging Anesthetics

procaine benzylpenicillin

it may enhance the QTc-prolonging effect of QT-Prolonging Anesthetics

primidone

may enhance the hypotensive effect of blood Pressure Lowering Agents

phenobarbital

may enhance the hypotensive effect of blood Pressure Lowering Agents

amobarbital

may enhance the hypotensive effect of blood Pressure Lowering Agents

butalbital

may enhance the hypotensive effect of blood Pressure Lowering Agents

butabarbital

may enhance the hypotensive effect of blood Pressure Lowering Agents

mibefradil

QT-prolonging Miscellaneous Agents may enhance the QTc-prolonging effect of anti-arrhythmics

ajmaline

QT-prolonging Miscellaneous Agents may enhance the QTc-prolonging effect of anti-arrhythmics

acebutolol

QT-prolonging Miscellaneous Agents may enhance the QTc-prolonging effect of anti-arrhythmics

dronedarone

QT-prolonging Miscellaneous Agents may enhance the QTc-prolonging effect of anti-arrhythmics

mexiletine

QT-prolonging Miscellaneous Agents may enhance the QTc-prolonging effect of anti-arrhythmics

hydroxychloroquine

QT-prolonging Miscellaneous Agents may enhance the QTc-prolonging effect of Quinolone antibiotics

sparfloxacin

QT-prolonging Miscellaneous Agents may enhance the QTc-prolonging effect of Quinolone antibiotics

indoramin

may enhance the hypotensive effect of calcium channel blockers

bunazosin (Not available in the United States)

may enhance the hypotensive effect of calcium channel blockers

terazosin

may enhance the hypotensive effect of calcium channel blockers

prazosin

may enhance the hypotensive effect of calcium channel blockers

alfuzosin

may enhance the hypotensive effect of calcium channel blockers

ouabain

may enhance the AV-blocking effect of cardiac glycosides

digitoxin

may enhance the AV-blocking effect of cardiac glycosides

digoxin

may enhance the AV-blocking effect of cardiac glycosides

ouabain

may enhance the AV-blocking effect of cardiac glycosides

digitoxin

may enhance the AV-blocking effect of cardiac glycosides

digoxin

may enhance the AV-blocking effect of cardiac glycosides

efonidipine

may increase the hypotensive effect

ropivacaine

may increase the hypotensive effect

halothane

may increase the hypotensive effect

fimasartan

may increase the hypotensive effect

indoramin

may increase the hypotensive effect

mibefradil

they increase the QTc prolongation effect of other QT-prolonging agents

hydroxyzine

they increase the QTc prolongation effect of other QT-prolonging agents

tizanidine

they increase the QTc prolongation effect of other QT-prolonging agents

ibandronate

they increase the QTc prolongation effect of other QT-prolonging agents

trazodone

they increase the QTc prolongation effect of other QT-prolonging agents

estropipate

CYP3A4 inhibitors (Strong) may increase the serum concentration of estrogen related drugs

bazedoxifene/conjugated estrogens

CYP3A4 inhibitors (Strong) may increase the serum concentration of estrogen related drugs

estradiol valerate

CYP3A4 inhibitors (Strong) may increase the serum concentration of estrogen related drugs

synthetic conjugated estrogens, a

CYP3A4 inhibitors (Strong) may increase the serum concentration of estrogen related drugs

synthetic conjugated estrogens, b

CYP3A4 inhibitors (Strong) may increase the serum concentration of estrogen related drugs

botulinum toxin

may enhance the effect of neuromuscular-blocking agents

abobotulinumtoxinA

may enhance the effect of neuromuscular-blocking agents

rimabotulinumtoxinB

may enhance the effect of neuromuscular-blocking agents

daxibotulinumtoxinA

may enhance the effect of neuromuscular-blocking agents

prabotulinumtoxinA

may enhance the effect of neuromuscular-blocking agents

quetiapine

may enhance the effect of antipsychotic agents

thioridazine

may enhance the effect of antipsychotic agents

zotepine

may enhance the effect of antipsychotic agents

cariprazine

may enhance the effect of antipsychotic agents

chlorprothixene

may enhance the effect of antipsychotic agents

chlorpromazine

may enhance the effect of antipsychotic agents

haloperidol

may enhance the effect of antipsychotic agents

pimozide

may enhance the effect of antipsychotic agents

promazine

may enhance the effect of antipsychotic agents

zuclopenthixol

may enhance the effect of antipsychotic agents

ketazolam

may enhance the effect of antipsychotic agents

zotepine

may enhance the effect of antipsychotic agents

lemborexant

may enhance the effect of antipsychotic agents

cariprazine

may enhance the effect of antipsychotic agents

lorpiprazole

may enhance the effect of antipsychotic agents

amisulpride

may enhance the effect of antipsychotic agents

sulpiride

may enhance the effect of antipsychotic agents

sultopride

may enhance the effect of antipsychotic agents

aripiprazole

may enhance the effect of antipsychotic agents

aripiprazole lauroxil

may enhance the effect of antipsychotic agents

asenapine

may enhance the effect of antipsychotic agents

brexpiprazole

may enhance the effect of antipsychotic agents

sertindole

may enhance the effect of antipsychotic agents

ergonovine

may increase the serum concentration of ergot derivatives

ergometrine

may increase the serum concentration of ergot derivatives

methylergometrine

may increase the serum concentration of ergot derivatives

cabergoline

may increase the serum concentration of ergot derivatives

dihydroergocornine

may increase the serum concentration of ergot derivatives

agmatine

may enhance the effect of other bradycardia agents

mibefradil

may enhance the effect of other bradycardia agents

donepezil (Rx)

may enhance the effect of other bradycardia agents

rivastigmine

may enhance the effect of other bradycardia agents

labetalol 

may enhance the effect of other bradycardia agents

amoxapine

may enhance the QTc-prolonging effect of other QT-prolonging Agents

nortriptyline

may enhance the QTc-prolonging effect of other QT-prolonging Agents

apomorphine

may enhance the QTc-prolonging effect of other QT-prolonging Agents

octreotide

may enhance the QTc-prolonging effect of other QT-prolonging Agents

perphenazine

may enhance the hypotensive effect of antipsychotic agents

pimavanserin

may enhance the hypotensive effect of antipsychotic agents

lorpiprazole

may enhance the hypotensive effect of antipsychotic agents

lumateperone

may enhance the hypotensive effect of antipsychotic agents

lurasidone

may enhance the hypotensive effect of antipsychotic agents

paliperidone

may enhance the hypotensive effect of antipsychotic agents

primidone

may have an increased hypotensive effect when combined with anti-hypertensive agents

phenobarbital

may have an increased hypotensive effect when combined with anti-hypertensive agents

amobarbital

may have an increased hypotensive effect when combined with anti-hypertensive agents

butalbital

may have an increased hypotensive effect when combined with anti-hypertensive agents

butabarbital

may have an increased hypotensive effect when combined with anti-hypertensive agents

fluconazole

they increase the risk of other QT prolongers

ritonavir

they increase the risk of other QT prolongers

foscarnet

they increase the risk of other QT prolongers

sorafenib

they increase the risk of other QT prolongers

estropipate

may increase the levels of serum concentration of estrogen derivatives

anastrozole

may increase the levels of serum concentration of estrogen derivatives

bazedoxifene/conjugated estrogens

may increase the levels of serum concentration of estrogen derivatives

esterified estrogens

may increase the levels of serum concentration of estrogen derivatives

estetrol

may increase the levels of serum concentration of estrogen derivatives

ethinyl estradiol

may increase the levels of serum concentration of hormonal contraceptives

etonogestrel

may increase the levels of serum concentration of hormonal contraceptives

ethinylestradiol

may increase the levels of serum concentration of hormonal contraceptives

ethynodiol diacetate

may increase the levels of serum concentration of hormonal contraceptives

pimozide

may have an increased hypotensive effect when combined with antipsychotic agents

risperidone

may have an increased hypotensive effect when combined with antipsychotic agents

promazine

may have an increased hypotensive effect when combined with antipsychotic agents

thioridazine

may have an increased hypotensive effect when combined with antipsychotic agents

zuclopenthixol

may have an increased hypotensive effect when combined with antipsychotic agents

relugolix/​estradiol/​norethindrone

may enhance the hypertensive effect of Androgens

relugolix/estradiol/norethindrone

may enhance the hypertensive effect of Androgens

oxandrolone

may enhance the hypertensive effect of Androgens

nandrolone

may enhance the hypertensive effect of Androgens

fluoxymesterone

may enhance the hypertensive effect of Androgens

perphenazine

may have an increased hypotensive effect when combined with antipsychotic agents

pimavanserin

may have an increased hypotensive effect when combined with antipsychotic agents

chlorpromazine

may have an increased hypotensive effect when combined with antipsychotic agents

pipotiazine

may have an increased hypotensive effect when combined with antipsychotic agents

haloperidol

may have an increased hypotensive effect when combined with antipsychotic agents

iloperidone

may have an increased hypotensive effect when combined with antihypertensive agents

iloprost

may have an increased hypotensive effect when combined with antihypertensive agents

selexipag

may have an increased hypotensive effect when combined with antihypertensive agents

famprofazone

may increase the levels of serum concentration of amphetamines

lisdexamfetamine

may increase the levels of serum concentration of amphetamines

methamphetamine

may increase the levels of serum concentration of amphetamines

dextroamphetamine

may increase the levels of serum concentration of amphetamines

pseudoephedrine

may increase the levels of serum concentration of amphetamines

pancuronium

may have an increased neuromuscular-blocking effect when combined with neuromuscular-blocking agents

botulinum toxin

may have an increased neuromuscular-blocking effect when combined with neuromuscular-blocking agents

abobotulinumtoxinA

may have an increased neuromuscular-blocking effect when combined with neuromuscular-blocking agents

rimabotulinumtoxinB

may have an increased neuromuscular-blocking effect when combined with neuromuscular-blocking agents

daxibotulinumtoxinA

may have an increased neuromuscular-blocking effect when combined with neuromuscular-blocking agents

synthetic conjugated estrogens, a

may increase the serum concentration

synthetic conjugated estrogens, b

may increase the serum concentration

methylergometrine

may increase the serum concentration

lumateperone

may have an increased hypotensive effect when combined with antipsychotic agents

quetiapine

may have an increased hypotensive effect when combined with antipsychotic agents

lurasidone

may have an increased hypotensive effect when combined with antipsychotic agents

promethazine

may have an increased hypotensive effect when combined with antipsychotic agents

mesoridazine

may have an increased hypotensive effect when combined with antipsychotic agents

fluconazole

may increase the QTc-prolonging effect

ritonavir

may increase the QTc-prolonging effect

foscarnet

may increase the QTc-prolonging effect

sorafenib

may increase the QTc-prolonging effect

valrubicin

may increase the levels of serum concentration

doxorubicin

may increase the levels of serum concentration

epirubicin

may increase the levels of serum concentration

mitoxantrone

may increase the levels of serum concentration

mitomycin

may increase the levels of serum concentration

ziv-aflibercept

may increase the levels of serum concentration

tivozanib

may increase the levels of serum concentration

abemaciclib

may increase the levels of serum concentration

acalabrutinib

may increase the levels of serum concentration

bosutinib

may increase the levels of serum concentration

sacituzumab govitecan

may increase the levels of serum concentration

topotecan

may increase the levels of serum concentration

etoposide

may increase the levels of serum concentration

irinotecan

may increase the levels of serum concentration

teniposide

may increase the levels of serum concentration

sacituzumab govitecan

may increase the levels of serum concentrations

topotecan

may increase the levels of serum concentrations

epirubicin

may increase the levels of serum concentrations

etoposide

may increase the levels of serum concentrations

irinotecan

may increase the levels of serum concentrations

ziv-aflibercept

may increase the levels of serum concentration

dacomitinib

may increase the levels of serum concentration

pacritinib

may increase the levels of serum concentration

asciminib

may increase the levels of serum concentration

pemigatinib

may increase the levels of serum concentration

captopril/hydrochlorothiazide

may have an increased bradycardic effect when combined with other antihypertensive drugs

mibefradil

may have an increased bradycardic effect when combined with other antihypertensive drugs

indoramin

may have an increased bradycardic effect when combined with other antihypertensive drugs

minoxidil topical

may have an increased bradycardic effect when combined with other antihypertensive drugs

amlodipine/atorvastatin

may have an increased bradycardic effect when combined with other antihypertensive drugs

perampanel

may increase the levels of serum concentration

riluzole

may increase the levels of serum concentration

tolazoline

They may increase the hypotensive effect when combined with antihypertensive agents

acetaminophen and phenyltoloxamine

may increase the levels of serum concentration

acetaminophen/ibuprofen

may increase the levels of serum concentration

acetaminophen and caffeine

may increase the levels of serum concentration

acetaminophen/pamabrom

may increase the levels of serum concentration

eptinezumab

may increase the levels of serum concentration

acetaminophen and phenyltoloxamine

may increase the levels of serum concentration

acetaminophen/ibuprofen

may increase the levels of serum concentration

acetaminophen and caffeine

may increase the levels of serum concentration

acetaminophen/pamabrom

may increase the levels of serum concentration

aceclofenac

may increase the levels of serum concentration

acemetacin

may increase the levels of serum concentration

antrafenine

may increase the levels of serum concentration

olsalazine

may increase the levels of serum concentration

salicylamide

may increase the levels of serum concentration

remifentanil

may increase the levels of serum concentration

propoxiphene napsylate

may increase the levels of serum concentration

propoxiphene hydrochloride

may increase the levels of serum concentration

bivalirudin

may increase the levels of serum concentration

argatroban

may increase the levels of serum concentration

acenocoumarol

may increase the levels of serum concentration

apixaban

may increase the levels of serum concentration

rivaroxaban

may increase the levels of serum concentration

cinacalcet

may increase the levels of serum concentration

perphenazine

may increase the QTc-prolonging effect

pimavanserin

may increase the QTc-prolonging effect

quetiapine

may increase the QTc-prolonging effect

thioridazine

may increase the QTc-prolonging effect

zotepine

may increase the QTc-prolonging effect

chlorpromazine

may increase the QTc-prolonging effect

haloperidol

may increase the QTc-prolonging effect

pimozide

may increase the QTc-prolonging effect

promazine

may increase the QTc-prolonging effect

zuclopenthixol

may increase the QTc-prolonging effect

pimozide

may increase the QTc-prolonging effect

risperidone

may increase the QTc-prolonging effect

promazine

may increase the QTc-prolonging effect

thioridazine

may increase the QTc-prolonging effect

zuclopenthixol

may increase the QTc-prolonging effect

maralixibat

may have an increased QTc-prolonging effect when combined with QT-prolonging agents

lenacapavir

may have an increased QTc-prolonging effect when combined with QT-prolonging agents

curcumin

may have an increased QTc-prolonging effect when combined with QT-prolonging agents

glecaprevir

may have an increased QTc-prolonging effect when combined with QT-prolonging agents

caspofungin

may have an increased QTc-prolonging effect when combined with QT-prolonging agents

lenacapavir

may increase the serum concentration

abiraterone

may increase the serum concentration

mibefradil

may increase the serum concentration

isoniazid

may increase the serum concentration

mexiletine

may increase the serum concentration

heparin

may enhance the hyperkalemic effect

enoxaparin

may enhance the hyperkalemic effect

selexipag

may enhance the hyperkalemic effect

desmopressin acetate

may increase the serum concentration

conivaptan

may increase the serum concentration

tolvaptan

may increase the serum concentration

amlodipine/atorvastatin

may increase the serum concentration

fluvastatin

may increase the serum concentration

lovastatin

may increase the serum concentration

pitavastatin

may increase the serum concentration

rosuvastatin

may increase the serum concentration

famprofazone

may decrease the antihypertensive effect when combined with antihypertensive agents

lisdexamfetamine

may decrease the antihypertensive effect when combined with antihypertensive agents

methamphetamine

may decrease the antihypertensive effect when combined with antihypertensive agents

dextroamphetamine

may decrease the antihypertensive effect when combined with antihypertensive agents

pseudoephedrine

may decrease the antihypertensive effect when combined with antihypertensive agents

fluspirilene

may have an increased hypotensive effect when combined with antipsychotic agents

ziprasidone

may have an increased hypotensive effect when combined with antipsychotic agents

atomoxetine

may have an increased QTc-prolonging effect when combined with QT-prolonging agents

olanzapine

may have an increased QTc-prolonging effect when combined with QT-prolonging agents

mibefradil

It may enhance the risk of adverse effects when combined with antianginal drugs

levamlodipine (Rx)

It may enhance the risk of adverse effects when combined with antianginal drugs

amlodipine/atorvastatin

It may enhance the risk of adverse effects when combined with antianginal drugs

isradipine

It may enhance the risk of adverse effects when combined with antianginal drugs

lacidipine

It may enhance the risk of adverse effects when combined with antianginal drugs

nandrolone decanoate

may have an increased hypertensive effect when combined with androgens

onabotulinumtoxinA

may have an increased neuromuscular-blocking effect when combined with neuromuscular-blocking agents

opicapone

may increase the hypotensive effect of anti-parkinsonism drugs

rivastigmine

may increase the hypotensive effect of anti-parkinsonism drugs

procyclidine

may increase the hypotensive effect of anti-parkinsonism drugs

biperiden

may increase the hypotensive effect of anti-parkinsonism drugs

benztropine

may increase the hypotensive effect of anti-parkinsonism drugs

indoramin

may increase the hypotensive effect of alpha1-blockers

bunazosin (Not available in the United States)

may increase the hypotensive effect of alpha1-blockers

terazosin

may increase the hypotensive effect of alpha1-blockers

prazosin

may increase the hypotensive effect of alpha1-blockers

imipramine

may increase the hypotensive effect of alpha1-blockers

calcium acetate

may decrease the therapeutic effect of calcium salts

calcium carbonate

may decrease the therapeutic effect of calcium salts

calcium chloride

may decrease the therapeutic effect of calcium salts

calcium citrate

may decrease the therapeutic effect of calcium salts

calcium glucoheptonate

may decrease the therapeutic effect of calcium salts

donepezil

may have an increased bradycardic effect when combined with other bradycardia-causing agents

esketamine intranasal

may enhance the serum concentration

dextromethorphan/bupropion

may enhance the serum concentration

orphenadrine

may enhance the serum concentration

tramadol

may enhance the serum concentration

amantadine

may enhance the serum concentration

tolazoline

may increase the hypotensive effect of alpha1-blockers

indoramin

may increase the hypotensive effect of alpha1-blockers

bunazosin (Not available in the United States)

may increase the hypotensive effect of alpha1-blockers

terazosin

may increase the hypotensive effect of alpha1-blockers

labetalol 

may increase the hypotensive effect of alpha1-blockers

hydroxychloroquine

may have an increased QTc-prolonged effect when combined with chloroquine

sparfloxacin

may have an increased QTc-prolonged effect when combined with chloroquine

timolol

there is a additive effect when beta- antiarrhythmics are combined with antiglaucoma agents

timolol

systemic beta blockade is shown when CYP2D6 inhibtors are combined in use with antiglaucoma agents

levalbuterol

may enhance the serum concentration when combined with propranolol

acebutolol

may enhance the serum concentration when combined with propranolol

betaxolol

may enhance the serum concentration when combined with propranolol

bisoprolol

may enhance the serum concentration when combined with propranolol

carvedilol

may enhance the serum concentration when combined with propranolol

haloperidol

QT-prolonging Agents may enhance the QTc-prolonging effect of haloperidol

levoketoconazole

it may enhance the QTc-prolonging effect of levoketoconazole

alfuzosin

alfuzosin may enhance the hypotensive effect of Blood Pressure Lowering Agents

zotepine

antihypertensive drugs may enhance the hypotensive effect of antipsychotic Agents

cariprazine

antihypertensive drugs may enhance the hypotensive effect of antipsychotic Agents

chlorprothixene

antihypertensive drugs may enhance the hypotensive effect of antipsychotic Agents

lorpiprazole

antihypertensive drugs may enhance the hypotensive effect of antipsychotic Agents

lumateperone

antihypertensive drugs may enhance the hypotensive effect of antipsychotic Agents

zuclopenthixol

antihypertensive drugs may enhance the hypotensive effect of antipsychotic Agents

chlorpromazine

antihypertensive drugs may enhance the hypotensive effect of antipsychotic Agents

haloperidol

antihypertensive drugs may enhance the hypotensive effect of antipsychotic Agents

pimozide

antihypertensive drugs may enhance the hypotensive effect of antipsychotic Agents

promazine

antihypertensive drugs may enhance the hypotensive effect of antipsychotic Agents

fluspirilene

antihypertensive drugs may enhance the hypotensive effect of antipsychotic Agents

ziprasidone

antihypertensive drugs may enhance the hypotensive effect of antipsychotic Agents

ketazolam

antihypertensive drugs may enhance the hypotensive effect of antipsychotic Agents

zotepine

antihypertensive drugs may enhance the hypotensive effect of antipsychotic Agents

lemborexant

antihypertensive drugs may enhance the hypotensive effect of antipsychotic Agents

amisulpride

antihypertensive drugs may enhance the hypotensive effect of antipsychotic Agents

sulpiride

antihypertensive drugs may enhance the hypotensive effect of antipsychotic Agents

sultopride

antihypertensive drugs may enhance the hypotensive effect of antipsychotic Agents

fingolimod

fingolimod may enhance the QTc-prolonging effect of QT-prolonging Agents

fexinidazole

fexinidazole may enhance the QTc-prolonging effect of QT-prolonging Agents

moxifloxacin

may enhance the QTc-prolonging effect of Moxifloxacin

duloxetine

may enhance the QTc-prolonging effect of QT-prolonging Miscellaneous Agents

trazodone

may enhance the QTc-prolonging effect of QT-prolonging Miscellaneous Agents

trimipramine

may enhance the QTc-prolonging effect of QT-prolonging Miscellaneous Agents

venlafaxine

may enhance the QTc-prolonging effect of QT-prolonging Miscellaneous Agents

vilazodone

may enhance the QTc-prolonging effect of QT-prolonging Miscellaneous Agents

mibefradil

QT-prolonging Miscellaneous Agents may enhance the QTc-prolonging effect of anti-arrhythmics

fluconazole

QT-prolonging Miscellaneous Agents may enhance the QTc-prolonging effect of anti-arrhythmics

ritonavir

QT-prolonging Miscellaneous Agents may enhance the QTc-prolonging effect of anti-arrhythmics

foscarnet

QT-prolonging Miscellaneous Agents may enhance the QTc-prolonging effect of anti-arrhythmics

sorafenib

QT-prolonging Miscellaneous Agents may enhance the QTc-prolonging effect of anti-arrhythmics

diphenhydramine/ibuprofen

NSAIDs May diminish the anti-hypertensive effect of Beta-Blockers

meclofenamate

NSAIDs May diminish the anti-hypertensive effect of Beta-Blockers

aspirin

NSAIDs May diminish the anti-hypertensive effect of Beta-Blockers

floctafenine

NSAIDs May diminish the anti-hypertensive effect of Beta-Blockers

sulindac

NSAIDs May diminish the anti-hypertensive effect of Beta-Blockers

aminophylline

may enhance the hypotensive effect of Blood Pressure Lowering Agents

amrinone

may enhance the hypotensive effect of Blood Pressure Lowering Agents

roflumilast

may enhance the hypotensive effect of Blood Pressure Lowering Agents

iloperidone

may enhance the hypotensive effect of Blood Pressure Lowering Agents

iloprost

may enhance the hypotensive effect of Blood Pressure Lowering Agents

selexipag

may enhance the hypotensive effect of Blood Pressure Lowering Agents

primidone

Barbiturates may enhance the hypotensive effect of Blood Pressure Lowering Agents

phenobarbital

Barbiturates may enhance the hypotensive effect of Blood Pressure Lowering Agents

amobarbital

Barbiturates may enhance the hypotensive effect of Blood Pressure Lowering Agents

butalbital

Barbiturates may enhance the hypotensive effect of Blood Pressure Lowering Agents

butabarbital

Barbiturates may enhance the hypotensive effect of Blood Pressure Lowering Agents

lacosamide

may enhance the adverse/toxic effect of lacosamide

methamphetamine

it decreases the efficacy of antihypertensive agents

metamfetamine

it decreases the efficacy of antihypertensive agents

phentermine

it decreases the efficacy of antihypertensive agents

lurasidone

antihypertensive agents increase the efficacy of antipsychotic agents

brigatinib

it decreases the efficacy of antihypertensive agents

duloxetine

antihypertensive agents include the efficacy of duloxetine

flunarizine

it increases the efficacy of antihypertensive agents

methylphenidate

it decreases the efficacy of antihypertensive agents

nitroprusside

antihypertensive agents increase the efficacy of nitroprusside

calcium carbonate

calcium salts reduce the efficacy of calcium channel blockers

calcium chloride

calcium salts reduce the efficacy of calcium channel blockers

calcium citrate

calcium salts reduce the efficacy of calcium channel blockers

calcium glucoheptonate

calcium salts reduce the efficacy of calcium channel blockers

calcium gluconate

calcium salts reduce the efficacy of calcium channel blockers

alfuzosin 

may increase the hypotensive effect

alprazolam 

may enhance the serum concentration

primidone

may increase the hypotensive effect

phenobarbital

may increase the hypotensive effect

amobarbital

may increase the hypotensive effect

butalbital

may increase the hypotensive effect

butabarbital

may increase the hypotensive effect

triazolam 

may enhance the serum concentration of CYP3A4 inhibitors

midazolam 

may enhance the serum concentration of CYP3A4 inhibitors

nicorandil 

may increase the hypotensive effect

ondansetron 

may enhance the Qtc prolonging effect

oxytocin 

may enhance the Qtc prolonging effect

ajmaline 

may enhance the serum concentration

haloperidol 

may enhance the QTc-prolonging effect of haloperidol

clofazimine 

it increases the concentration of CYP3A4 substrates in the serum

roflumilast 

they decrease the concentration of active metabolites of roflumilast in the serum

mibefradil

they increase the QTc prolongation effect of other QT-prolonging agents

hydroxyzine

they increase the QTc prolongation effect of other QT-prolonging agents

tizanidine

they increase the QTc prolongation effect of other QT-prolonging agents

ibandronate

they increase the QTc prolongation effect of other QT-prolonging agents

trazodone

they increase the QTc prolongation effect of other QT-prolonging agents

mirvetuximab soravtansine 

may increase the serum concentration

alosetron 

it increases the concentration of alosetron in the serum

linagliptin 

they decrease the concentration of linagliptin in the serum

latanoprost and timolol 

may enhance the serum concentration

clozapine 

may increase the serum concentration of clozapine

cariprazine 

may increase the levels of serum concentrations of cariprazine

agmatine

may enhance the effect of other bradycardia agents

mibefradil

may enhance the effect of other bradycardia agents

donepezil (Rx)

may enhance the effect of other bradycardia agents

rivastigmine

may enhance the effect of other bradycardia agents

labetalol 

may enhance the effect of other bradycardia agents

ivabradine 

bradycardia-causing agents increase the efficacy of ivabradine

paricalcitol 

may enhance the serum concentration

osilodrostat 

may increase the serum concentration

ospemifene 

may increase the serum concentration of CYP3A4 substrates

testosterone topical 

may increase the hypertensive effect

brimonidine 

may increase the hypotensive effect

levoketoconazole 

QTc-prolongers increase the effect of levoketoconazole

azelastine/fluticasone intranasal 

may enhance the serum concentration

moxifloxacin 

may increase the hypoglycaemic effect

macitentan 

may enhance the serum concentration of macitentan

amoxapine

may enhance the QTc-prolonging effect of other QT-prolonging Agents

nortriptyline

may enhance the QTc-prolonging effect of other QT-prolonging Agents

apomorphine

may enhance the QTc-prolonging effect of other QT-prolonging Agents

octreotide

may enhance the QTc-prolonging effect of other QT-prolonging Agents

lidocaine and chlorhexidine 

may enhance the antiarrhythmic effect

abemaciclib 

may increase the serum concentration of abemaciclib

nortriptyline 

may increase the serum concentration

aspirin/dipyridamole 

may increase the antiplatelet effect of antiplatelet agents

ethacrynic acid

may enhance the hypotensive effect of antihypertensive agents

bumetanide

may enhance the hypotensive effect of antihypertensive agents

muzolimine

may enhance the hypotensive effect of antihypertensive agents

famprofazone

may reduce the effect of antihypertensive drugs

lisdexamfetamine

may reduce the effect of antihypertensive drugs

methamphetamine

may reduce the effect of antihypertensive drugs

dextroamphetamine

may reduce the effect of antihypertensive drugs

pseudoephedrine

may reduce the effect of antihypertensive drugs

efonidipine

may enhance the hypotensive effect

ropivacaine

may enhance the hypotensive effect

halothane

may enhance the hypotensive effect

fimasartan

may enhance the hypotensive effect

indoramin

may enhance the hypotensive effect

benperidol 

may increase the hypotensive effect of anti-hypertensive agents

aclidinium and formoterol 

may increase the QTc prolonging effect of QTc prolonging agents

calcitriol 

may increase the serum concentration

calfactant 

may increase the bradycardic effect of bradycardia-causing agents

benzphetamine 

may decrease the hypertensive effect of amphetamines

benzphetamine 

may increase the serum concentration of amphetamines

azithromycin 

may have an increased QTc-prolonging effect when combined with QT-prolonging antipsychotics

amphetamine 

may decrease the antihypertensive effect when combined with antihypertensive agents

pimozide

may have an increased hypotensive effect when combined with anti-hypertensive agents

risperidone

may have an increased hypotensive effect when combined with anti-hypertensive agents

promazine

may have an increased hypotensive effect when combined with anti-hypertensive agents

thioridazine

may have an increased hypotensive effect when combined with anti-hypertensive agents

zuclopenthixol

may have an increased hypotensive effect when combined with anti-hypertensive agents

atosiban 

may have an increased adverse effect when combined with atosiban

brigatinib 

may decrease the antihypertensive effect when combined with antihypertensive agents

calcium acetate

may decrease the therapeutic effect when combined with calcium channel blockers

calcium carbonate

may decrease the therapeutic effect when combined with calcium channel blockers

calcium chloride

may decrease the therapeutic effect when combined with calcium channel blockers

calcium citrate

may decrease the therapeutic effect when combined with calcium channel blockers

calcium glucoheptonate

may decrease the therapeutic effect when combined with calcium channel blockers

cimetidine 

may enhance the serum concentration when combined with calcium channel blockers

clopidogrel 

may decrease the therapeutic effect when combined with clopidogrel

cyclosporine 

may enhance the serum concentration when combined with cyclosporine

dapoxetine 

may have an increased orthostatic hypotensive effect when combined with calcium channel blockers

dexmethylphenidate 

may decrease the therapeutic effect when combined with antihypertensive agents

artemether/lumefantrine 

may enhance the serum concentration when combined with CYP2D6 substrates

fluconazole

they increase the risk of other QT prolongers

ritonavir

they increase the risk of other QT prolongers

foscarnet

they increase the risk of other QT prolongers

sorafenib

they increase the risk of other QT prolongers

cinacalcet 

may enhance the serum concentrations of CYP2D6 inhibitors

itraconazole 

may increase the level of serum concentration of itraconazole

carbamazepine 

CYP3A4 inhibitors increase the concentration of carbamazepine in the serum

cyclosporine 

CYP3A4 inhibitors increase the concentration of iloperidone in the serum

relugolix/​estradiol/​norethindrone

may have an increased hypertensive effect when combined with Androgens

relugolix/estradiol/norethindrone

may have an increased hypertensive effect when combined with Androgens

oxandrolone

may have an increased hypertensive effect when combined with Androgens

nandrolone

may have an increased hypertensive effect when combined with Androgens

fluoxymesterone

may have an increased hypertensive effect when combined with Androgens

duloxetine 

may have an increased hypotensive effect when combined with duloxetine

fostemsavir 

may increase the QTc prolonging effect of QT-prolonging agents

carteolol ophthalmic 

may enhance the bradycardic effect of bradycardia-causing agents

rivaroxaban 

CYP3A4 inhibitors increase the concentration of rivaroxaban

methohexital 

may increase the hypotensive effect of barbiturates

iloperidone

may have an increased hypotensive effect when combined with anti-hypertensive agents

iloprost

may have an increased hypotensive effect when combined with anti-hypertensive agents

selexipag

may have an increased hypotensive effect when combined with anti-hypertensive agents

levodopa inhaled 

may have an increased hypotensive effect when combined with levodopa-containing products

naftopidil 

may have an increased hypotensive effect when combined with anti-hypertensive agents

nitroprusside 

may have an increased hypotensive effect when combined with nitroprusside

pentoxifylline 

may have an increased hypotensive effect when combined with anti-hypertensive agents

pholcodine 

may have an increased hypotensive effect when combined with pholcodine

tizanidine 

may increase the hypotensive effect of blood pressure lowering agents

tizanidine 

may increase the hypotensive effect of blood pressure lowering agents

tolbutamide 

may increase the hypoglycemic effect of Antidiabetic Agents

lidocaine/tetracaine 

may increase the adverse effect of Antiarrhythmic Agents

lidocaine anesthetic 

may diminish the serum concentration of Lidocaine

lidocaine anesthetic 

may increase the serum concentration of Lidocaine

lidocaine topical 

may have an increasingly adverse effect when combined with antiarrhythmic agents (class Ib)

aminophylline

may have an increased hypotensive effect when combined with antihypertensive agents

apremilast

may have an increased hypotensive effect when combined with antihypertensive agents

amphotericin B deoxycholate 

may increase the hypotensive effect of Hypotension-Associated Agents

promethazine/dextromethorphan 

may increase the serum concentration of Dextromethorphan

pimavanserin 

may increase the levels of serum concentration of pimavanserin

solriamfetol 

may have an increased hypertensive effect when combined with hypertension agents

bendamustine 

may increase the levels of serum concentration

avanafil

may enhance the hypotensive effect

sildenafil

may enhance the hypotensive effect

tadalafil

may enhance the hypotensive effect

udenafil

may enhance the hypotensive effect

vardenafil

may enhance the hypotensive effect

indoramin 

It may increase the hypotensive effect when combined with Antihypertensive Agents

fingolimod 

may have an increased QTc-prolonging effect when combined with QT-prolonging agents

sevoflurane 

may increase the hypotensive effect of Hypotension-Associated Agents

sevoflurane 

may increase the hypotensive effect of Inhalational Anaesthetics

sevoflurane 

may increase the QTc-prolonging effect of QT-Prolonging Inhalational Anesthetics

silodosin 

may have an increased hypotensive effect when combined with antihypertensive agents

flunarizine 

may have an increased therapeutic effect when combined with antihypertensive agents

methylphenidate 

may decrease the antihypertensive effect when combined with antihypertensive agents

maralixibat

may increase the QTc-prolonging effect

lenacapavir

may increase the QTc-prolonging effect

curcumin

may increase the QTc-prolonging effect

glecaprevir

may increase the QTc-prolonging effect

caspofungin

may increase the QTc-prolonging effect

lenacapavir

may increase the QTc-prolonging effect

maralixibat

may increase the QTc-prolonging effect

lenacapavir

may increase the QTc-prolonging effect

diacerein

may increase the QTc-prolonging effect

memantine/donepezil

may increase the QTc-prolonging effect

tranylcypromine

may increase the QTc-prolonging effect

aripiprazole 

may increase the hypotensive effect of Antipsychotic Agents

captopril/hydrochlorothiazide

may have an increased bradycardic effect when combined with other antihypertensive drugs

mibefradil

may have an increased bradycardic effect when combined with other antihypertensive drugs

indoramin

may have an increased bradycardic effect when combined with other antihypertensive drugs

minoxidil topical

may have an increased bradycardic effect when combined with other antihypertensive drugs

amlodipine/atorvastatin

may have an increased bradycardic effect when combined with other antihypertensive drugs

timolol ophthalmic 

may enhance the concentration of serum when combined with timolol

cariprazine

may have an increased hypotensive effect when combined with antipsychotic agents

chlorprothixene

may have an increased hypotensive effect when combined with antipsychotic agents

lorpiprazole

may have an increased hypotensive effect when combined with antipsychotic agents

lumateperone

may have an increased hypotensive effect when combined with antipsychotic agents

lurasidone

may have an increased hypotensive effect when combined with antipsychotic agents

ribociclib 

may increase the levels of serum concentration

triptorelin

may increase the levels of serum concentration

elagolix

may increase the levels of serum concentration

urofollitropin

may increase the levels of serum concentration

gonadoreline hydrochloride

may increase the levels of serum concentration

ganirelix acetate

may increase the levels of serum concentration

ergonovine

may increase the levels of serum concentration

cabergoline

may increase the levels of serum concentration

dihydroergocornine

may increase the levels of serum concentration

dihydroergocristine

may increase the levels of serum concentration

dihydroergotamine

may increase the levels of serum concentration

estropipate

may increase the levels of serum concentration

anastrozole

may increase the levels of serum concentration

bazedoxifene/conjugated estrogens

may increase the levels of serum concentration

synthetic conjugated estrogens, a

may increase the levels of serum concentration

synthetic conjugated estrogens, b

may increase the levels of serum concentration

ethinyl estradiol

may increase the levels of serum concentration

ethinylestradiol

may increase the levels of serum concentration

ethynodiol diacetate

may increase the levels of serum concentration

etonogestrel

may increase the levels of serum concentration

clozapine 

clozapine: they may enhance the serum concentration of CYP1A2 Inhibitors

tacrolimus 

It may enhance the serum concentration when combined with CYP3A4 Inhibitors

tolazoline

They may increase the hypotensive effect when combined with antihypertensive agents

sequelerin

It may increase the hypotensive effect when combined with antihypertensive agents

aripiprazole

It may increase the hypotensive effect when combined with antihypertensive agents

aripiprazole lauroxil

It may increase the hypotensive effect when combined with antihypertensive agents

asenapine

It may increase the hypotensive effect when combined with antihypertensive agents

brexpiprazole

It may increase the hypotensive effect when combined with antihypertensive agents

amisulpride 

It may increase the hypotensive effect when combined with antihypertensive agents

asenapine 

may enhance the concentration of serum when combined with asenapine

acetaminophen/doxylamine/dextromethorphan 

may enhance the serum concentration when combined

abiraterone

it may increase the levels of serum concentration

cyproterone

it may increase the levels of serum concentration

darolutamide

it may increase the levels of serum concentration

dienogest/estradiol valerate

it may increase the levels of serum concentration

flutamide

it may increase the levels of serum concentration

dutasteride

it may increase the levels of serum concentration

finasteride

it may increase the levels of serum concentration

epcoritamab

it may increase the levels of serum concentration

adagrasib

it may increase the levels of serum concentration

imiquimod topical

it may increase the levels of serum concentration

fluorouracil topical

it may increase the levels of serum concentration

peginterferon alfa-2b

it may increase the levels of serum concentration

cyclosporine 

may enhance the serum concentration of cyclosporine

calcipotriene/betamethasone 

may enhance the serum concentration of Vitamin D Analogs

terazosin 

antihypertensive drugs may make terazosin's hypotensive effects worse

arginine 

may have an increased hypotensive effect when combined with antihypertensive agents

atosiban 

may have an increasingly adverse effect when combined with atosiban

cinacalcet

may increase the levels of serum concentration

diazoxide 

may have an increased hypotensive effect when combined with antihypertensive agents

ivabradine 

may have an increased bradycardic effect when combined with ivabradine

anagrelide 

anagrelide: they may enhance serum concentrations of CYP1A2 Inhibitors

bromazepam 

bromazepam: they may enhance the serum concentration of CYP1A2 Inhibitors

clomipramine 

clomipramine: they may enhance the serum concentration of CYP1A2 Inhibitors

flibanserin 

flibanserin: they may enhance the serum concentration of CYP3A Inhibitors

dofetilide 

dofetilide: they may enhance the serum concentration of CYP3A Inhibitors

finerenone (Rx) 

finerenone: they may enhance the serum concentration of CYP3A Inhibitors

ixabepilone 

ixabepilone: they may enhance the serum concentration of CYP3A Inhibitors

levobupivacaine 

levobupivacaine: they may enhance the serum concentration of CYP1A2 Inhibitors

lidocaine 

lidocaine: they may enhance the serum concentration of CYP1A2 Inhibitors

nimodipine 

nimodipine: they may enhance the serum concentration of CYP3A Inhibitors

olanzapine 

olanzapine: they may enhance the serum concentration of CYP1A2 Inhibitors

pentoxifylline 

pentoxifylline: they may enhance the serum concentration of CYP1A2 Inhibitors

ramosetron 

ramosetron: they may enhance the serum concentration of CYP1A2 Inhibitors

riluzole 

riluzole: they may enhance the serum concentration of CYP1A2 Inhibitors

simvastatin 

simvastatin: they may enhance serum concentrations of CYP3A Inhibitors

ropinirole 

ropinirole: they may enhance the serum concentration of CYP1A2 Inhibitors

ropivacaine 

ropivacaine: they may enhance the serum concentration of CYP1A2 Inhibitors

fusidic acid and betamethasone 

may enhance the serum concentration when combined

edrophonium 

may increase the bradycardic effect of each other

gadopentetate dimeglumine 

may have an increased QTc-prolonging effect when combined with gadobenate dimeglumine

prazosin 

prazosin: they may increase the hypotensive effect when combined with antihypertensive agents

mometasone and indacaterol 

may increase the QTc-prolonging effect when combined

macitentan and tadalafil 

may increase the hypotensive effect of Phosphodiesterase 5 Inhibitors

levodopa and benserazide 

may increase the hypotensive effect of Hypotension-Associated Agents

leuprolide and norethindrone 

may increase the QTc-prolonging effect of each other when combined

abametapir 

abametapir with mibefradil may result in an enhance in the concentration serum of mibefradil

abemaciclib 

The serum concentration of abemaciclib can be elevated when used together with mibefradil

abrocitinib 

The combination of mibefradil and abrocitinib can lead to an increase in the concentration serum of mibefradil

acalabrutinib 

acalabrutinib is combined with mibefradil, there is a possibility of an enhanced concentration serum of acalabrutinib

acarbose 

Combining mibefradil with acarbose can elevate the risk or seriousness of hypoglycemia

acebutolol 

acebutolol has the potential to enhance the arrhythmogenic effects of mibefradil

acenocoumarol 

The combination of mibefradil and acenocoumarol might lead to an enhance in the concentration serum of acenocoumarol

tanshinone I

may diminish the effect of antihypertensive activity

rosmarinic acid

may diminish the effect of antihypertensive activity

caryophyllene

may diminish the effect of antihypertensive activity

ursolic acid

may diminish the effect of antihypertensive activity

cepharanthine

may diminish the effect of antihypertensive activity

nebivolol 

CYP2D6 Inhibitors: they may enhance the serum concentration of nebivolol

midodrine 

midodrine: they may increase the bradycardic effect of Bradycardia-Causing Agents

ozanimod 

ozanimod: they may increase the bradycardic effect of Bradycardia-Causing Agents

tofacitinib 

tofacitinib: they may increase the bradycardic effect of Bradycardia-Causing Agents

fluorouracil 

may have an increased QTc-prolonging effect when combined with fluorouracil products

pentamidine 

may have an increased QTc-prolonging effect when combined with pentamidine

pimozide

may have an increased QTc-prolonging effect when combined with QT-prolonging antipsychotics

risperidone

may have an increased QTc-prolonging effect when combined with QT-prolonging antipsychotics

promazine

may have an increased QTc-prolonging effect when combined with QT-prolonging antipsychotics

thioridazine

may have an increased QTc-prolonging effect when combined with QT-prolonging antipsychotics

zuclopenthixol

may have an increased QTc-prolonging effect when combined with QT-prolonging antipsychotics

tolazoline

may increase the serum concentration

captopril/hydrochlorothiazide

may increase the serum concentration

mibefradil

may increase the serum concentration

indoramin

may increase the serum concentration

minoxidil topical

may increase the serum concentration

maralixibat

may increase the serum concentration

lenacapavir

may increase the serum concentration

curcumin

may increase the serum concentration

glecaprevir

may increase the serum concentration

caspofungin

may increase the serum concentration

maralixibat

may increase the serum concentration

lenacapavir

may increase the serum concentration

diacerein

may increase the serum concentration

memantine/donepezil

may increase the serum concentration

tranylcypromine

may increase the serum concentration

primidone

may decrease the serum concentration

phenobarbital

may decrease the serum concentration

carbamazepine

may decrease the serum concentration

efavirenz

may decrease the serum concentration

isoniazid

may decrease the serum concentration

memantine/donepezil

may decrease the serum concentration

donepezil transdermal

may decrease the serum concentration

efavirenz

may decrease the serum concentration

prednisolone

may decrease the serum concentration

somatropin

it may diminish the excretion rate when combined with Growth hormone agonist, resulting in an enhanced serum level

lenograstim

it may diminish the excretion rate when combined with Growth hormone agonist, resulting in an enhanced serum level

macimorelin

it may diminish the excretion rate when combined with Growth hormone agonist, resulting in an enhanced serum level

somatotropin

it may diminish the excretion rate when combined with Growth hormone agonist, resulting in an enhanced serum level

carbetocin 

may decrease the hypotensive effect of Blood Pressure Lowering Agents

carbetocin 

may enhance the QTc-prolonging effect of each other when combined

calcium acetate

they decrease the efficacy of calcium channel blockers

calcium carbonate

they decrease the efficacy of calcium channel blockers

calcium chloride

they decrease the efficacy of calcium channel blockers

calcium citrate

they decrease the efficacy of calcium channel blockers

calcium glucoheptonate

they decrease the efficacy of calcium channel blockers

dyclonine

inhalational anesthetics increase the effect of hypotension of calcium channel blockers

levodopa inhaled

inhalational anesthetics increase the effect of hypotension of calcium channel blockers

isoflurane

inhalational anesthetics increase the effect of hypotension of calcium channel blockers

ketamine

inhalational anesthetics increase the effect of hypotension of calcium channel blockers

morphine

inhalational anesthetics increase the effect of hypotension of calcium channel blockers

magnesium sulfate  

it increases the toxicity of calcium channel blockers

cabergoline 

it increases the toxicity of calcium channel blockers cabergoline

asciminib 

When asciminib is combined with mibefradil, there is a potential for an increase in the concentration serum of mibefradil

amiloride 

The potential for hyperkalemia to occur may be enhanced when amiloride is used concurrently with mibefradil

aminophenazone 

The effectiveness of mibefradil may be diminished when utilized concurrently with aminophenazone

aminophylline 

The combination of mibefradil can lead to an elevation in the concentration serum of aminophylline

amiodarone 

when amiodarone is used in conjunction with mibefradil, The risk or seriousness of adverse events may be enhanced

amisulpride 

The potential for QTc prolongation's risk or seriousness may escalate with the concomitant use of mibefradil and amisulpride

hydroxyzine 

hydroxyzine: they may increase the QTc-prolonging effect of QTc-prolonging Agents

pacritinib 

pacritinib: they may increase the QTc-prolonging effect of QTc-prolonging Agents

clofazimine 

clofazimine: they may enhance the serum concentration of CYP3A inhibitors

mometasone/intranasal 

mometasone (Nasal): they may enhance the serum concentration of CYP3A Inhibitors

nabilone

may decrease the serum concentration when combined with CYP1A2 substrates

cannabidiol

may decrease the serum concentration when combined with CYP1A2 substrates

calcium lactate

they decrease the efficacy of calcium channel blockers

calcium phosphate

they decrease the efficacy of calcium channel blockers

calcium polycarbophil

they decrease the efficacy of calcium channel blockers

hydroxyzine

inhalational anesthetics increase the effect of hypotension of calcium channel blockers

meperidine

inhalational anesthetics increase the effect of hypotension of calcium channel blockers

bupivacaine

inhalational anesthetics increase the effect of hypotension of calcium channel blockers

pilsicainide hydrochloride 

pilsicainide hydrochloride increases the risk of arrhythmia when co-administered with other anti-arrhythmic agents

oxaceprol 

oxaceprol decreases the effect of anti-hypertensives

dutasteride

It may enhance the risk of adverse effects when combined with Androgens

finasteride

It may enhance the risk of adverse effects when combined with Androgens

alfuzosin 

alfuzosin: they may enhance the serum concentration of CYP3A Inhibitors

alitretinoin 

alitretinoin: they may enhance the serum concentration of CYP3A Inhibitors

amiodarone 

amiodarone: they may enhance the serum concentration of CYP3A Inhibitors

amlodipine 

amlodipine: they may enhance the serum concentration of CYP3A Inhibitors

atorvastatin 

atorvastatin: they may enhance the serum concentration of CYP3A Inhibitors

axitinib 

axitinib: they may enhance the serum concentration of CYP3A Inhibitors

barnidipine 

barnidipine: they may enhance the serum concentration of CYP3A Inhibitors

bedaquiline 

bedaquiline: they may enhance serum concentrations of CYP3A Inhibitors

penbutolol

It may enhance the risk of adverse effects when combined with CYP1A2 inhibitors

pindolol

It may enhance the risk of adverse effects when combined with CYP1A2 inhibitors

propranolol

It may enhance the risk of adverse effects when combined with CYP1A2 inhibitors

atomoxetine

may have an increased QTc-prolonging effect when combined with QT-prolonging agents

olanzapine

may have an increased QTc-prolonging effect when combined with QT-prolonging agents

benidipine 

benidipine: they may enhance the serum concentration of CYP3A Inhibitors

buprenorphine 

buprenorphine: they may enhance the serum concentration of CYP3A Inhibitors

cabozantinib 

cabozantinib: they may enhance the serum concentration of CYP3A Inhibitors

clozapine 

clozapine: they may enhance the serum concentration of CYP3A Inhibitors

crizotinib 

crizotinib: they may enhance the serum concentration of CYP3A Inhibitors

isavuconazonium sulfate 

isavuconazonium sulfate: they may diminish serum concentrations of CYP3A Inhibitors

darifenacin 

darifenacin: they may enhance the serum concentration of CYP3A Inhibitors

ebastine 

ebastine: they may enhance the serum concentration of CYP3A Inhibitors

eszopiclone 

eszopiclone: they may enhance the serum concentration of CYP3A inhibitors

fedratinib 

fedratinib: they may enhance the serum concentration of CYP3A inhibitors

felodipine 

felodipine: they may enhance the serum concentration of CYP3A inhibitors

gilteritinib 

gilteritinib: they may enhance the serum concentration of CYP3A inhibitors

lapatinib 

lapatinib: they may enhance the serum concentration of CYP3A inhibitors

manidipine 

manidipine: they may enhance the serum concentration of CYP3A Inhibitors

salmeterol 

salmeterol: they may enhance the serum concentration of CYP3A Inhibitors

mibefradil

It may enhance the risk of adverse effects when combined with antianginal drugs

levamlodipine (Rx)

It may enhance the risk of adverse effects when combined with antianginal drugs

amlodipine/atorvastatin

It may enhance the risk of adverse effects when combined with antianginal drugs

atenolol

It may enhance the risk of adverse effects when combined with antianginal drugs

dalafampridine

It may enhance the risk of adverse effects when combined with antianginal drugs

amitriptyline 

amitriptyline: they may enhance the serum concentration of CYP2D6 Inhibitors

amoxapine 

amoxapine: they may enhance the serum concentration of CYP2D6 Inhibitors

amphetamine 

amphetamine: they may enhance the serum concentration of CYP2D6 Inhibitors

atomoxetine 

atomoxetine: they may enhance the serum concentration of CYP2D6 Inhibitors

bupropion 

bupropion: they may enhance the serum concentration of CYP2D6 Inhibitors

carvedilol 

carvedilol: they may enhance the serum concentration of CYP2D6 Inhibitors

celiprolol 

celiprolol: they may enhance the serum concentration of CYP2D6 Inhibitors

clomipramine 

clomipramine: they may enhance the serum concentration of CYP2D6 Inhibitors

clozapine 

clozapine: they may enhance the serum concentration of CYP2D6 Inhibitors

codeine 

codeine: they may enhance the serum concentration of CYP2D6 Inhibitors

rolapitant 

rolapitant: they may enhance the serum concentration of CYP2D6 Inhibitors

desipramine 

desipramine: they may enhance the serum concentration of CYP2D6 Inhibitors

deutetrabenazine 

deutetrabenazine: they may enhance the serum concentration of CYP2D6 Inhibitors

doxepin 

doxepin: they may enhance the serum concentration of CYP2D6 Inhibitors

flecainide 

flecainide: they may enhance the serum concentration of CYP2D6 Inhibitors

imipramine 

imipramine: they may enhance the serum concentration of CYP2D6 Inhibitors

oliceridine 

oliceridine: they may enhance the serum concentration of CYP2D6 Inhibitors

propafenone 

propafenone: they may enhance the serum concentration of CYP2D6 Inhibitors

propranolol 

propranolol: they may enhance the serum concentration of CYP2D6 Inhibitors

protriptyline 

protriptyline: they may enhance the serum concentration of CYP2D6 Inhibitors

tamsulosin 

tamsulosin: they may enhance the serum concentration of CYP2D6 Inhibitors

tramadol 

tramadol: they may enhance the serum concentration of CYP2D6 Inhibitors

valbenazine 

valbenazine: they may enhance the serum concentration of CYP2D6 Inhibitors

vortioxetine 

vortioxetine: they may enhance the serum concentration of CYP2D6 Inhibitors

zuclopenthixol 

zuclopenthixol: they may enhance the serum concentration of CYP2D6 Inhibitors

molsidomine 

molsidomine: they may decrease the antihypertensive effect of antihypertensive agents

nicergoline 

nicergoline: they may decrease the antihypertensive effect of antihypertensive agents

hydralazine 

hydralazine: they may decrease the antihypertensive effect of antihypertensive agents

amifostine 

amifostine: they may enhance the serum concentration of CYP2D6 Inhibitors

flunarizine 

flunarizine: they may enhance the serum concentration of CYP2D6 Inhibitors

melatonin 

melatonin: they may enhance the serum concentration of CYP2D6 Inhibitors

molsidomine 

molsidomine: they may enhance the serum concentration of CYP2D6 Inhibitors

dimercaprol 

dimercaprol: they may enhance the serum concentration of CYP2D6 Inhibitors

levonorgestrel 

levonorgestrel: they may enhance the serum concentration of CYP2D6 Inhibitors

sulfadiazine

may increase the hypotensive effect of blood pressure lowering agents

sulfamethoxazole

may increase the hypotensive effect of blood pressure lowering agents

paliperidone

may increase the hypotensive effect of antipsychotic agents

perphenazine

may increase the hypotensive effect of antipsychotic agents

donepezil

may have an increased bradycardic effect when combined with other bradycardia-causing agents

quinagolide 

quinagolide: they may increase the hypotensive effect of antihypertensive agents

lacosamide 

adverse effects or toxic effects of lacosamide are increased by antiarrhythmic agents when used in combination

amifampridine 

amifampridine: they may increase the bradycardic effect of Bradycardia-Causing Agents

dipyridamole 

dipyridamole: they may increase the bradycardic effect of Bradycardia-Causing Agents

mirabegron 

mirabegron: they may increase the bradycardic effect of Bradycardia-Causing Agents

nitroglycerin 

nitroglycerin: they may increase the bradycardic effect of Bradycardia-Causing Agents

succinylcholine 

succinylcholine: they may increase the bradycardic effect of Bradycardia-Causing Agents

topiramate 

topiramate: they may increase the bradycardic effect of Bradycardia-Causing Agents

fluorouracil 

fluorouracil: they may increase the bradycardic effect of Bradycardia-Causing Agents

methoxsalen 

methoxsalen: they may increase the bradycardic effect of Bradycardia-Causing Agents

porfimer 

porfimer: they may increase the bradycardic effect of Bradycardia-Causing Agents

tolazoline

may have an increased hypotensive effect when combined with calcium channel blockers

indoramin

may have an increased hypotensive effect when combined with calcium channel blockers

bunazosin (Not available in the United States)

may have an increased hypotensive effect when combined with calcium channel blockers

terazosin

may have an increased hypotensive effect when combined with calcium channel blockers

labetalol 

may have an increased hypotensive effect when combined with calcium channel blockers

zotepine

may have an increased hypotensive effect when combined with anti-hypertensive agents

quinidine 

quinidine: they may enhance the serum concentration of CYP2D6 Inhibitors

butcher’s broom 

butchers broom: they may enhance the serum concentration of CYP2D6 Inhibitors

finerenone 

finerenone: they may enhance the serum concentration of CYP2D6 Inhibitors

alprazolam 

alprazolam: they may enhance the serum concentration of CYP2D6 Inhibitors

ephedrine 

ephedrine: they may enhance the serum concentration of CYP2D6 Inhibitors

kaolin 

kaolin: they may enhance the serum concentration of CYP2D6 Inhibitors

verteporfin 

verteporfin: they may enhance the serum concentration of CYP2D6 Inhibitors

trimipramine 

trimipramine: they may enhance the serum concentration of CYP2D6 Inhibitors

vitamin K1 (phytonadione) 

vitamin K1: they may enhance the serum concentration of CYP2D6 Inhibitors

triazolam 

triazolam: they may enhance the serum concentration of CYP2D6 Inhibitors

alvimopan 

alvimopan: they may enhance the serum concentration of CYP2D6 Inhibitors

chlormethiazole 

chlormethiazole: they may enhance the serum concentration of CYP2D6 Inhibitors

flunitrazepam 

flunitrazepam: they may enhance the serum concentration of CYP2D6 Inhibitors

nalmefene 

nalmefene: they may enhance the serum concentration of CYP2D6 Inhibitors

suvorexant 

suvorexant: they may enhance the serum concentration of CYP2D6 Inhibitors

zolpidem 

zolpidem: they may enhance the serum concentration of CYP2D6 Inhibitors

remifentanil

opioid drugs: they may enhance the serum concentration of CYP2D6 Inhibitors

hydrocodone/pseudoephedrine

opioid drugs: they may enhance the serum concentration of CYP2D6 Inhibitors

codeine

opioid drugs: they may enhance the serum concentration of CYP2D6 Inhibitors

morphine

opioid drugs: they may enhance the serum concentration of CYP2D6 Inhibitors

samidorphan 

samidorphan: they may enhance the serum concentration of CYP2D6 Inhibitors

naltrexone 

naltrexone: they may enhance the serum concentration of CYP2D6 Inhibitors

tranylcypromine

monoamine oxidase inhibitor: they may enhance the serum concentration of CYP2D6 Inhibitors

isocarboxazid

monoamine oxidase inhibitor: they may enhance the serum concentration of CYP2D6 Inhibitors

phenelzine

monoamine oxidase inhibitor: they may enhance the serum concentration of CYP2D6 Inhibitors

rasagiline

monoamine oxidase inhibitor: they may enhance the serum concentration of CYP2D6 Inhibitors

safinamide

monoamine oxidase inhibitor: they may enhance the serum concentration of CYP2D6 Inhibitors

thalidomide 

thalidomide: they may enhance the serum concentration of CYP2D6 Inhibitors

alizapride 

alizapride: they may enhance the serum concentration of CYP2D6 Inhibitors

kava 

kava: they may enhance the serum concentration of CYP2D6 Inhibitors

metyrosine 

metyrosine: they may enhance the serum concentration of CYP2D6 Inhibitors

piribedil 

piribedil: they may enhance the serum concentration of CYP2D6 Inhibitors

anagrelide 

anagrelide: they may enhance the serum concentration of CYP2D6 Inhibitors

belzutifan 

belzutifan: they may enhance the serum concentration of CYP2D6 Inhibitors

medical cannabis 

cannabis: they may enhance the serum concentration of CYP2D6 Inhibitors

dasatinib 

dasatinib: they may enhance the serum concentration of CYP2D6 Inhibitors

etravirine 

etravirine: they may enhance the serum concentration of CYP2D6 Inhibitors

inotersen 

inotersen: they may enhance the serum concentration of CYP2D6 Inhibitors

lithium 

lithium: they may enhance the serum concentration of CYP2D6 Inhibitors

metoprolol 

metoprolol: they may enhance the serum concentration of CYP2D6 Inhibitors

nifedipine 

nifedipine: they may enhance the serum concentration of CYP2D6 Inhibitors

omeprazole 

omeprazole: they may enhance the serum concentration of CYP2D6 Inhibitors

perampanel 

perampanel: they may enhance the serum concentration of CYP2D6 Inhibitors

quetiapine 

quetiapine: they may enhance the serum concentration of CYP2D6 Inhibitors

ramosetron 

ramosetron: they may enhance the serum concentration of CYP2D6 Inhibitors

quinagolide 

quinagolide: they may enhance the serum concentration of CYP2D6 Inhibitors

abametapir

may increase the serum concentration of each other when it is combined

praziquantel

may increase the serum concentration of each other when it is combined

fexinidazole

may increase the serum concentration of each other when it is combined

ivermectin

may increase the serum concentration of each other when it is combined

roflumilast

may have an increased hypotensive effect when combined with antihypertensive agents

aminophylline

may have an increased hypotensive effect when combined with antihypertensive agents

amrinone

may have an increased hypotensive effect when combined with antihypertensive agents

perphenazine

may have an increased hypotensive effect when combined with antipsychotic agents

pimavanserin

may have an increased hypotensive effect when combined with antipsychotic agents

chlorpromazine

may have an increased hypotensive effect when combined with antipsychotic agents

pipotiazine

may have an increased hypotensive effect when combined with antipsychotic agents

haloperidol

may have an increased hypotensive effect when combined with antipsychotic agents

triflupromazine 

an increased risk of hypotension may be seen

moxonidine 

moxonidine: it may decrease activities of antihypertensive drugs

ambrisentan 

ambrisentan: it may decrease activities of antihypertensive drugs

balsalazide 

balsalazide: it may decrease activities of antihypertensive drugs

benorilate 

benorilate: it may decrease activities of antihypertensive drugs

benoxaprofen 

benoxaprofen: it may decrease activities of antihypertensive drugs

carvedilol 

carvedilol: it may decrease activities of antihypertensive drugs

chlorothiazide 

chlorothiazide: it may decrease activities of antihypertensive drugs

celecoxib 

celecoxib: it may decrease activities of antihypertensive drugs

chlorpromazine 

chlorpromazine: it may decrease activities of antihypertensive drugs

amitriptyline 

amitriptyline: it may decrease activities of antihypertensive drugs

rimiterol 

rimiterol: it may decrease activities of antihypertensive drugs

amlodipine 

amlodipine: it may decrease activities of antihypertensive drugs

amoxapine 

amoxapine: it may decrease activities of antihypertensive drugs

anagrelide 

anagrelide: it may decrease activities of antihypertensive drugs

bisoprolol 

bisoprolol: it may decrease activities of antihypertensive drugs

lumateperone

may increase the hypotensive effect of antipsychotic agents

quetiapine

may increase the hypotensive effect of antipsychotic agents

lurasidone

may increase the hypotensive effect of antipsychotic agents

promethazine

may increase the hypotensive effect of antipsychotic agents

mesoridazine

may increase the hypotensive effect of antipsychotic agents

cetirizine 

cetirizine: it may increase the risk or severity of QTc prolongation

atropine 

atropine: it may increase the risk or severity of QTc prolongation

azatadine 

azatadine: it may increase the risk or severity of QTc prolongation

calcium acetate 

calcium acetate: it may increase the risk or severity of QTc prolongation

gallopamil 

gallopamil: it may increase the risk or severity of QTc prolongation

certoparin 

certoparin: it may increase the risk or severity of QTc prolongation

spironolactone and hydrochlorothiazide

may increase the toxicity of the drug by decreasing the renal clearance

amiloride/hydrochlorothiazide

may increase the toxicity of the drug by decreasing the renal clearance

ethacrynic acid

may increase the toxicity of the drug by decreasing the renal clearance

dichlorphenamide

may increase the toxicity of the drug by decreasing the renal clearance

torsemide

may increase the toxicity of the drug by decreasing the renal clearance

fluspirilene

may increase the hypotensive effect of antipsychotic agents

ziprasidone

may increase the hypotensive effect of antipsychotic agents

ketazolam

may increase the hypotensive effect of antipsychotic agents

zotepine

may increase the hypotensive effect of antipsychotic agents

lemborexant

may increase the hypotensive effect of antipsychotic agents

bupleurum 

induction of these enzymes is shown by bupleurum at high doses

amitriptyline 

amitriptyline: it may increase the risk or severity of QTc prolongation agents

berotralstat 

berotralstat: it may increase the risk or severity of QTc prolongation agents

betahistine 

betahistine: it may increase the risk or severity of QTc prolongation agents

acrivastine 

acrivastine: it may increase the risk or severity of QTc prolongation agents

bilastine 

bilastine: it may increase the risk or severity of QTc prolongation agents

bisoprolol 

bisoprolol: it may increase the risk or severity of QTc prolongation agents

bisoxatin 

bisoxatin: it may increase the risk or severity of QTc prolongation agents

amikacin (systemic) 

amikacin: it may increase the risk or severity of QTc prolongation agents

sulfamethoxazole 

sulfamethoxazole: it may increase the risk or severity of QTc prolongation agents

benazepril 

benazepril: it may increase the risk or severity of QTc prolongation agents

bendamustine 

bendamustine: it may increase the risk or severity of QTc prolongation agents

benorilate 

benorilate: it may increase the risk or severity of QTc prolongation agents

benoxaprofen 

benoxaprofen: it may increase the risk or severity of QTc prolongation agents

benserazide 

benserazide: it may increase the risk or severity of QTc prolongation agents

cabergoline 

cabergoline: it may increase the risk or severity of QTc prolongation agents

cabozantinib 

cabozantinib: it may increase the risk or severity of QTc prolongation agents

canagliflozin 

canagliflozin: it may increase the risk or severity of QTc prolongation agents

candesartan cilexetil 

candesartan cilexetil: it may increase the risk or severity of QTc prolongation agents

pamidronate 

pamidronate: it may enhance the bradycardic effect of Bradycardia-Causing Agents

valerian 

valerian: it may enhance the bradycardic effect of Bradycardia-Causing Agents

zoledronic acid 

zoledronic acid: it may enhance the bradycardic effect of Bradycardia-Causing Agents

relebactam 

relebactam: it may decrease the excretion of CYP3A inhibitors

cabotegravir 

cabotegravir: it may decrease the excretion of CYP3A inhibitors

capmatinib 

capmatinib: it may decrease the excretion of CYP3A inhibitors

cefaclor 

cefaclor: it may decrease the excretion of CYP3A inhibitors

cefalotin 

cefalotin: it may decrease the excretion of CYP3A inhibitors

bumetanide 

bumetanide: it may decrease the excretion of CYP3A inhibitors

diclofenac 

diclofenac: it may decrease the excretion of CYP3A inhibitors

dolutegravir 

dolutegravir: it may decrease the excretion of CYP3A inhibitors

emtricitabine 

emtricitabine: it may decrease the excretion of CYP3A inhibitors

ibuprofen 

it may decrease the excretion of CYP3A inhibitors

ketoprofen 

ketoprofen: it may decrease the excretion of CYP3A inhibitors

fluprednisolone 

fluprednisolone: it may increase the risk of adverse effects with CYP3A inhibitors

hydrocodone and homatropine

it may enhance the QTc-prolonging effect

dezocine

it may enhance the QTc-prolonging effect

oxycodone

it may enhance the QTc-prolonging effect

naloxegol

it may enhance the QTc-prolonging effect

oxaprozin

it may enhance the QTc-prolonging effect

hydrocodone and homatropine

it may increase the levels of serum concentration

dezocine

it may increase the levels of serum concentration

oxycodone

it may increase the levels of serum concentration

naloxegol

it may increase the levels of serum concentration

oxaprozin

it may increase the levels of serum concentration

hydrocodone and homatropine

it may increase the levels of serum concentration

dezocine

it may increase the levels of serum concentration

oxycodone

it may increase the levels of serum concentration

naloxegol

it may increase the levels of serum concentration

oxaprozin

it may increase the levels of serum concentration

hydrocodone and homatropine

it may increase the levels of serum concentration

dezocine

it may increase the levels of serum concentration

oxycodone

it may increase the levels of serum concentration

naloxegol

it may increase the levels of serum concentration

oxaprozin

it may increase the levels of serum concentration

lenacapavir

they increase the concentration of active metabolites of CYP3A4 inhibitors in the serum

abiraterone

they increase the concentration of active metabolites of CYP3A4 inhibitors in the serum

mibefradil

they increase the concentration of active metabolites of CYP3A4 inhibitors in the serum

citalopram

they increase the concentration of active metabolites of CYP3A4 inhibitors in the serum

efavirenz

they increase the concentration of active metabolites of CYP3A4 inhibitors in the serum

glasdegib 

they increase the concentration of glasdegib in the serum

lenacapavir

they increase the concentration of active metabolites of CYP3A4 inhibitors in the serum

abiraterone

they increase the concentration of active metabolites of CYP3A4 inhibitors in the serum

mibefradil

they increase the concentration of active metabolites of CYP3A4 inhibitors in the serum

citalopram

they increase the concentration of active metabolites of CYP3A4 inhibitors in the serum

efavirenz

they increase the concentration of active metabolites of CYP3A4 inhibitors in the serum

ubrogepant 

CYP3A4 inhibitors increase the concentration of ubrogepant in the serum

metoclopramide 

they increase the concentration of metoclopramide in the serum

manidipine 

they modify the response of glucose or insulin when taken with manidipine

tamoxifen 

they decrease the concentration of active metabolites of tamoxifen in serum

 

Dosage forms and strengths  

Oral Tablet 

100 mg 

50 mg 

Hypertension 

The starting oral dose is 50 mg one time daily
If necessary and well-tolerated, the dose may be gradually increased to orally intake of 100 mg daily for maintenance dose



Angina Pectoris 

The starting oral dose is 50 mg one time daily
If necessary and well-tolerated, the dose may be gradually increased to orally intake of 100 mg daily for maintenance dose



 

Not indicated 

 

Refer adult dosing 

Frequency not defined  

Dyspepsia 

Light-headedness 

Abdominal pain 

Rhinitis 

Leg edema 

headache 

Black Box Warning:  

None  

Contraindication/Caution:  

Hypersensitivity: Individuals with a known hypersensitivity or allergy to mibefradil should not use this medication. 

Concomitant Use with CYP3A4 Inhibitors: mibefradil was known to interact with CYP3A4 inhibitors, such as certain antifungal medications, certain antibiotics, and some HIV protease inhibitors, which could lead to potentially serious adverse effects. Therefore, co-administration with these inhibitors was contraindicated. 

Liver Impairment: mibefradil was known to cause hepatotoxicity (liver toxicity) in some cases, and it was contraindicated in patients with pre-existing liver impairment or liver disease. 

Hypotension: Since mibefradil was a calcium channel blocker, it could potentially cause low blood pressure (hypotension), especially in individuals with already low blood pressure or certain medical conditions. 

Pregnancy warnings:     

Pregnancy category: C 

Lactation: Excreted into human milk is unknown 

Pregnancy Categories:         

Category A: Studies that were well-controlled and met expectations revealed no risk to the fetus in either the first or second trimester. 

Category B: There were a lack of studies on pregnant women and no evidence of risk to the fetus in animal experiments.   

Category C: there was evidence of risk of adverse effects in animal reproduction studies, and no adequate evidence in human studies must take care of potential risks in pregnant women.    

Category D: adequate data with sufficient evidence of human fetal risk from various platforms, but despite the potential risk, and used only in emergency cases for potential benefits.   

Category X: Drugs listed in this category outweigh the risks over benefits. Hence these categories of drugs need to be avoided by pregnant women.    

Category N: There is no data available for the drug under this category

Pharmacology:  

mibefradil is a calcium channel blocker that was used to treat chronic stable angina pectoris and hypertension. 

Pharmacodynamics:  

mibefradil inhibits the influx of calcium ions through T-type calcium channels in cardiac and smooth muscle cells. By blocking these channels, it reduces the entry of calcium into the cells, leading to vasodilation of peripheral arteries and arterioles. This vasodilatory effect reduces peripheral resistance and, subsequently, lowers blood pressure. 

Pharmacokinetics: 

Absorption 

mibefradil was commonly given through oral administration, and its absorption from the gastrointestinal tract was known to be gradual and inconsistent. The rate of absorption could be influenced by the presence of food in the stomach. 

Distribution 

After absorption, mibefradil would enter the bloodstream and be distributed throughout the body. It may bind to plasma proteins, which could influence its distribution to various tissues. 

Metabolism 

mibefradil was primarily metabolized in the liver by the cytochrome P450 enzyme system, specifically CYP3A4. The major metabolite was hydroxy-mibefradil. The metabolism process could influence the drug’s efficacy and potential drug interactions. 

Excretion and Elimination 

The metabolized mibefradil and its metabolites were excreted mainly through the feces (as metabolites) and to a lesser extent through the urine. The drug’s elimination half-life, which is the time it takes for half of the drug to be cleared from the body, could be influenced by its metabolism and excretion rates. 

Administration:  

mibefradil is typically administered orally in the form of tablets or capsules. The medication is usually taken with a glass of water, with or without food, as directed by the healthcare provider. 

Patient information leaflet 

Generic Name: mibefradil 

Why do we use mibefradil?  

Hypertension: mibefradil was used to lower blood pressure by blocking calcium channels in the smooth muscles of blood vessels, leading to relaxation and dilation of the vessels, which helps in reducing blood pressure. 

Chronic Stable Angina: mibefradil was employed in the treatment of chronic stable angina, By dilating the coronary arteries, mibefradil could increase blood supply to the heart and alleviate chest pain associated with angina. 

Content loading

mibefradil

Brand Name :

Posicor

(United States) [DSC]
×

Brand Name :

country status Month Year
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Synonyms :

mibefradil

Class :

Calcium Antagonists

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No data available for drug.

Dosage forms and strengths  

Oral Tablet 

100 mg 

50 mg 

Hypertension 

The starting oral dose is 50 mg one time daily
If necessary and well-tolerated, the dose may be gradually increased to orally intake of 100 mg daily for maintenance dose



Angina Pectoris 

The starting oral dose is 50 mg one time daily
If necessary and well-tolerated, the dose may be gradually increased to orally intake of 100 mg daily for maintenance dose



Not indicated 

Refer adult dosing 

DRUG INTERACTION

mibefradil

&

mibefradil + 

mibefradil

may enhance the QTc-prolonging effect of QT-prolonging agents

ibandronate

may enhance the QTc-prolonging effect of QT-prolonging agents

trazodone

may enhance the QTc-prolonging effect of QT-prolonging agents

isradipine

may enhance the QTc-prolonging effect of QT-prolonging agents

treprostinil

may enhance the QTc-prolonging effect of QT-prolonging agents

labetalol 

may increase the hypotensive effect of alpha1-blockers

epcoritamab

may enhance the serum concentration of each other when combined

adagrasib

may enhance the serum concentration of each other when combined

imiquimod topical

may enhance the serum concentration of each other when combined

fluorouracil topical

may enhance the serum concentration of each other when combined

peginterferon alfa-2b

may enhance the serum concentration of each other when combined

medroxyprogesterone

CYP3A4 Inhibitors: they may diminish the serum concentration of hormonal contraceptives

megestrol

CYP3A4 Inhibitors: they may diminish the serum concentration of hormonal contraceptives

levonorgestrel

CYP3A4 Inhibitors: they may diminish the serum concentration of hormonal contraceptives

lynestrenol

CYP3A4 Inhibitors: they may diminish the serum concentration of hormonal contraceptives

abiraterone

CYP3A Inhibitors: they may diminish the serum concentration of hormonal agents

lanreotide

CYP3A Inhibitors: they may diminish the serum concentration of hormonal agents

cyproterone

CYP3A Inhibitors: they may diminish the serum concentration of hormonal agents

triptorelin

CYP3A Inhibitors: they may diminish the serum concentration of hormonal agents

darolutamide

CYP3A Inhibitors: they may diminish the serum concentration of hormonal agents

ziv-aflibercept

may enhance the serum concentration of each other when it is combined

tivozanib

may enhance the serum concentration of each other when it is combined

lasmiditan

may enhance the serum concentration of each other when it is combined

gefitinib

may enhance the serum concentration of each other when it is combined

gilteritinib

may enhance the serum concentration of each other when it is combined

aceclofenac/rabeprazole

may enhance the serum concentration of each other when combined

tanshinone I

may enhance the serum concentration of each other when combined

rosmarinic acid

may enhance the serum concentration of each other when combined

caryophyllene

may enhance the serum concentration of each other when combined

ursolic acid

may enhance the serum concentration of each other when combined

delamanid

QT-prolonging Strong may enhance the QTc-prolonging effect of delamanid

dasatinib

dasatinib may enhance the QTc-prolonging effect of QT-prolonging

l-methylfolate-pyridoxal 5′-phosphate-methylcobalamine

may decrease the serum concentration of Quinolones

ceritinib

bradycardia-Causing Agents may enhance the bradycardic effect of Ceritinib

ponesimod

bradycardia-Causing Agents may enhance the bradycardic effect of ponesimod

fluorouracil

may enhance the QTc-prolonging effect of Fluorouracil Products

gilteritinib

gilteritinib may enhance the QTc-prolonging effect of QT-prolonging Agents

colchicine 

may increase the serum concentration of colchicine

domperidone 

may enhance the Qtc prolonging effect

ivacaftor/tezacaftor 

may increase the levels of serum concentration of ivacaftor/tezacaftor

deflazacort 

may enhance the serum concentrations of active metabolites

abiraterone

may enhance the QTc-prolonging effect of QT-prolonging agents

mibefradil

may enhance the QTc-prolonging effect of QT-prolonging agents

citalopram

may enhance the QTc-prolonging effect of QT-prolonging agents

efavirenz

may enhance the QTc-prolonging effect of QT-prolonging agents

isoniazid

may enhance the QTc-prolonging effect of QT-prolonging agents

avapritinib 

may enhance the serum concentration

risperidone 

may increase the serum concentration

risperidone 

may increase the QTc prolonging effect

gemifloxacin 

may increase the QTc prolonging effect

amifostine 

may increase the hypotensive effect of anti-hypertensive agents

obinutuzumab 

may increase the hypotensive effect of anti-hypertensive agents

ceritinib 

may increase the bradycardic effect of bradycardia-causing agents

tetrabenazine 

may enhance serum concentrations when combined with tetrabenazine

adagrasib 

may increase the level of serum concentration of adagrasib

fenfluramine 

may enhance the serum concentration when combined with fenfluramine

fenfluramine 

may enhance the serum concentration when combined with fenfluramine

fexinidazole 

may diminish the serum concentration when combined with CYP2D6 substrates

amisulpride 

may have an increased QTc-prolonging effect when combined with amisulpride (oral)

rimantadine 

may decrease the therapeutic effect of each other when combined

tizanidine 

may enhance the serum concentration

ibutilide 

may increase the QTc prolonging effect of QT-prolonging Class III Antiarrhythmics

ibutilide 

may increase the QTc prolonging effect of QT-prolonging agents

ibutilide 

may increase the QTc prolonging effect of QT-prolonging Class III Antiarrhythmics

fingolimod 

may have an increased bradycardic effect when combined with fingolimod

ponesimod 

may have an increased bradycardic effect when combined with ponesimod

siponimod 

may have an increased bradycardic effect when combined with siponimod

rasagiline 

may increase the serum concentration of Rasagiline

amiodarone 

may have an increased QTc-prolonging effect when combined with amiodarone

arsenic trioxide 

may have an increased QTc-prolonging effect when combined with arsenic trioxide

astemizole 

may have an increased QTc-prolonging effect when combined with astemizole

bedaquiline 

may have an increased QTc-prolonging effect when combined with bedaquiline

chloroquine 

may have an increased QTc-prolonging effect when combined with chloroquine

chlorpromazine 

may have an increased QTc-prolonging effect when combined with chlorpromazine

cisapride 

may have an increased QTc-prolonging effect when combined with cisapride

clofazimine 

may have an increased QTc-prolonging effect when combined with clofazimine

clomipramine 

may have an increased QTc-prolonging effect when combined with QT-prolonging agents

clozapine 

may have an increased QTc-prolonging effect when combined with clozapine

dabrafenib 

may have an increased QTc-prolonging effect when combined with QT-prolonging agents

dasatinib 

may have an increased QTc-prolonging effect when combined with dasatinib

delamanid 

may have an increased QTc-prolonging effect when combined with delamanid

doxepin 

may have an increased QTc-prolonging effect when combined with doxepin-containing products

sevoflurane 

may increase the QTc-prolonging effect of QT-prolonging Agents

ceritinib 

may have an increased bradycardic effect when combined with ceritinib

fingolimod 

may have an increased bradycardic effect when combined with fingolimod

ponesimod 

may have an increased bradycardic effect when combined with ponesimod

siponimod 

may have an increased bradycardic effect when combined with siponimod

theophylline 

may enhance the concentration of serum when combined with theophylline derivatives

voxelotor 

may diminish the serum concentration of Voxelotor

thioridazine 

may enhance the concentration of serum when combined with thioridazine

lonafarnib 

lonafarnib: they may enhance the serum concentration of CYP3A4 Inhibitors

pirfenidone 

pirfenidone: they may enhance the serum concentration of CYP1A2 Inhibitors

pomalidomide 

pomalidomide: they may enhance the serum concentration of CYP1A2 Inhibitors

propranolol 

propranolol: they may enhance the serum concentration of CYP1A2 Inhibitors

sirolimus 

sirolimus: they may enhance the serum concentration of CYP3A4 Inhibitors

budesonide inhaled 

budesonide: they may enhance the serum concentration of CYP3A4 Inhibitors

saquinavir 

may increase the QTc-prolonging effect of each other when combined

chloroquine phosphate 

May enhance the QTc-prolonging effect of each other when combined

dronedarone 

dronedarone: they may increase the QTc-prolonging effect of QTc-prolonging miscellaneous agents

encorafenib 

encorafenib: they may increase the QTc-prolonging effect of QTc-prolonging agents

escitalopram 

escitalopram: they may increase the QTc-prolonging effect of QTc-prolonging Agents

etelcalcetide 

etelcalcetide: they may increase the QTc-prolonging effect of QTc-prolonging agents

flecainide 

flecainide: they may increase the QTc-prolonging effect of QTc-prolonging Agents

fluconazole 

fluconazole: they may increase the QTc-prolonging effect of QTc-prolonging agents

gilteritinib 

gilteritinib: they may increase the QTc-prolonging effect of QTc-prolonging agents

halofantrine 

halofantrine: they may increase the QTc-prolonging effect of QTc-prolonging Agents

imipramine 

imipramine: they may increase the QTc-prolonging effect of QTc-prolonging agents

inotuzumab 

inotuzumab: they may enhance the QTc-prolonging effect of QTc-prolonging agents

pentobarbital

may increase the hypotensive effect of anti-hypertensive agents

lofexidine 

lofexidine: they may increase the QTc-prolonging effect of QTc-prolonging Agents

methadone 

methadone: they may increase the QTc-prolonging effect of QTc -prolonging agents

midostaurin 

midostaurin: they may increase the QTc-prolonging effect of QTc-prolonging Agents

olanzapine 

olanzapine: they may enhance the QTc-prolonging effect of QTc-prolonging Agents

osimertinib 

osimertinib: they may increase the QTc-prolonging effect of QTc-prolonging Agents

propafenone 

propafenone: they may increase the QTc-prolonging effect of QTc-prolonging Agents

propofol 

propofol: they may increase the QTc-prolonging effect of QTc-prolonging Agents

sunitinib 

sunitinib: they may increase the QTc-prolonging effect of QTc-prolonging Agents

toremifene 

toremifene: they may increase the QTc-prolonging effect of QTc-prolonging Agents

vemurafenib 

vemurafenib: they may increase the QTc-prolonging effect of QTc-prolonging Agents

ripretinib 

ripretinib: they may diminish the serum concentration of CYP3A4 Inducers

fluspirilene

may increase the QTc-prolonging effect of each other when combined

ziprasidone

may increase the QTc-prolonging effect of each other when combined

ketazolam

may increase the QTc-prolonging effect of each other when combined

zotepine

may increase the QTc-prolonging effect of each other when combined

lemborexant

may increase the QTc-prolonging effect of each other when combined

hydroxychloroquine

may enhance the QTc-prolonging effect of each other when combined

sparfloxacin

may enhance the QTc-prolonging effect of each other when combined

alfentanil 

alfentanil: they may enhance the serum concentration of CYP3A Inhibitors

avanafil 

avanafil: they may enhance the serum concentration of CYP3A Inhibitors

budesonide 

budesonide: they may enhance the serum concentration of CYP3A Inhibitors

bromocriptine 

bromocriptine: they may enhance the serum concentration of CYP3A Inhibitors

cilostazol 

cilostazol: they may enhance the serum concentration of CYP3A Inhibitors

cisapride 

cisapride: they may enhance the serum concentration of CYP3A Inhibitors

dapoxetine 

dapoxetine: they may enhance the serum concentration of CYP3A Inhibitors

daridorexant 

daridorexant: they may enhance the serum concentration of CYP3A Inhibitors

eliglustat 

eliglustat: they may enhance the serum concentration of CYP3A Inhibitors

encorafenib 

encorafenib: they may enhance the serum concentration of CYP3A Inhibitors

eplerenone 

eplerenone: they may enhance the serum concentration of CYP3A Inhibitors

fentanyl 

fentanyl: they may enhance the serum concentration of CYP3A Inhibitors

ivacaftor 

ivacaftor: they may enhance the serum concentration of CYP3A Inhibitors

lumateperone 

lumateperone: they may enhance the serum concentration of CYP3A Inhibitors

mitapivat 

mitapivat: they may enhance the serum concentration of CYP3A Inhibitors

naloxegol 

naloxegol: they may enhance the serum concentration of CYP3A Inhibitors

omaveloxolone 

omaveloxolone: they may enhance the serum concentration of CYP3A Inhibitors

pexidartinib 

pexidartinib: they may enhance the serum concentration of CYP3A Inhibitors

rimegepant 

rimegepant: they may enhance the serum concentration of CYP3A Inhibitors

suvorexant 

suvorexant: they may enhance the serum concentration of CYP3A Inhibitors

tolvaptan 

tolvaptan: they may enhance the serum concentration of CYP3A Inhibitors

zanubrutinib 

zanubrutinib: they may enhance the serum concentration of CYP3A Inhibitors

arginine 

arginine: they may enhance the serum concentration of CYP2D6 Inhibitors

nicardipine 

nicardipine: they may enhance the serum concentration of CYP2D6 Inhibitors

brimonidine 

brimonidine: they may enhance the serum concentration of CYP2D6 Inhibitors

cimetidine 

cimetidine: they may enhance the serum concentration of CYP2D6 Inhibitors

clopidogrel 

clopidogrel: they may enhance the serum concentration of CYP2D6 Inhibitors

dapoxetine 

dapoxetine: they may enhance the serum concentration of CYP2D6 Inhibitors

diazoxide 

diazoxide: they may enhance the serum concentration of CYP2D6 Inhibitors

eluxadoline 

eluxadoline: they may increase the CNS depressant effect of CNS Depressants

ceritinib 

ceritinib: they may increase the QTc-prolonging effect of QTc-prolonging Agents

afatinib 

afatinib: they may increase the QTc-prolonging effect of QTc-prolonging Agents

pilsicainide hydrochloride 

pilsicainide HCL: they may increase the QTc-prolonging effect of QTc-prolonging Agents

clozapine 

clozapine: they may increase the bradycardic effect of Bradycardia-Causing Agents

secretin 

secretin: they may increase the bradycardic effect of Bradycardia-Causing Agents

sincalide 

sincalide: they may increase the bradycardic effect of Bradycardia-Causing Agents

aclidinium 

aclidinium: they may increase the bradycardic effect of Bradycardia-Causing Agents

cimetropium 

cimetropium: they may increase the bradycardic effect of Bradycardia-Causing Agents

eluxadoline 

eluxadoline: they may increase the bradycardic effect of Bradycardia-Causing Agents

glycopyrrolate 

glycopyrrolate: they may increase the bradycardic effect of Bradycardia-Causing Agents

ipratropium 

ipratropium: they may increase the bradycardic effect of Bradycardia-Causing Agents

levosulpiride 

levosulpiride: they may increase the bradycardic effect of Bradycardia-Causing Agents

atropine 

atropine: they may increase the bradycardic effect of Bradycardia-Causing Agents

oxatomide 

oxatomide: they may increase the bradycardic effect of Bradycardia-Causing Agents

potassium chloride 

potassium chloride: they may increase the bradycardic effect of Bradycardia-Causing Agents

revefenacin 

revefenacin: they may increase the bradycardic effect of Bradycardia-Causing Agents

tiotropium 

tiotropium: they may increase the bradycardic effect of Bradycardia-Causing Agents

umeclidinium 

umeclidinium: they may increase the bradycardic effect of Bradycardia-Causing Agents

aripiprazole lauroxil 

aripiprazole lauroxil: they may enhance the serum concentration of CYP2D6 Inhibitors

brexpiprazole 

brexpiprazole: they may enhance the serum concentration of CYP2D6 Inhibitors

lemborexant 

lemborexant: they may enhance the serum concentration of CYP2D6 Inhibitors

pitolisant 

pitolisant: they may enhance the serum concentration of CYP2D6 Inhibitors

ubrogepant 

ubrogepant: they may enhance the serum concentration of CYP2D6 Inhibitors

caplacizumab 

caplacizumab: they may enhance the serum concentration of CYP2D6 Inhibitors

cilostazol 

cilostazol: they may enhance the serum concentration of CYP2D6 Inhibitors

eliglustat 

eliglustat: they may enhance the serum concentration of CYP2D6 Inhibitors

dextroamphetamine 

dextroamphetamine: they may enhance the serum concentration of CYP2D6 Inhibitors

enoxaparin 

enoxaparin: they may enhance the serum concentration of CYP2D6 Inhibitors

gilteritinib 

gilteritinib: they may enhance the serum concentration of CYP2D6 Inhibitors

fluoxetine 

fluoxetine: they may enhance the serum concentration of CYP2D6 Inhibitors

oxycodone 

oxycodone: they may enhance the serum concentration of CYP2D6 Inhibitors

lomitapide 

lomitamide: they may enhance the serum concentration of CYP2D6 Inhibitors

safinamide 

safinamide: they may enhance the serum concentration of CYP2D6 Inhibitors

aclidinium 

aclidinium: they may enhance the serum concentration of CYP3A Inhibitors

abacavir and lamivudine

may enhance the serum concentration of CYP3A4 inhibitors

lenacapavir

may enhance the serum concentration of CYP3A4 inhibitors

nirmatrelvir/ritonavir

may enhance the serum concentration of CYP3A4 inhibitors

peginterferon alfa-2b

may enhance the serum concentration of CYP3A4 inhibitors

abiraterone

may enhance the serum concentration of CYP3A4 inhibitors

calcium chloride 

calcium chloride: it may increase the risk or severity of QTc prolongation

calcium gluconate 

calcium gluconate: it may increase the risk or severity of QTc prolongation

dapagliflozin 

dapagliflozin: it may increase the risk or severity of QTc prolongation

darunavir 

darunavir: it may increase the risk or severity of QTc prolongation

alprazolam 

alprazolam: it may increase the risk or severity of QTc prolongation

cinnarizine and dimenhydrinate 

this is combination is contraindicated in patients with cardiovascular diosrdrs who are on antiarrhythmic drugs

betony 

betony along with antihypertensive drugs can lower blood pressure abruptly which is contraindicated

bloodroot 

bloodroot along with antihypertensive medications will result in amplified hypotensive effect

bloodroot 

bloodroot along with anti-arrhythmic medications will result in irregularity in heartbeat and bradycardia

deferiprone 

deferiprone: it may increase the bradycardic effect of Bradycardia-Causing Agents

thalidomide 

thalidomide: it may increase the bradycardic effect of Bradycardia-Causing Agents

dexamethasone 

dexamethasone: it may increase the bradycardic effect of Bradycardia-Causing Agents

azelastine 

azelastine: it may increase the bradycardic effect of Bradycardia-Causing Agents

carbinoxamine 

carbinoxamine: it may increase the risk of QTc prolongation agents

capsaicin 

capsaicin: it may increase the risk of QTc prolongation agents

benzydamine 

benzydamine: it may increase the risk of QTc prolongation agents

rosoxacin 

rosoxacin: it may increase the risk of QTc prolongation agents

indoramin

may enhance the antihypertensive effect of other alpha1-Blockers

bunazosin (Not available in the United States)

may enhance the antihypertensive effect of other alpha1-Blockers

terazosin

may enhance the antihypertensive effect of other alpha1-Blockers

prazosin

may enhance the antihypertensive effect of other alpha1-Blockers

alfuzosin

may enhance the antihypertensive effect of other alpha1-Blockers

moexipril

QTc-prolongers increase the effect of other QTc-prolonging agents

voriconazole

QTc-prolongers increase the effect of other QTc-prolonging agents

nelfinavir

QTc-prolongers increase the effect of other QTc-prolonging agents

alfuzosin

QTc-prolongers increase the effect of other QTc-prolonging agents

ergonovine

may increase the levels of serum concentration of ergot derivatives

cabergoline

may increase the levels of serum concentration of ergot derivatives

dihydroergocornine

may increase the levels of serum concentration of ergot derivatives

dihydroergocristine

may increase the levels of serum concentration of ergot derivatives

dihydroergotamine

may increase the levels of serum concentration of ergot derivatives

mibefradil

may increase the QTc-prolonging effect of each other when combined

fluconazole

may increase the QTc-prolonging effect of each other when combined

ritonavir

may increase the QTc-prolonging effect of each other when combined

foscarnet

may increase the QTc-prolonging effect of each other when combined

sorafenib

may increase the QTc-prolonging effect of each other when combined

pimecrolimus topical

may diminish the serum concentration of each other when combined

cyclosporine ophthalmic

may diminish the serum concentration of each other when combined

reslizumab

may diminish the serum concentration of each other when combined

diroximel fumarate

may diminish the serum concentration of each other when combined

efalizumab

may diminish the serum concentration of each other when combined

aceclofenac/rabeprazole

may enhance the serum concentration of each other when combined

dalafampridine

may have an increased hyperkalemic effect when combined with spironolactone

amifampridine

may have an increased hyperkalemic effect when combined with spironolactone

patiromer

may have an increased hyperkalemic effect when combined with spironolactone

terfenadine

it may enhance the QTc-prolonging effect of terfenadine

nilotinib

may enhance the QTc-prolonging effect of Nilotinib

bromeperidol

it decreases the effect of hypotension on blood-lowering agents

aripiprazole 

CYP2D6 inhibitors increase the concentration of aripiprazole in the serum

roflumilast 

they decrease the concentration of active metabolites of roflumilast in the serum

fexinidazole 

it increases the concentration of CYP3A4 substrates in the serum

fusidic acid 

it increases the concentration of CYP3A4 substrates in serum

eletriptan 

may increase the levels of serum concentration of eletriptan

alosetron 

they increase the concentration of alosetron in the serum

fexinidazole 

bradycardia causing agents increase the arrhythmia-causing effect of fexinidazole

moxifloxacin 

may increase the Qtc prolonging effect

acalabrutinib 

may enhance the serum concentration

bromeperidol 

may increase the hypotensive effect of anti-hypertensive agents

moexipril

QTc-prolongers increase the effect of other QTc-prolonging agents

voriconazole

QTc-prolongers increase the effect of other QTc-prolonging agents

nelfinavir

QTc-prolongers increase the effect of other QTc-prolonging agents

alfuzosin

QTc-prolongers increase the effect of other QTc-prolonging agents

dantrolene 

may have an increased hyperkalemic effect when combined with calcium channel blockers

indoramin

may have an increased hypotensive effect when combined with calcium channel blockers

bunazosin (Not available in the United States)

may have an increased hypotensive effect when combined with calcium channel blockers

terazosin

may have an increased hypotensive effect when combined with calcium channel blockers

labetalol 

may have an increased hypotensive effect when combined with calcium channel blockers

prazosin

may have an increased hypotensive effect when combined with calcium channel blockers

infigratinib 

they decrease the concentration of active metabolites of infigratinib in the serum

pimozide 

CYP3A4 inhibitors increase the concentration of pimozide in the serum

iloperidone 

they decrease the concentration of active metabolites of iloperidone in the serum

tafamidis 

may enhance the serum concentration of tafamidis

dantrolene 

May enhance the hyperkalemic effect when combined with Calcium Channel Blockers

citalopram 

may have an increased QTc-prolonging effect when combined with citalopram

entrectinib 

may have an increased QTc-prolonging effect when combined with QT-prolonging agents

fexinidazole 

may have an increased QTc-prolonging effect when combined with QT-prolonging agents

flupentixol 

may have an increased QTc-prolonging effect when combined with flupentixol

nilotinib 

may have an increased QTc-prolonging effect when combined with nilotinib

pazopanib 

may have an increased QTc-prolonging effect when combined with pazopanib

fezolinetant 

may enhance the serum concentration when combined

fexinidazole 

may decrease the therapeutic effect when combined with etofylline

lurbinectedin 

they decrease the concentration of lurbinectedin in the serum

clarithromycin 

QT-prolonging agents (Highest Risk) may increase clarithromycin's ability to prolong QTc

pimozide 

May increase the QTc-prolonging effect of QT-prolonging Agents

sertindole 

may increase the QTc-prolonging effect of QT-prolonging Agents

taurursodiol 

may diminish the concentration of serum when combined with CYP1A2 substrates

agomelatine 

agomelatine: they may enhance the serum concentration of CYP1A2 Inhibitors

duloxetine 

duloxetine: they may enhance the serum concentration of CYP1A2 Inhibitors

melatonin 

melatonin: they may enhance the serum concentration of CYP1A2 Inhibitors

mexiletine 

mexiletine: they may enhance the serum concentration of CYP1A2 Inhibitors

ramelteon 

ramelteon: they may enhance the serum concentration of CYP1A2 Inhibitors

tasimelteon 

tasimelteon: they may enhance the serum concentration of CYP1A2 Inhibitors

promazine 

thiazide and it’s like diuretics increase the effect of QTc prolongation

quinidine gluconate 

May enhance the QTc-prolonging effect of QT-prolonging Class IA Antiarrhythmics

quinidine gluconate 

may increase the serum concentration of each other when combined

nandrolone decanoate

may increase the hypertensive effect when combined with androgens

piperaquine 

piperaquine: they may increase the QTc-prolonging effect of QTc-prolonging Agents

probucol 

probucol: they may increase the QTc-prolonging effect of QTc-prolonging Agents

quetiapine 

quetiapine: they may increase the QTc-prolonging effect of QTc-prolonging Agents

ribociclib 

ribociclib: they may increase the QTc-prolonging effect of QTc-prolonging Agents

sparfloxacin 

sparfloxacin: they may increase the QTc-prolonging effect of QTc-prolonging Agents

thioridazine 

thioridazine: they may increase the QTc-prolonging effect of QTc-prolonging Agents

fexinidazole 

fexinidazole: they may enhance the serum concentration of CYP3A4 inhibitors

fusidic acid 

fusidic acid: they may enhance the serum concentration of CYP3A inhibitors

pyronaridine

May increase the QTc-prolonging effect of each other when combined

atovaquone and proguanil

May increase the QTc-prolonging effect of each other when combined

artemether/lumefantrine

May increase the QTc-prolonging effect of each other when combined

amobarbital

May increase the QTc-prolonging effect of each other when combined

dapsone

May increase the QTc-prolonging effect of each other when combined

mibefradil

may increase the QTc-prolonging effect of each other when combined

magnesium sulfate 

may increase the QTc-prolonging effect of each other when combined

ajmaline

may increase the QTc-prolonging effect of each other when combined

acebutolol

may increase the QTc-prolonging effect of each other when combined

digitoxin

may increase the QTc-prolonging effect of each other when combined

trabectedin 

trabectedin: they may diminish the serum concentration of CYP3A Inhibitors

aprepitant 

aprepitant: they may enhance the serum concentration of CYP3A Inhibitors

asunaprevir 

asunaprevir: they may enhance the serum concentration of CYP3A Inhibitors

bosutinib 

bosutinib: they may enhance the serum concentration of CYP3A Inhibitors

domperidone 

domperidone: they may enhance the serum concentration of CYP3A Inhibitors

elacestrant 

elacestrant: they may enhance the serum concentration of CYP3A Inhibitors

fosaprepitant 

fosaprepitant: they may enhance the serum concentration of CYP3A Inhibitors

ivabradine 

ivabradine: they may enhance the serum concentration of CYP3A Inhibitors

lemborexant 

lemborexant: they may enhance the serum concentration of CYP3A Inhibitors

lomitapide 

lomitapide: they may enhance the serum concentration of CYP3A Inhibitors

methysergide 

methysergide: they may enhance the serum concentration of CYP3A Inhibitors

pacritinib 

pacritinib: they may enhance the serum concentration of CYP3A Inhibitors

sertindole 

sertindole: they may enhance the serum concentration of CYP3A Inhibitors

simeprevir 

simeprevir: they may enhance the serum concentration of CYP3A Inhibitors

sincalide 

sincalide: they may enhance the serum concentration of CYP2D6 Inhibitors

obinutuzumab 

obinutuzumab: they may enhance the serum concentration of CYP2D6 Inhibitors

doxorubicin 

doxorubicin: they may enhance the serum concentration of CYP2D6 Inhibitors

pimozide 

pimozide: they may enhance the serum concentration of CYP2D6 Inhibitors

aclidinium 

aclidinium: they may enhance the serum concentration of CYP2D6 Inhibitors

bromopride 

bromopride: they may enhance the serum concentration of CYP2D6 Inhibitors

cimetropium 

cimetropium: they may enhance the serum concentration of CYP2D6 Inhibitors

glycopyrrolate 

glycopyrrolate: they may enhance the serum concentration of CYP2D6 Inhibitors

ipratropium 

ipratropium: they may enhance the serum concentration of CYP2D6 Inhibitors

levosulpiride 

levosulpiride: they may enhance the serum concentration of CYP2D6 Inhibitors

mavacamten 

mavacamten: they may enhance the serum concentration of CYP2D6 Inhibitors

olopatadine 

olopatadine: they may enhance the serum concentration of CYP2D6 Inhibitors

rasagiline 

rasagiline: they may enhance the serum concentration of CYP2D6 Inhibitors

selegiline 

selegiline: they may enhance the serum concentration of CYP2D6 Inhibitors

amoxicillin 

amoxicillin: it may increase the risk of QTc prolongation agents

anagrelide 

anagrelide: it may increase the risk of QTc prolongation agents

antipyrine 

antipyrine: it may increase the risk of QTc prolongation agents

benzthiazide 

benzthiazide: it may increase the risk of adverse effects with CYP3A inhibitors

betaine   

betaine: it may increase the risk of adverse effects with CYP3A inhibitors

carboplatin 

carboplatin: it may increase the risk of adverse effects with CYP3A inhibitors

carfilzomib 

carfilzomib: it may increase the risk of adverse effects with CYP3A inhibitors

dactinomycin 

dactinomycin: it may increase the risk of adverse effects with CYP3A inhibitors

dapagliflozin 

dapagliflozin: it may increase the risk of adverse effects with CYP3A inhibitors

levodopa

it may enhance the QTc-prolonging effect of QT-Prolonging Anesthetics

ketamine

it may enhance the QTc-prolonging effect of QT-Prolonging Anesthetics

lidocaine

it may enhance the QTc-prolonging effect of QT-Prolonging Anesthetics

morphine

it may enhance the QTc-prolonging effect of QT-Prolonging Anesthetics

procaine benzylpenicillin

it may enhance the QTc-prolonging effect of QT-Prolonging Anesthetics

primidone

may enhance the hypotensive effect of blood Pressure Lowering Agents

phenobarbital

may enhance the hypotensive effect of blood Pressure Lowering Agents

amobarbital

may enhance the hypotensive effect of blood Pressure Lowering Agents

butalbital

may enhance the hypotensive effect of blood Pressure Lowering Agents

butabarbital

may enhance the hypotensive effect of blood Pressure Lowering Agents

mibefradil

QT-prolonging Miscellaneous Agents may enhance the QTc-prolonging effect of anti-arrhythmics

ajmaline

QT-prolonging Miscellaneous Agents may enhance the QTc-prolonging effect of anti-arrhythmics

acebutolol

QT-prolonging Miscellaneous Agents may enhance the QTc-prolonging effect of anti-arrhythmics

dronedarone

QT-prolonging Miscellaneous Agents may enhance the QTc-prolonging effect of anti-arrhythmics

mexiletine

QT-prolonging Miscellaneous Agents may enhance the QTc-prolonging effect of anti-arrhythmics

hydroxychloroquine

QT-prolonging Miscellaneous Agents may enhance the QTc-prolonging effect of Quinolone antibiotics

sparfloxacin

QT-prolonging Miscellaneous Agents may enhance the QTc-prolonging effect of Quinolone antibiotics

indoramin

may enhance the hypotensive effect of calcium channel blockers

bunazosin (Not available in the United States)

may enhance the hypotensive effect of calcium channel blockers

terazosin

may enhance the hypotensive effect of calcium channel blockers

prazosin

may enhance the hypotensive effect of calcium channel blockers

alfuzosin

may enhance the hypotensive effect of calcium channel blockers

ouabain

may enhance the AV-blocking effect of cardiac glycosides

digitoxin

may enhance the AV-blocking effect of cardiac glycosides

digoxin

may enhance the AV-blocking effect of cardiac glycosides

ouabain

may enhance the AV-blocking effect of cardiac glycosides

digitoxin

may enhance the AV-blocking effect of cardiac glycosides

digoxin

may enhance the AV-blocking effect of cardiac glycosides

efonidipine

may increase the hypotensive effect

ropivacaine

may increase the hypotensive effect

halothane

may increase the hypotensive effect

fimasartan

may increase the hypotensive effect

indoramin

may increase the hypotensive effect

mibefradil

they increase the QTc prolongation effect of other QT-prolonging agents

hydroxyzine

they increase the QTc prolongation effect of other QT-prolonging agents

tizanidine

they increase the QTc prolongation effect of other QT-prolonging agents

ibandronate

they increase the QTc prolongation effect of other QT-prolonging agents

trazodone

they increase the QTc prolongation effect of other QT-prolonging agents

estropipate

CYP3A4 inhibitors (Strong) may increase the serum concentration of estrogen related drugs

bazedoxifene/conjugated estrogens

CYP3A4 inhibitors (Strong) may increase the serum concentration of estrogen related drugs

estradiol valerate

CYP3A4 inhibitors (Strong) may increase the serum concentration of estrogen related drugs

synthetic conjugated estrogens, a

CYP3A4 inhibitors (Strong) may increase the serum concentration of estrogen related drugs

synthetic conjugated estrogens, b

CYP3A4 inhibitors (Strong) may increase the serum concentration of estrogen related drugs

botulinum toxin

may enhance the effect of neuromuscular-blocking agents

abobotulinumtoxinA

may enhance the effect of neuromuscular-blocking agents

rimabotulinumtoxinB

may enhance the effect of neuromuscular-blocking agents

daxibotulinumtoxinA

may enhance the effect of neuromuscular-blocking agents

prabotulinumtoxinA

may enhance the effect of neuromuscular-blocking agents

quetiapine

may enhance the effect of antipsychotic agents

thioridazine

may enhance the effect of antipsychotic agents

zotepine

may enhance the effect of antipsychotic agents

cariprazine

may enhance the effect of antipsychotic agents

chlorprothixene

may enhance the effect of antipsychotic agents

chlorpromazine

may enhance the effect of antipsychotic agents

haloperidol

may enhance the effect of antipsychotic agents

pimozide

may enhance the effect of antipsychotic agents

promazine

may enhance the effect of antipsychotic agents

zuclopenthixol

may enhance the effect of antipsychotic agents

ketazolam

may enhance the effect of antipsychotic agents

zotepine

may enhance the effect of antipsychotic agents

lemborexant

may enhance the effect of antipsychotic agents

cariprazine

may enhance the effect of antipsychotic agents

lorpiprazole

may enhance the effect of antipsychotic agents

amisulpride

may enhance the effect of antipsychotic agents

sulpiride

may enhance the effect of antipsychotic agents

sultopride

may enhance the effect of antipsychotic agents

aripiprazole

may enhance the effect of antipsychotic agents

aripiprazole lauroxil

may enhance the effect of antipsychotic agents

asenapine

may enhance the effect of antipsychotic agents

brexpiprazole

may enhance the effect of antipsychotic agents

sertindole

may enhance the effect of antipsychotic agents

ergonovine

may increase the serum concentration of ergot derivatives

ergometrine

may increase the serum concentration of ergot derivatives

methylergometrine

may increase the serum concentration of ergot derivatives

cabergoline

may increase the serum concentration of ergot derivatives

dihydroergocornine

may increase the serum concentration of ergot derivatives

agmatine

may enhance the effect of other bradycardia agents

mibefradil

may enhance the effect of other bradycardia agents

donepezil (Rx)

may enhance the effect of other bradycardia agents

rivastigmine

may enhance the effect of other bradycardia agents

labetalol 

may enhance the effect of other bradycardia agents

amoxapine

may enhance the QTc-prolonging effect of other QT-prolonging Agents

nortriptyline

may enhance the QTc-prolonging effect of other QT-prolonging Agents

apomorphine

may enhance the QTc-prolonging effect of other QT-prolonging Agents

octreotide

may enhance the QTc-prolonging effect of other QT-prolonging Agents

perphenazine

may enhance the hypotensive effect of antipsychotic agents

pimavanserin

may enhance the hypotensive effect of antipsychotic agents

lorpiprazole

may enhance the hypotensive effect of antipsychotic agents

lumateperone

may enhance the hypotensive effect of antipsychotic agents

lurasidone

may enhance the hypotensive effect of antipsychotic agents

paliperidone

may enhance the hypotensive effect of antipsychotic agents

primidone

may have an increased hypotensive effect when combined with anti-hypertensive agents

phenobarbital

may have an increased hypotensive effect when combined with anti-hypertensive agents

amobarbital

may have an increased hypotensive effect when combined with anti-hypertensive agents

butalbital

may have an increased hypotensive effect when combined with anti-hypertensive agents

butabarbital

may have an increased hypotensive effect when combined with anti-hypertensive agents

fluconazole

they increase the risk of other QT prolongers

ritonavir

they increase the risk of other QT prolongers

foscarnet

they increase the risk of other QT prolongers

sorafenib

they increase the risk of other QT prolongers

estropipate

may increase the levels of serum concentration of estrogen derivatives

anastrozole

may increase the levels of serum concentration of estrogen derivatives

bazedoxifene/conjugated estrogens

may increase the levels of serum concentration of estrogen derivatives

esterified estrogens

may increase the levels of serum concentration of estrogen derivatives

estetrol

may increase the levels of serum concentration of estrogen derivatives

ethinyl estradiol

may increase the levels of serum concentration of hormonal contraceptives

etonogestrel

may increase the levels of serum concentration of hormonal contraceptives

ethinylestradiol

may increase the levels of serum concentration of hormonal contraceptives

ethynodiol diacetate

may increase the levels of serum concentration of hormonal contraceptives

pimozide

may have an increased hypotensive effect when combined with antipsychotic agents

risperidone

may have an increased hypotensive effect when combined with antipsychotic agents

promazine

may have an increased hypotensive effect when combined with antipsychotic agents

thioridazine

may have an increased hypotensive effect when combined with antipsychotic agents

zuclopenthixol

may have an increased hypotensive effect when combined with antipsychotic agents

relugolix/​estradiol/​norethindrone

may enhance the hypertensive effect of Androgens

relugolix/estradiol/norethindrone

may enhance the hypertensive effect of Androgens

oxandrolone

may enhance the hypertensive effect of Androgens

nandrolone

may enhance the hypertensive effect of Androgens

fluoxymesterone

may enhance the hypertensive effect of Androgens

perphenazine

may have an increased hypotensive effect when combined with antipsychotic agents

pimavanserin

may have an increased hypotensive effect when combined with antipsychotic agents

chlorpromazine

may have an increased hypotensive effect when combined with antipsychotic agents

pipotiazine

may have an increased hypotensive effect when combined with antipsychotic agents

haloperidol

may have an increased hypotensive effect when combined with antipsychotic agents

iloperidone

may have an increased hypotensive effect when combined with antihypertensive agents

iloprost

may have an increased hypotensive effect when combined with antihypertensive agents

selexipag

may have an increased hypotensive effect when combined with antihypertensive agents

famprofazone

may increase the levels of serum concentration of amphetamines

lisdexamfetamine

may increase the levels of serum concentration of amphetamines

methamphetamine

may increase the levels of serum concentration of amphetamines

dextroamphetamine

may increase the levels of serum concentration of amphetamines

pseudoephedrine

may increase the levels of serum concentration of amphetamines

pancuronium

may have an increased neuromuscular-blocking effect when combined with neuromuscular-blocking agents

botulinum toxin

may have an increased neuromuscular-blocking effect when combined with neuromuscular-blocking agents

abobotulinumtoxinA

may have an increased neuromuscular-blocking effect when combined with neuromuscular-blocking agents

rimabotulinumtoxinB

may have an increased neuromuscular-blocking effect when combined with neuromuscular-blocking agents

daxibotulinumtoxinA

may have an increased neuromuscular-blocking effect when combined with neuromuscular-blocking agents

synthetic conjugated estrogens, a

may increase the serum concentration

synthetic conjugated estrogens, b

may increase the serum concentration

methylergometrine

may increase the serum concentration

lumateperone

may have an increased hypotensive effect when combined with antipsychotic agents

quetiapine

may have an increased hypotensive effect when combined with antipsychotic agents

lurasidone

may have an increased hypotensive effect when combined with antipsychotic agents

promethazine

may have an increased hypotensive effect when combined with antipsychotic agents

mesoridazine

may have an increased hypotensive effect when combined with antipsychotic agents

fluconazole

may increase the QTc-prolonging effect

ritonavir

may increase the QTc-prolonging effect

foscarnet

may increase the QTc-prolonging effect

sorafenib

may increase the QTc-prolonging effect

valrubicin

may increase the levels of serum concentration

doxorubicin

may increase the levels of serum concentration

epirubicin

may increase the levels of serum concentration

mitoxantrone

may increase the levels of serum concentration

mitomycin

may increase the levels of serum concentration

ziv-aflibercept

may increase the levels of serum concentration

tivozanib

may increase the levels of serum concentration

abemaciclib

may increase the levels of serum concentration

acalabrutinib

may increase the levels of serum concentration

bosutinib

may increase the levels of serum concentration

sacituzumab govitecan

may increase the levels of serum concentration

topotecan

may increase the levels of serum concentration

etoposide

may increase the levels of serum concentration

irinotecan

may increase the levels of serum concentration

teniposide

may increase the levels of serum concentration

sacituzumab govitecan

may increase the levels of serum concentrations

topotecan

may increase the levels of serum concentrations

epirubicin

may increase the levels of serum concentrations

etoposide

may increase the levels of serum concentrations

irinotecan

may increase the levels of serum concentrations

ziv-aflibercept

may increase the levels of serum concentration

dacomitinib

may increase the levels of serum concentration

pacritinib

may increase the levels of serum concentration

asciminib

may increase the levels of serum concentration

pemigatinib

may increase the levels of serum concentration

captopril/hydrochlorothiazide

may have an increased bradycardic effect when combined with other antihypertensive drugs

mibefradil

may have an increased bradycardic effect when combined with other antihypertensive drugs

indoramin

may have an increased bradycardic effect when combined with other antihypertensive drugs

minoxidil topical

may have an increased bradycardic effect when combined with other antihypertensive drugs

amlodipine/atorvastatin

may have an increased bradycardic effect when combined with other antihypertensive drugs

perampanel

may increase the levels of serum concentration

riluzole

may increase the levels of serum concentration

tolazoline

They may increase the hypotensive effect when combined with antihypertensive agents

acetaminophen and phenyltoloxamine

may increase the levels of serum concentration

acetaminophen/ibuprofen

may increase the levels of serum concentration

acetaminophen and caffeine

may increase the levels of serum concentration

acetaminophen/pamabrom

may increase the levels of serum concentration

eptinezumab

may increase the levels of serum concentration

acetaminophen and phenyltoloxamine

may increase the levels of serum concentration

acetaminophen/ibuprofen

may increase the levels of serum concentration

acetaminophen and caffeine

may increase the levels of serum concentration

acetaminophen/pamabrom

may increase the levels of serum concentration

aceclofenac

may increase the levels of serum concentration

acemetacin

may increase the levels of serum concentration

antrafenine

may increase the levels of serum concentration

olsalazine

may increase the levels of serum concentration

salicylamide

may increase the levels of serum concentration

remifentanil

may increase the levels of serum concentration

propoxiphene napsylate

may increase the levels of serum concentration

propoxiphene hydrochloride

may increase the levels of serum concentration

bivalirudin

may increase the levels of serum concentration

argatroban

may increase the levels of serum concentration

acenocoumarol

may increase the levels of serum concentration

apixaban

may increase the levels of serum concentration

rivaroxaban

may increase the levels of serum concentration

cinacalcet

may increase the levels of serum concentration

perphenazine

may increase the QTc-prolonging effect

pimavanserin

may increase the QTc-prolonging effect

quetiapine

may increase the QTc-prolonging effect

thioridazine

may increase the QTc-prolonging effect

zotepine

may increase the QTc-prolonging effect

chlorpromazine

may increase the QTc-prolonging effect

haloperidol

may increase the QTc-prolonging effect

pimozide

may increase the QTc-prolonging effect

promazine

may increase the QTc-prolonging effect

zuclopenthixol

may increase the QTc-prolonging effect

pimozide

may increase the QTc-prolonging effect

risperidone

may increase the QTc-prolonging effect

promazine

may increase the QTc-prolonging effect

thioridazine

may increase the QTc-prolonging effect

zuclopenthixol

may increase the QTc-prolonging effect

maralixibat

may have an increased QTc-prolonging effect when combined with QT-prolonging agents

lenacapavir

may have an increased QTc-prolonging effect when combined with QT-prolonging agents

curcumin

may have an increased QTc-prolonging effect when combined with QT-prolonging agents

glecaprevir

may have an increased QTc-prolonging effect when combined with QT-prolonging agents

caspofungin

may have an increased QTc-prolonging effect when combined with QT-prolonging agents

lenacapavir

may increase the serum concentration

abiraterone

may increase the serum concentration

mibefradil

may increase the serum concentration

isoniazid

may increase the serum concentration

mexiletine

may increase the serum concentration

heparin

may enhance the hyperkalemic effect

enoxaparin

may enhance the hyperkalemic effect

selexipag

may enhance the hyperkalemic effect

desmopressin acetate

may increase the serum concentration

conivaptan

may increase the serum concentration

tolvaptan

may increase the serum concentration

amlodipine/atorvastatin

may increase the serum concentration

fluvastatin

may increase the serum concentration

lovastatin

may increase the serum concentration

pitavastatin

may increase the serum concentration

rosuvastatin

may increase the serum concentration

famprofazone

may decrease the antihypertensive effect when combined with antihypertensive agents

lisdexamfetamine

may decrease the antihypertensive effect when combined with antihypertensive agents

methamphetamine

may decrease the antihypertensive effect when combined with antihypertensive agents

dextroamphetamine

may decrease the antihypertensive effect when combined with antihypertensive agents

pseudoephedrine

may decrease the antihypertensive effect when combined with antihypertensive agents

fluspirilene

may have an increased hypotensive effect when combined with antipsychotic agents

ziprasidone

may have an increased hypotensive effect when combined with antipsychotic agents

atomoxetine

may have an increased QTc-prolonging effect when combined with QT-prolonging agents

olanzapine

may have an increased QTc-prolonging effect when combined with QT-prolonging agents

mibefradil

It may enhance the risk of adverse effects when combined with antianginal drugs

levamlodipine (Rx)

It may enhance the risk of adverse effects when combined with antianginal drugs

amlodipine/atorvastatin

It may enhance the risk of adverse effects when combined with antianginal drugs

isradipine

It may enhance the risk of adverse effects when combined with antianginal drugs

lacidipine

It may enhance the risk of adverse effects when combined with antianginal drugs

nandrolone decanoate

may have an increased hypertensive effect when combined with androgens

onabotulinumtoxinA

may have an increased neuromuscular-blocking effect when combined with neuromuscular-blocking agents

opicapone

may increase the hypotensive effect of anti-parkinsonism drugs

rivastigmine

may increase the hypotensive effect of anti-parkinsonism drugs

procyclidine

may increase the hypotensive effect of anti-parkinsonism drugs

biperiden

may increase the hypotensive effect of anti-parkinsonism drugs

benztropine

may increase the hypotensive effect of anti-parkinsonism drugs

indoramin

may increase the hypotensive effect of alpha1-blockers

bunazosin (Not available in the United States)

may increase the hypotensive effect of alpha1-blockers

terazosin

may increase the hypotensive effect of alpha1-blockers

prazosin

may increase the hypotensive effect of alpha1-blockers

imipramine

may increase the hypotensive effect of alpha1-blockers

calcium acetate

may decrease the therapeutic effect of calcium salts

calcium carbonate

may decrease the therapeutic effect of calcium salts

calcium chloride

may decrease the therapeutic effect of calcium salts

calcium citrate

may decrease the therapeutic effect of calcium salts

calcium glucoheptonate

may decrease the therapeutic effect of calcium salts

donepezil

may have an increased bradycardic effect when combined with other bradycardia-causing agents

esketamine intranasal

may enhance the serum concentration

dextromethorphan/bupropion

may enhance the serum concentration

orphenadrine

may enhance the serum concentration

tramadol

may enhance the serum concentration

amantadine

may enhance the serum concentration

tolazoline

may increase the hypotensive effect of alpha1-blockers

indoramin

may increase the hypotensive effect of alpha1-blockers

bunazosin (Not available in the United States)

may increase the hypotensive effect of alpha1-blockers

terazosin

may increase the hypotensive effect of alpha1-blockers

labetalol 

may increase the hypotensive effect of alpha1-blockers

hydroxychloroquine

may have an increased QTc-prolonged effect when combined with chloroquine

sparfloxacin

may have an increased QTc-prolonged effect when combined with chloroquine

timolol

there is a additive effect when beta- antiarrhythmics are combined with antiglaucoma agents

timolol

systemic beta blockade is shown when CYP2D6 inhibtors are combined in use with antiglaucoma agents

levalbuterol

may enhance the serum concentration when combined with propranolol

acebutolol

may enhance the serum concentration when combined with propranolol

betaxolol

may enhance the serum concentration when combined with propranolol

bisoprolol

may enhance the serum concentration when combined with propranolol

carvedilol

may enhance the serum concentration when combined with propranolol

haloperidol

QT-prolonging Agents may enhance the QTc-prolonging effect of haloperidol

levoketoconazole

it may enhance the QTc-prolonging effect of levoketoconazole

alfuzosin

alfuzosin may enhance the hypotensive effect of Blood Pressure Lowering Agents

zotepine

antihypertensive drugs may enhance the hypotensive effect of antipsychotic Agents

cariprazine

antihypertensive drugs may enhance the hypotensive effect of antipsychotic Agents

chlorprothixene

antihypertensive drugs may enhance the hypotensive effect of antipsychotic Agents

lorpiprazole

antihypertensive drugs may enhance the hypotensive effect of antipsychotic Agents

lumateperone

antihypertensive drugs may enhance the hypotensive effect of antipsychotic Agents

zuclopenthixol

antihypertensive drugs may enhance the hypotensive effect of antipsychotic Agents

chlorpromazine

antihypertensive drugs may enhance the hypotensive effect of antipsychotic Agents

haloperidol

antihypertensive drugs may enhance the hypotensive effect of antipsychotic Agents

pimozide

antihypertensive drugs may enhance the hypotensive effect of antipsychotic Agents

promazine

antihypertensive drugs may enhance the hypotensive effect of antipsychotic Agents

fluspirilene

antihypertensive drugs may enhance the hypotensive effect of antipsychotic Agents

ziprasidone

antihypertensive drugs may enhance the hypotensive effect of antipsychotic Agents

ketazolam

antihypertensive drugs may enhance the hypotensive effect of antipsychotic Agents

zotepine

antihypertensive drugs may enhance the hypotensive effect of antipsychotic Agents

lemborexant

antihypertensive drugs may enhance the hypotensive effect of antipsychotic Agents

amisulpride

antihypertensive drugs may enhance the hypotensive effect of antipsychotic Agents

sulpiride

antihypertensive drugs may enhance the hypotensive effect of antipsychotic Agents

sultopride

antihypertensive drugs may enhance the hypotensive effect of antipsychotic Agents

fingolimod

fingolimod may enhance the QTc-prolonging effect of QT-prolonging Agents

fexinidazole

fexinidazole may enhance the QTc-prolonging effect of QT-prolonging Agents

moxifloxacin

may enhance the QTc-prolonging effect of Moxifloxacin

duloxetine

may enhance the QTc-prolonging effect of QT-prolonging Miscellaneous Agents

trazodone

may enhance the QTc-prolonging effect of QT-prolonging Miscellaneous Agents

trimipramine

may enhance the QTc-prolonging effect of QT-prolonging Miscellaneous Agents

venlafaxine

may enhance the QTc-prolonging effect of QT-prolonging Miscellaneous Agents

vilazodone

may enhance the QTc-prolonging effect of QT-prolonging Miscellaneous Agents

mibefradil

QT-prolonging Miscellaneous Agents may enhance the QTc-prolonging effect of anti-arrhythmics

fluconazole

QT-prolonging Miscellaneous Agents may enhance the QTc-prolonging effect of anti-arrhythmics

ritonavir

QT-prolonging Miscellaneous Agents may enhance the QTc-prolonging effect of anti-arrhythmics

foscarnet

QT-prolonging Miscellaneous Agents may enhance the QTc-prolonging effect of anti-arrhythmics

sorafenib

QT-prolonging Miscellaneous Agents may enhance the QTc-prolonging effect of anti-arrhythmics

diphenhydramine/ibuprofen

NSAIDs May diminish the anti-hypertensive effect of Beta-Blockers

meclofenamate

NSAIDs May diminish the anti-hypertensive effect of Beta-Blockers

aspirin

NSAIDs May diminish the anti-hypertensive effect of Beta-Blockers

floctafenine

NSAIDs May diminish the anti-hypertensive effect of Beta-Blockers

sulindac

NSAIDs May diminish the anti-hypertensive effect of Beta-Blockers

aminophylline

may enhance the hypotensive effect of Blood Pressure Lowering Agents

amrinone

may enhance the hypotensive effect of Blood Pressure Lowering Agents

roflumilast

may enhance the hypotensive effect of Blood Pressure Lowering Agents

iloperidone

may enhance the hypotensive effect of Blood Pressure Lowering Agents

iloprost

may enhance the hypotensive effect of Blood Pressure Lowering Agents

selexipag

may enhance the hypotensive effect of Blood Pressure Lowering Agents

primidone

Barbiturates may enhance the hypotensive effect of Blood Pressure Lowering Agents

phenobarbital

Barbiturates may enhance the hypotensive effect of Blood Pressure Lowering Agents

amobarbital

Barbiturates may enhance the hypotensive effect of Blood Pressure Lowering Agents

butalbital

Barbiturates may enhance the hypotensive effect of Blood Pressure Lowering Agents

butabarbital

Barbiturates may enhance the hypotensive effect of Blood Pressure Lowering Agents

lacosamide

may enhance the adverse/toxic effect of lacosamide

methamphetamine

it decreases the efficacy of antihypertensive agents

metamfetamine

it decreases the efficacy of antihypertensive agents

phentermine

it decreases the efficacy of antihypertensive agents

lurasidone

antihypertensive agents increase the efficacy of antipsychotic agents

brigatinib

it decreases the efficacy of antihypertensive agents

duloxetine

antihypertensive agents include the efficacy of duloxetine

flunarizine

it increases the efficacy of antihypertensive agents

methylphenidate

it decreases the efficacy of antihypertensive agents

nitroprusside

antihypertensive agents increase the efficacy of nitroprusside

calcium carbonate

calcium salts reduce the efficacy of calcium channel blockers

calcium chloride

calcium salts reduce the efficacy of calcium channel blockers

calcium citrate

calcium salts reduce the efficacy of calcium channel blockers

calcium glucoheptonate

calcium salts reduce the efficacy of calcium channel blockers

calcium gluconate

calcium salts reduce the efficacy of calcium channel blockers

alfuzosin 

may increase the hypotensive effect

alprazolam 

may enhance the serum concentration

primidone

may increase the hypotensive effect

phenobarbital

may increase the hypotensive effect

amobarbital

may increase the hypotensive effect

butalbital

may increase the hypotensive effect

butabarbital

may increase the hypotensive effect

triazolam 

may enhance the serum concentration of CYP3A4 inhibitors

midazolam 

may enhance the serum concentration of CYP3A4 inhibitors

nicorandil 

may increase the hypotensive effect

ondansetron 

may enhance the Qtc prolonging effect

oxytocin 

may enhance the Qtc prolonging effect

ajmaline 

may enhance the serum concentration

haloperidol 

may enhance the QTc-prolonging effect of haloperidol

clofazimine 

it increases the concentration of CYP3A4 substrates in the serum

roflumilast 

they decrease the concentration of active metabolites of roflumilast in the serum

mibefradil

they increase the QTc prolongation effect of other QT-prolonging agents

hydroxyzine

they increase the QTc prolongation effect of other QT-prolonging agents

tizanidine

they increase the QTc prolongation effect of other QT-prolonging agents

ibandronate

they increase the QTc prolongation effect of other QT-prolonging agents

trazodone

they increase the QTc prolongation effect of other QT-prolonging agents

mirvetuximab soravtansine 

may increase the serum concentration

alosetron 

it increases the concentration of alosetron in the serum

linagliptin 

they decrease the concentration of linagliptin in the serum

latanoprost and timolol 

may enhance the serum concentration

clozapine 

may increase the serum concentration of clozapine

cariprazine 

may increase the levels of serum concentrations of cariprazine

agmatine

may enhance the effect of other bradycardia agents

mibefradil

may enhance the effect of other bradycardia agents

donepezil (Rx)

may enhance the effect of other bradycardia agents

rivastigmine

may enhance the effect of other bradycardia agents

labetalol 

may enhance the effect of other bradycardia agents

ivabradine 

bradycardia-causing agents increase the efficacy of ivabradine

paricalcitol 

may enhance the serum concentration

osilodrostat 

may increase the serum concentration

ospemifene 

may increase the serum concentration of CYP3A4 substrates

testosterone topical 

may increase the hypertensive effect

brimonidine 

may increase the hypotensive effect

levoketoconazole 

QTc-prolongers increase the effect of levoketoconazole

azelastine/fluticasone intranasal 

may enhance the serum concentration

moxifloxacin 

may increase the hypoglycaemic effect

macitentan 

may enhance the serum concentration of macitentan

amoxapine

may enhance the QTc-prolonging effect of other QT-prolonging Agents

nortriptyline

may enhance the QTc-prolonging effect of other QT-prolonging Agents

apomorphine

may enhance the QTc-prolonging effect of other QT-prolonging Agents

octreotide

may enhance the QTc-prolonging effect of other QT-prolonging Agents

lidocaine and chlorhexidine 

may enhance the antiarrhythmic effect

abemaciclib 

may increase the serum concentration of abemaciclib

nortriptyline 

may increase the serum concentration

aspirin/dipyridamole 

may increase the antiplatelet effect of antiplatelet agents

ethacrynic acid

may enhance the hypotensive effect of antihypertensive agents

bumetanide

may enhance the hypotensive effect of antihypertensive agents

muzolimine

may enhance the hypotensive effect of antihypertensive agents

famprofazone

may reduce the effect of antihypertensive drugs

lisdexamfetamine

may reduce the effect of antihypertensive drugs

methamphetamine

may reduce the effect of antihypertensive drugs

dextroamphetamine

may reduce the effect of antihypertensive drugs

pseudoephedrine

may reduce the effect of antihypertensive drugs

efonidipine

may enhance the hypotensive effect

ropivacaine

may enhance the hypotensive effect

halothane

may enhance the hypotensive effect

fimasartan

may enhance the hypotensive effect

indoramin

may enhance the hypotensive effect

benperidol 

may increase the hypotensive effect of anti-hypertensive agents

aclidinium and formoterol 

may increase the QTc prolonging effect of QTc prolonging agents

calcitriol 

may increase the serum concentration

calfactant 

may increase the bradycardic effect of bradycardia-causing agents

benzphetamine 

may decrease the hypertensive effect of amphetamines

benzphetamine 

may increase the serum concentration of amphetamines

azithromycin 

may have an increased QTc-prolonging effect when combined with QT-prolonging antipsychotics

amphetamine 

may decrease the antihypertensive effect when combined with antihypertensive agents

pimozide

may have an increased hypotensive effect when combined with anti-hypertensive agents

risperidone

may have an increased hypotensive effect when combined with anti-hypertensive agents

promazine

may have an increased hypotensive effect when combined with anti-hypertensive agents

thioridazine

may have an increased hypotensive effect when combined with anti-hypertensive agents

zuclopenthixol

may have an increased hypotensive effect when combined with anti-hypertensive agents

atosiban 

may have an increased adverse effect when combined with atosiban

brigatinib 

may decrease the antihypertensive effect when combined with antihypertensive agents

calcium acetate

may decrease the therapeutic effect when combined with calcium channel blockers

calcium carbonate

may decrease the therapeutic effect when combined with calcium channel blockers

calcium chloride

may decrease the therapeutic effect when combined with calcium channel blockers

calcium citrate

may decrease the therapeutic effect when combined with calcium channel blockers

calcium glucoheptonate

may decrease the therapeutic effect when combined with calcium channel blockers

cimetidine 

may enhance the serum concentration when combined with calcium channel blockers

clopidogrel 

may decrease the therapeutic effect when combined with clopidogrel

cyclosporine 

may enhance the serum concentration when combined with cyclosporine

dapoxetine 

may have an increased orthostatic hypotensive effect when combined with calcium channel blockers

dexmethylphenidate 

may decrease the therapeutic effect when combined with antihypertensive agents

artemether/lumefantrine 

may enhance the serum concentration when combined with CYP2D6 substrates

fluconazole

they increase the risk of other QT prolongers

ritonavir

they increase the risk of other QT prolongers

foscarnet

they increase the risk of other QT prolongers

sorafenib

they increase the risk of other QT prolongers

cinacalcet 

may enhance the serum concentrations of CYP2D6 inhibitors

itraconazole 

may increase the level of serum concentration of itraconazole

carbamazepine 

CYP3A4 inhibitors increase the concentration of carbamazepine in the serum

cyclosporine 

CYP3A4 inhibitors increase the concentration of iloperidone in the serum

relugolix/​estradiol/​norethindrone

may have an increased hypertensive effect when combined with Androgens

relugolix/estradiol/norethindrone

may have an increased hypertensive effect when combined with Androgens

oxandrolone

may have an increased hypertensive effect when combined with Androgens

nandrolone

may have an increased hypertensive effect when combined with Androgens

fluoxymesterone

may have an increased hypertensive effect when combined with Androgens

duloxetine 

may have an increased hypotensive effect when combined with duloxetine

fostemsavir 

may increase the QTc prolonging effect of QT-prolonging agents

carteolol ophthalmic 

may enhance the bradycardic effect of bradycardia-causing agents

rivaroxaban 

CYP3A4 inhibitors increase the concentration of rivaroxaban

methohexital 

may increase the hypotensive effect of barbiturates

iloperidone

may have an increased hypotensive effect when combined with anti-hypertensive agents

iloprost

may have an increased hypotensive effect when combined with anti-hypertensive agents

selexipag

may have an increased hypotensive effect when combined with anti-hypertensive agents

levodopa inhaled 

may have an increased hypotensive effect when combined with levodopa-containing products

naftopidil 

may have an increased hypotensive effect when combined with anti-hypertensive agents

nitroprusside 

may have an increased hypotensive effect when combined with nitroprusside

pentoxifylline 

may have an increased hypotensive effect when combined with anti-hypertensive agents

pholcodine 

may have an increased hypotensive effect when combined with pholcodine

tizanidine 

may increase the hypotensive effect of blood pressure lowering agents

tizanidine 

may increase the hypotensive effect of blood pressure lowering agents

tolbutamide 

may increase the hypoglycemic effect of Antidiabetic Agents

lidocaine/tetracaine 

may increase the adverse effect of Antiarrhythmic Agents

lidocaine anesthetic 

may diminish the serum concentration of Lidocaine

lidocaine anesthetic 

may increase the serum concentration of Lidocaine

lidocaine topical 

may have an increasingly adverse effect when combined with antiarrhythmic agents (class Ib)

aminophylline

may have an increased hypotensive effect when combined with antihypertensive agents

apremilast

may have an increased hypotensive effect when combined with antihypertensive agents

amphotericin B deoxycholate 

may increase the hypotensive effect of Hypotension-Associated Agents

promethazine/dextromethorphan 

may increase the serum concentration of Dextromethorphan

pimavanserin 

may increase the levels of serum concentration of pimavanserin

solriamfetol 

may have an increased hypertensive effect when combined with hypertension agents

bendamustine 

may increase the levels of serum concentration

avanafil

may enhance the hypotensive effect

sildenafil

may enhance the hypotensive effect

tadalafil

may enhance the hypotensive effect

udenafil

may enhance the hypotensive effect

vardenafil

may enhance the hypotensive effect

indoramin 

It may increase the hypotensive effect when combined with Antihypertensive Agents

fingolimod 

may have an increased QTc-prolonging effect when combined with QT-prolonging agents

sevoflurane 

may increase the hypotensive effect of Hypotension-Associated Agents

sevoflurane 

may increase the hypotensive effect of Inhalational Anaesthetics

sevoflurane 

may increase the QTc-prolonging effect of QT-Prolonging Inhalational Anesthetics

silodosin 

may have an increased hypotensive effect when combined with antihypertensive agents

flunarizine 

may have an increased therapeutic effect when combined with antihypertensive agents

methylphenidate 

may decrease the antihypertensive effect when combined with antihypertensive agents

maralixibat

may increase the QTc-prolonging effect

lenacapavir

may increase the QTc-prolonging effect

curcumin

may increase the QTc-prolonging effect

glecaprevir

may increase the QTc-prolonging effect

caspofungin

may increase the QTc-prolonging effect

lenacapavir

may increase the QTc-prolonging effect

maralixibat

may increase the QTc-prolonging effect

lenacapavir

may increase the QTc-prolonging effect

diacerein

may increase the QTc-prolonging effect

memantine/donepezil

may increase the QTc-prolonging effect

tranylcypromine

may increase the QTc-prolonging effect

aripiprazole 

may increase the hypotensive effect of Antipsychotic Agents

captopril/hydrochlorothiazide

may have an increased bradycardic effect when combined with other antihypertensive drugs

mibefradil

may have an increased bradycardic effect when combined with other antihypertensive drugs

indoramin

may have an increased bradycardic effect when combined with other antihypertensive drugs

minoxidil topical

may have an increased bradycardic effect when combined with other antihypertensive drugs

amlodipine/atorvastatin

may have an increased bradycardic effect when combined with other antihypertensive drugs

timolol ophthalmic 

may enhance the concentration of serum when combined with timolol

cariprazine

may have an increased hypotensive effect when combined with antipsychotic agents

chlorprothixene

may have an increased hypotensive effect when combined with antipsychotic agents

lorpiprazole

may have an increased hypotensive effect when combined with antipsychotic agents

lumateperone

may have an increased hypotensive effect when combined with antipsychotic agents

lurasidone

may have an increased hypotensive effect when combined with antipsychotic agents

ribociclib 

may increase the levels of serum concentration

triptorelin

may increase the levels of serum concentration

elagolix

may increase the levels of serum concentration

urofollitropin

may increase the levels of serum concentration

gonadoreline hydrochloride

may increase the levels of serum concentration

ganirelix acetate

may increase the levels of serum concentration

ergonovine

may increase the levels of serum concentration

cabergoline

may increase the levels of serum concentration

dihydroergocornine

may increase the levels of serum concentration

dihydroergocristine

may increase the levels of serum concentration

dihydroergotamine

may increase the levels of serum concentration

estropipate

may increase the levels of serum concentration

anastrozole

may increase the levels of serum concentration

bazedoxifene/conjugated estrogens

may increase the levels of serum concentration

synthetic conjugated estrogens, a

may increase the levels of serum concentration

synthetic conjugated estrogens, b

may increase the levels of serum concentration

ethinyl estradiol

may increase the levels of serum concentration

ethinylestradiol

may increase the levels of serum concentration

ethynodiol diacetate

may increase the levels of serum concentration

etonogestrel

may increase the levels of serum concentration

clozapine 

clozapine: they may enhance the serum concentration of CYP1A2 Inhibitors

tacrolimus 

It may enhance the serum concentration when combined with CYP3A4 Inhibitors

tolazoline

They may increase the hypotensive effect when combined with antihypertensive agents

sequelerin

It may increase the hypotensive effect when combined with antihypertensive agents

aripiprazole

It may increase the hypotensive effect when combined with antihypertensive agents

aripiprazole lauroxil

It may increase the hypotensive effect when combined with antihypertensive agents

asenapine

It may increase the hypotensive effect when combined with antihypertensive agents

brexpiprazole

It may increase the hypotensive effect when combined with antihypertensive agents

amisulpride 

It may increase the hypotensive effect when combined with antihypertensive agents

asenapine 

may enhance the concentration of serum when combined with asenapine

acetaminophen/doxylamine/dextromethorphan 

may enhance the serum concentration when combined

abiraterone

it may increase the levels of serum concentration

cyproterone

it may increase the levels of serum concentration

darolutamide

it may increase the levels of serum concentration

dienogest/estradiol valerate

it may increase the levels of serum concentration

flutamide

it may increase the levels of serum concentration

dutasteride

it may increase the levels of serum concentration

finasteride

it may increase the levels of serum concentration

epcoritamab

it may increase the levels of serum concentration

adagrasib

it may increase the levels of serum concentration

imiquimod topical

it may increase the levels of serum concentration

fluorouracil topical

it may increase the levels of serum concentration

peginterferon alfa-2b

it may increase the levels of serum concentration

cyclosporine 

may enhance the serum concentration of cyclosporine

calcipotriene/betamethasone 

may enhance the serum concentration of Vitamin D Analogs

terazosin 

antihypertensive drugs may make terazosin's hypotensive effects worse

arginine 

may have an increased hypotensive effect when combined with antihypertensive agents

atosiban 

may have an increasingly adverse effect when combined with atosiban

cinacalcet

may increase the levels of serum concentration

diazoxide 

may have an increased hypotensive effect when combined with antihypertensive agents

ivabradine 

may have an increased bradycardic effect when combined with ivabradine

anagrelide 

anagrelide: they may enhance serum concentrations of CYP1A2 Inhibitors

bromazepam 

bromazepam: they may enhance the serum concentration of CYP1A2 Inhibitors

clomipramine 

clomipramine: they may enhance the serum concentration of CYP1A2 Inhibitors

flibanserin 

flibanserin: they may enhance the serum concentration of CYP3A Inhibitors

dofetilide 

dofetilide: they may enhance the serum concentration of CYP3A Inhibitors

finerenone (Rx) 

finerenone: they may enhance the serum concentration of CYP3A Inhibitors

ixabepilone 

ixabepilone: they may enhance the serum concentration of CYP3A Inhibitors

levobupivacaine 

levobupivacaine: they may enhance the serum concentration of CYP1A2 Inhibitors

lidocaine 

lidocaine: they may enhance the serum concentration of CYP1A2 Inhibitors

nimodipine 

nimodipine: they may enhance the serum concentration of CYP3A Inhibitors

olanzapine 

olanzapine: they may enhance the serum concentration of CYP1A2 Inhibitors

pentoxifylline 

pentoxifylline: they may enhance the serum concentration of CYP1A2 Inhibitors

ramosetron 

ramosetron: they may enhance the serum concentration of CYP1A2 Inhibitors

riluzole 

riluzole: they may enhance the serum concentration of CYP1A2 Inhibitors

simvastatin 

simvastatin: they may enhance serum concentrations of CYP3A Inhibitors

ropinirole 

ropinirole: they may enhance the serum concentration of CYP1A2 Inhibitors

ropivacaine 

ropivacaine: they may enhance the serum concentration of CYP1A2 Inhibitors

fusidic acid and betamethasone 

may enhance the serum concentration when combined

edrophonium 

may increase the bradycardic effect of each other

gadopentetate dimeglumine 

may have an increased QTc-prolonging effect when combined with gadobenate dimeglumine

prazosin 

prazosin: they may increase the hypotensive effect when combined with antihypertensive agents

mometasone and indacaterol 

may increase the QTc-prolonging effect when combined

macitentan and tadalafil 

may increase the hypotensive effect of Phosphodiesterase 5 Inhibitors

levodopa and benserazide 

may increase the hypotensive effect of Hypotension-Associated Agents

leuprolide and norethindrone 

may increase the QTc-prolonging effect of each other when combined

abametapir 

abametapir with mibefradil may result in an enhance in the concentration serum of mibefradil

abemaciclib 

The serum concentration of abemaciclib can be elevated when used together with mibefradil

abrocitinib 

The combination of mibefradil and abrocitinib can lead to an increase in the concentration serum of mibefradil

acalabrutinib 

acalabrutinib is combined with mibefradil, there is a possibility of an enhanced concentration serum of acalabrutinib

acarbose 

Combining mibefradil with acarbose can elevate the risk or seriousness of hypoglycemia

acebutolol 

acebutolol has the potential to enhance the arrhythmogenic effects of mibefradil

acenocoumarol 

The combination of mibefradil and acenocoumarol might lead to an enhance in the concentration serum of acenocoumarol

tanshinone I

may diminish the effect of antihypertensive activity

rosmarinic acid

may diminish the effect of antihypertensive activity

caryophyllene

may diminish the effect of antihypertensive activity

ursolic acid

may diminish the effect of antihypertensive activity

cepharanthine

may diminish the effect of antihypertensive activity

nebivolol 

CYP2D6 Inhibitors: they may enhance the serum concentration of nebivolol

midodrine 

midodrine: they may increase the bradycardic effect of Bradycardia-Causing Agents

ozanimod 

ozanimod: they may increase the bradycardic effect of Bradycardia-Causing Agents

tofacitinib 

tofacitinib: they may increase the bradycardic effect of Bradycardia-Causing Agents

fluorouracil 

may have an increased QTc-prolonging effect when combined with fluorouracil products

pentamidine 

may have an increased QTc-prolonging effect when combined with pentamidine

pimozide

may have an increased QTc-prolonging effect when combined with QT-prolonging antipsychotics

risperidone

may have an increased QTc-prolonging effect when combined with QT-prolonging antipsychotics

promazine

may have an increased QTc-prolonging effect when combined with QT-prolonging antipsychotics

thioridazine

may have an increased QTc-prolonging effect when combined with QT-prolonging antipsychotics

zuclopenthixol

may have an increased QTc-prolonging effect when combined with QT-prolonging antipsychotics

tolazoline

may increase the serum concentration

captopril/hydrochlorothiazide

may increase the serum concentration

mibefradil

may increase the serum concentration

indoramin

may increase the serum concentration

minoxidil topical

may increase the serum concentration

maralixibat

may increase the serum concentration

lenacapavir

may increase the serum concentration

curcumin

may increase the serum concentration

glecaprevir

may increase the serum concentration

caspofungin

may increase the serum concentration

maralixibat

may increase the serum concentration

lenacapavir

may increase the serum concentration

diacerein

may increase the serum concentration

memantine/donepezil

may increase the serum concentration

tranylcypromine

may increase the serum concentration

primidone

may decrease the serum concentration

phenobarbital

may decrease the serum concentration

carbamazepine

may decrease the serum concentration

efavirenz

may decrease the serum concentration

isoniazid

may decrease the serum concentration

memantine/donepezil

may decrease the serum concentration

donepezil transdermal

may decrease the serum concentration

efavirenz

may decrease the serum concentration

prednisolone

may decrease the serum concentration

somatropin

it may diminish the excretion rate when combined with Growth hormone agonist, resulting in an enhanced serum level

lenograstim

it may diminish the excretion rate when combined with Growth hormone agonist, resulting in an enhanced serum level

macimorelin

it may diminish the excretion rate when combined with Growth hormone agonist, resulting in an enhanced serum level

somatotropin

it may diminish the excretion rate when combined with Growth hormone agonist, resulting in an enhanced serum level

carbetocin 

may decrease the hypotensive effect of Blood Pressure Lowering Agents

carbetocin 

may enhance the QTc-prolonging effect of each other when combined

calcium acetate

they decrease the efficacy of calcium channel blockers

calcium carbonate

they decrease the efficacy of calcium channel blockers

calcium chloride

they decrease the efficacy of calcium channel blockers

calcium citrate

they decrease the efficacy of calcium channel blockers

calcium glucoheptonate

they decrease the efficacy of calcium channel blockers

dyclonine

inhalational anesthetics increase the effect of hypotension of calcium channel blockers

levodopa inhaled

inhalational anesthetics increase the effect of hypotension of calcium channel blockers

isoflurane

inhalational anesthetics increase the effect of hypotension of calcium channel blockers

ketamine

inhalational anesthetics increase the effect of hypotension of calcium channel blockers

morphine

inhalational anesthetics increase the effect of hypotension of calcium channel blockers

magnesium sulfate  

it increases the toxicity of calcium channel blockers

cabergoline 

it increases the toxicity of calcium channel blockers cabergoline

asciminib 

When asciminib is combined with mibefradil, there is a potential for an increase in the concentration serum of mibefradil

amiloride 

The potential for hyperkalemia to occur may be enhanced when amiloride is used concurrently with mibefradil

aminophenazone 

The effectiveness of mibefradil may be diminished when utilized concurrently with aminophenazone

aminophylline 

The combination of mibefradil can lead to an elevation in the concentration serum of aminophylline

amiodarone 

when amiodarone is used in conjunction with mibefradil, The risk or seriousness of adverse events may be enhanced

amisulpride 

The potential for QTc prolongation's risk or seriousness may escalate with the concomitant use of mibefradil and amisulpride

hydroxyzine 

hydroxyzine: they may increase the QTc-prolonging effect of QTc-prolonging Agents

pacritinib 

pacritinib: they may increase the QTc-prolonging effect of QTc-prolonging Agents

clofazimine 

clofazimine: they may enhance the serum concentration of CYP3A inhibitors

mometasone/intranasal 

mometasone (Nasal): they may enhance the serum concentration of CYP3A Inhibitors

nabilone

may decrease the serum concentration when combined with CYP1A2 substrates

cannabidiol

may decrease the serum concentration when combined with CYP1A2 substrates

calcium lactate

they decrease the efficacy of calcium channel blockers

calcium phosphate

they decrease the efficacy of calcium channel blockers

calcium polycarbophil

they decrease the efficacy of calcium channel blockers

hydroxyzine

inhalational anesthetics increase the effect of hypotension of calcium channel blockers

meperidine

inhalational anesthetics increase the effect of hypotension of calcium channel blockers

bupivacaine

inhalational anesthetics increase the effect of hypotension of calcium channel blockers

pilsicainide hydrochloride 

pilsicainide hydrochloride increases the risk of arrhythmia when co-administered with other anti-arrhythmic agents

oxaceprol 

oxaceprol decreases the effect of anti-hypertensives

dutasteride

It may enhance the risk of adverse effects when combined with Androgens

finasteride

It may enhance the risk of adverse effects when combined with Androgens

alfuzosin 

alfuzosin: they may enhance the serum concentration of CYP3A Inhibitors

alitretinoin 

alitretinoin: they may enhance the serum concentration of CYP3A Inhibitors

amiodarone 

amiodarone: they may enhance the serum concentration of CYP3A Inhibitors

amlodipine 

amlodipine: they may enhance the serum concentration of CYP3A Inhibitors

atorvastatin 

atorvastatin: they may enhance the serum concentration of CYP3A Inhibitors

axitinib 

axitinib: they may enhance the serum concentration of CYP3A Inhibitors

barnidipine 

barnidipine: they may enhance the serum concentration of CYP3A Inhibitors

bedaquiline 

bedaquiline: they may enhance serum concentrations of CYP3A Inhibitors

penbutolol

It may enhance the risk of adverse effects when combined with CYP1A2 inhibitors

pindolol

It may enhance the risk of adverse effects when combined with CYP1A2 inhibitors

propranolol

It may enhance the risk of adverse effects when combined with CYP1A2 inhibitors

atomoxetine

may have an increased QTc-prolonging effect when combined with QT-prolonging agents

olanzapine

may have an increased QTc-prolonging effect when combined with QT-prolonging agents

benidipine 

benidipine: they may enhance the serum concentration of CYP3A Inhibitors

buprenorphine 

buprenorphine: they may enhance the serum concentration of CYP3A Inhibitors

cabozantinib 

cabozantinib: they may enhance the serum concentration of CYP3A Inhibitors

clozapine 

clozapine: they may enhance the serum concentration of CYP3A Inhibitors

crizotinib 

crizotinib: they may enhance the serum concentration of CYP3A Inhibitors

isavuconazonium sulfate 

isavuconazonium sulfate: they may diminish serum concentrations of CYP3A Inhibitors

darifenacin 

darifenacin: they may enhance the serum concentration of CYP3A Inhibitors

ebastine 

ebastine: they may enhance the serum concentration of CYP3A Inhibitors

eszopiclone 

eszopiclone: they may enhance the serum concentration of CYP3A inhibitors

fedratinib 

fedratinib: they may enhance the serum concentration of CYP3A inhibitors

felodipine 

felodipine: they may enhance the serum concentration of CYP3A inhibitors

gilteritinib 

gilteritinib: they may enhance the serum concentration of CYP3A inhibitors

lapatinib 

lapatinib: they may enhance the serum concentration of CYP3A inhibitors

manidipine 

manidipine: they may enhance the serum concentration of CYP3A Inhibitors

salmeterol 

salmeterol: they may enhance the serum concentration of CYP3A Inhibitors

mibefradil

It may enhance the risk of adverse effects when combined with antianginal drugs

levamlodipine (Rx)

It may enhance the risk of adverse effects when combined with antianginal drugs

amlodipine/atorvastatin

It may enhance the risk of adverse effects when combined with antianginal drugs

atenolol

It may enhance the risk of adverse effects when combined with antianginal drugs

dalafampridine

It may enhance the risk of adverse effects when combined with antianginal drugs

amitriptyline 

amitriptyline: they may enhance the serum concentration of CYP2D6 Inhibitors

amoxapine 

amoxapine: they may enhance the serum concentration of CYP2D6 Inhibitors

amphetamine 

amphetamine: they may enhance the serum concentration of CYP2D6 Inhibitors

atomoxetine 

atomoxetine: they may enhance the serum concentration of CYP2D6 Inhibitors

bupropion 

bupropion: they may enhance the serum concentration of CYP2D6 Inhibitors

carvedilol 

carvedilol: they may enhance the serum concentration of CYP2D6 Inhibitors

celiprolol 

celiprolol: they may enhance the serum concentration of CYP2D6 Inhibitors

clomipramine 

clomipramine: they may enhance the serum concentration of CYP2D6 Inhibitors

clozapine 

clozapine: they may enhance the serum concentration of CYP2D6 Inhibitors

codeine 

codeine: they may enhance the serum concentration of CYP2D6 Inhibitors

rolapitant 

rolapitant: they may enhance the serum concentration of CYP2D6 Inhibitors

desipramine 

desipramine: they may enhance the serum concentration of CYP2D6 Inhibitors

deutetrabenazine 

deutetrabenazine: they may enhance the serum concentration of CYP2D6 Inhibitors

doxepin 

doxepin: they may enhance the serum concentration of CYP2D6 Inhibitors

flecainide 

flecainide: they may enhance the serum concentration of CYP2D6 Inhibitors

imipramine 

imipramine: they may enhance the serum concentration of CYP2D6 Inhibitors

oliceridine 

oliceridine: they may enhance the serum concentration of CYP2D6 Inhibitors

propafenone 

propafenone: they may enhance the serum concentration of CYP2D6 Inhibitors

propranolol 

propranolol: they may enhance the serum concentration of CYP2D6 Inhibitors

protriptyline 

protriptyline: they may enhance the serum concentration of CYP2D6 Inhibitors

tamsulosin 

tamsulosin: they may enhance the serum concentration of CYP2D6 Inhibitors

tramadol 

tramadol: they may enhance the serum concentration of CYP2D6 Inhibitors

valbenazine 

valbenazine: they may enhance the serum concentration of CYP2D6 Inhibitors

vortioxetine 

vortioxetine: they may enhance the serum concentration of CYP2D6 Inhibitors

zuclopenthixol 

zuclopenthixol: they may enhance the serum concentration of CYP2D6 Inhibitors

molsidomine 

molsidomine: they may decrease the antihypertensive effect of antihypertensive agents

nicergoline 

nicergoline: they may decrease the antihypertensive effect of antihypertensive agents

hydralazine 

hydralazine: they may decrease the antihypertensive effect of antihypertensive agents

amifostine 

amifostine: they may enhance the serum concentration of CYP2D6 Inhibitors

flunarizine 

flunarizine: they may enhance the serum concentration of CYP2D6 Inhibitors

melatonin 

melatonin: they may enhance the serum concentration of CYP2D6 Inhibitors

molsidomine 

molsidomine: they may enhance the serum concentration of CYP2D6 Inhibitors

dimercaprol 

dimercaprol: they may enhance the serum concentration of CYP2D6 Inhibitors

levonorgestrel 

levonorgestrel: they may enhance the serum concentration of CYP2D6 Inhibitors

sulfadiazine

may increase the hypotensive effect of blood pressure lowering agents

sulfamethoxazole

may increase the hypotensive effect of blood pressure lowering agents

paliperidone

may increase the hypotensive effect of antipsychotic agents

perphenazine

may increase the hypotensive effect of antipsychotic agents

donepezil

may have an increased bradycardic effect when combined with other bradycardia-causing agents

quinagolide 

quinagolide: they may increase the hypotensive effect of antihypertensive agents

lacosamide 

adverse effects or toxic effects of lacosamide are increased by antiarrhythmic agents when used in combination

amifampridine 

amifampridine: they may increase the bradycardic effect of Bradycardia-Causing Agents

dipyridamole 

dipyridamole: they may increase the bradycardic effect of Bradycardia-Causing Agents

mirabegron 

mirabegron: they may increase the bradycardic effect of Bradycardia-Causing Agents

nitroglycerin 

nitroglycerin: they may increase the bradycardic effect of Bradycardia-Causing Agents

succinylcholine 

succinylcholine: they may increase the bradycardic effect of Bradycardia-Causing Agents

topiramate 

topiramate: they may increase the bradycardic effect of Bradycardia-Causing Agents

fluorouracil 

fluorouracil: they may increase the bradycardic effect of Bradycardia-Causing Agents

methoxsalen 

methoxsalen: they may increase the bradycardic effect of Bradycardia-Causing Agents

porfimer 

porfimer: they may increase the bradycardic effect of Bradycardia-Causing Agents

tolazoline

may have an increased hypotensive effect when combined with calcium channel blockers

indoramin

may have an increased hypotensive effect when combined with calcium channel blockers

bunazosin (Not available in the United States)

may have an increased hypotensive effect when combined with calcium channel blockers

terazosin

may have an increased hypotensive effect when combined with calcium channel blockers

labetalol 

may have an increased hypotensive effect when combined with calcium channel blockers

zotepine

may have an increased hypotensive effect when combined with anti-hypertensive agents

quinidine 

quinidine: they may enhance the serum concentration of CYP2D6 Inhibitors

butcher’s broom 

butchers broom: they may enhance the serum concentration of CYP2D6 Inhibitors

finerenone 

finerenone: they may enhance the serum concentration of CYP2D6 Inhibitors

alprazolam 

alprazolam: they may enhance the serum concentration of CYP2D6 Inhibitors

ephedrine 

ephedrine: they may enhance the serum concentration of CYP2D6 Inhibitors

kaolin 

kaolin: they may enhance the serum concentration of CYP2D6 Inhibitors

verteporfin 

verteporfin: they may enhance the serum concentration of CYP2D6 Inhibitors

trimipramine 

trimipramine: they may enhance the serum concentration of CYP2D6 Inhibitors

vitamin K1 (phytonadione) 

vitamin K1: they may enhance the serum concentration of CYP2D6 Inhibitors

triazolam 

triazolam: they may enhance the serum concentration of CYP2D6 Inhibitors

alvimopan 

alvimopan: they may enhance the serum concentration of CYP2D6 Inhibitors

chlormethiazole 

chlormethiazole: they may enhance the serum concentration of CYP2D6 Inhibitors

flunitrazepam 

flunitrazepam: they may enhance the serum concentration of CYP2D6 Inhibitors

nalmefene 

nalmefene: they may enhance the serum concentration of CYP2D6 Inhibitors

suvorexant 

suvorexant: they may enhance the serum concentration of CYP2D6 Inhibitors

zolpidem 

zolpidem: they may enhance the serum concentration of CYP2D6 Inhibitors

remifentanil

opioid drugs: they may enhance the serum concentration of CYP2D6 Inhibitors

hydrocodone/pseudoephedrine

opioid drugs: they may enhance the serum concentration of CYP2D6 Inhibitors

codeine

opioid drugs: they may enhance the serum concentration of CYP2D6 Inhibitors

morphine

opioid drugs: they may enhance the serum concentration of CYP2D6 Inhibitors

samidorphan 

samidorphan: they may enhance the serum concentration of CYP2D6 Inhibitors

naltrexone 

naltrexone: they may enhance the serum concentration of CYP2D6 Inhibitors

tranylcypromine

monoamine oxidase inhibitor: they may enhance the serum concentration of CYP2D6 Inhibitors

isocarboxazid

monoamine oxidase inhibitor: they may enhance the serum concentration of CYP2D6 Inhibitors

phenelzine

monoamine oxidase inhibitor: they may enhance the serum concentration of CYP2D6 Inhibitors

rasagiline

monoamine oxidase inhibitor: they may enhance the serum concentration of CYP2D6 Inhibitors

safinamide

monoamine oxidase inhibitor: they may enhance the serum concentration of CYP2D6 Inhibitors

thalidomide 

thalidomide: they may enhance the serum concentration of CYP2D6 Inhibitors

alizapride 

alizapride: they may enhance the serum concentration of CYP2D6 Inhibitors

kava 

kava: they may enhance the serum concentration of CYP2D6 Inhibitors

metyrosine 

metyrosine: they may enhance the serum concentration of CYP2D6 Inhibitors

piribedil 

piribedil: they may enhance the serum concentration of CYP2D6 Inhibitors

anagrelide 

anagrelide: they may enhance the serum concentration of CYP2D6 Inhibitors

belzutifan 

belzutifan: they may enhance the serum concentration of CYP2D6 Inhibitors

medical cannabis 

cannabis: they may enhance the serum concentration of CYP2D6 Inhibitors

dasatinib 

dasatinib: they may enhance the serum concentration of CYP2D6 Inhibitors

etravirine 

etravirine: they may enhance the serum concentration of CYP2D6 Inhibitors

inotersen 

inotersen: they may enhance the serum concentration of CYP2D6 Inhibitors

lithium 

lithium: they may enhance the serum concentration of CYP2D6 Inhibitors

metoprolol 

metoprolol: they may enhance the serum concentration of CYP2D6 Inhibitors

nifedipine 

nifedipine: they may enhance the serum concentration of CYP2D6 Inhibitors

omeprazole 

omeprazole: they may enhance the serum concentration of CYP2D6 Inhibitors

perampanel 

perampanel: they may enhance the serum concentration of CYP2D6 Inhibitors

quetiapine 

quetiapine: they may enhance the serum concentration of CYP2D6 Inhibitors

ramosetron 

ramosetron: they may enhance the serum concentration of CYP2D6 Inhibitors

quinagolide 

quinagolide: they may enhance the serum concentration of CYP2D6 Inhibitors

abametapir

may increase the serum concentration of each other when it is combined

praziquantel

may increase the serum concentration of each other when it is combined

fexinidazole

may increase the serum concentration of each other when it is combined

ivermectin

may increase the serum concentration of each other when it is combined

roflumilast

may have an increased hypotensive effect when combined with antihypertensive agents

aminophylline

may have an increased hypotensive effect when combined with antihypertensive agents

amrinone

may have an increased hypotensive effect when combined with antihypertensive agents

perphenazine

may have an increased hypotensive effect when combined with antipsychotic agents

pimavanserin

may have an increased hypotensive effect when combined with antipsychotic agents

chlorpromazine

may have an increased hypotensive effect when combined with antipsychotic agents

pipotiazine

may have an increased hypotensive effect when combined with antipsychotic agents

haloperidol

may have an increased hypotensive effect when combined with antipsychotic agents

triflupromazine 

an increased risk of hypotension may be seen

moxonidine 

moxonidine: it may decrease activities of antihypertensive drugs

ambrisentan 

ambrisentan: it may decrease activities of antihypertensive drugs

balsalazide 

balsalazide: it may decrease activities of antihypertensive drugs

benorilate 

benorilate: it may decrease activities of antihypertensive drugs

benoxaprofen 

benoxaprofen: it may decrease activities of antihypertensive drugs

carvedilol 

carvedilol: it may decrease activities of antihypertensive drugs

chlorothiazide 

chlorothiazide: it may decrease activities of antihypertensive drugs

celecoxib 

celecoxib: it may decrease activities of antihypertensive drugs

chlorpromazine 

chlorpromazine: it may decrease activities of antihypertensive drugs

amitriptyline 

amitriptyline: it may decrease activities of antihypertensive drugs

rimiterol 

rimiterol: it may decrease activities of antihypertensive drugs

amlodipine 

amlodipine: it may decrease activities of antihypertensive drugs

amoxapine 

amoxapine: it may decrease activities of antihypertensive drugs

anagrelide 

anagrelide: it may decrease activities of antihypertensive drugs

bisoprolol 

bisoprolol: it may decrease activities of antihypertensive drugs

lumateperone

may increase the hypotensive effect of antipsychotic agents

quetiapine

may increase the hypotensive effect of antipsychotic agents

lurasidone

may increase the hypotensive effect of antipsychotic agents

promethazine

may increase the hypotensive effect of antipsychotic agents

mesoridazine

may increase the hypotensive effect of antipsychotic agents

cetirizine 

cetirizine: it may increase the risk or severity of QTc prolongation

atropine 

atropine: it may increase the risk or severity of QTc prolongation

azatadine 

azatadine: it may increase the risk or severity of QTc prolongation

calcium acetate 

calcium acetate: it may increase the risk or severity of QTc prolongation

gallopamil 

gallopamil: it may increase the risk or severity of QTc prolongation

certoparin 

certoparin: it may increase the risk or severity of QTc prolongation

spironolactone and hydrochlorothiazide

may increase the toxicity of the drug by decreasing the renal clearance

amiloride/hydrochlorothiazide

may increase the toxicity of the drug by decreasing the renal clearance

ethacrynic acid

may increase the toxicity of the drug by decreasing the renal clearance

dichlorphenamide

may increase the toxicity of the drug by decreasing the renal clearance

torsemide

may increase the toxicity of the drug by decreasing the renal clearance

fluspirilene

may increase the hypotensive effect of antipsychotic agents

ziprasidone

may increase the hypotensive effect of antipsychotic agents

ketazolam

may increase the hypotensive effect of antipsychotic agents

zotepine

may increase the hypotensive effect of antipsychotic agents

lemborexant

may increase the hypotensive effect of antipsychotic agents

bupleurum 

induction of these enzymes is shown by bupleurum at high doses

amitriptyline 

amitriptyline: it may increase the risk or severity of QTc prolongation agents

berotralstat 

berotralstat: it may increase the risk or severity of QTc prolongation agents

betahistine 

betahistine: it may increase the risk or severity of QTc prolongation agents

acrivastine 

acrivastine: it may increase the risk or severity of QTc prolongation agents

bilastine 

bilastine: it may increase the risk or severity of QTc prolongation agents

bisoprolol 

bisoprolol: it may increase the risk or severity of QTc prolongation agents

bisoxatin 

bisoxatin: it may increase the risk or severity of QTc prolongation agents

amikacin (systemic) 

amikacin: it may increase the risk or severity of QTc prolongation agents

sulfamethoxazole 

sulfamethoxazole: it may increase the risk or severity of QTc prolongation agents

benazepril 

benazepril: it may increase the risk or severity of QTc prolongation agents

bendamustine 

bendamustine: it may increase the risk or severity of QTc prolongation agents

benorilate 

benorilate: it may increase the risk or severity of QTc prolongation agents

benoxaprofen 

benoxaprofen: it may increase the risk or severity of QTc prolongation agents

benserazide 

benserazide: it may increase the risk or severity of QTc prolongation agents

cabergoline 

cabergoline: it may increase the risk or severity of QTc prolongation agents

cabozantinib 

cabozantinib: it may increase the risk or severity of QTc prolongation agents

canagliflozin 

canagliflozin: it may increase the risk or severity of QTc prolongation agents

candesartan cilexetil 

candesartan cilexetil: it may increase the risk or severity of QTc prolongation agents

pamidronate 

pamidronate: it may enhance the bradycardic effect of Bradycardia-Causing Agents

valerian 

valerian: it may enhance the bradycardic effect of Bradycardia-Causing Agents

zoledronic acid 

zoledronic acid: it may enhance the bradycardic effect of Bradycardia-Causing Agents

relebactam 

relebactam: it may decrease the excretion of CYP3A inhibitors

cabotegravir 

cabotegravir: it may decrease the excretion of CYP3A inhibitors

capmatinib 

capmatinib: it may decrease the excretion of CYP3A inhibitors

cefaclor 

cefaclor: it may decrease the excretion of CYP3A inhibitors

cefalotin 

cefalotin: it may decrease the excretion of CYP3A inhibitors

bumetanide 

bumetanide: it may decrease the excretion of CYP3A inhibitors

diclofenac 

diclofenac: it may decrease the excretion of CYP3A inhibitors

dolutegravir 

dolutegravir: it may decrease the excretion of CYP3A inhibitors

emtricitabine 

emtricitabine: it may decrease the excretion of CYP3A inhibitors

ibuprofen 

it may decrease the excretion of CYP3A inhibitors

ketoprofen 

ketoprofen: it may decrease the excretion of CYP3A inhibitors

fluprednisolone 

fluprednisolone: it may increase the risk of adverse effects with CYP3A inhibitors

hydrocodone and homatropine

it may enhance the QTc-prolonging effect

dezocine

it may enhance the QTc-prolonging effect

oxycodone

it may enhance the QTc-prolonging effect

naloxegol

it may enhance the QTc-prolonging effect

oxaprozin

it may enhance the QTc-prolonging effect

hydrocodone and homatropine

it may increase the levels of serum concentration

dezocine

it may increase the levels of serum concentration

oxycodone

it may increase the levels of serum concentration

naloxegol

it may increase the levels of serum concentration

oxaprozin

it may increase the levels of serum concentration

hydrocodone and homatropine

it may increase the levels of serum concentration

dezocine

it may increase the levels of serum concentration

oxycodone

it may increase the levels of serum concentration

naloxegol

it may increase the levels of serum concentration

oxaprozin

it may increase the levels of serum concentration

hydrocodone and homatropine

it may increase the levels of serum concentration

dezocine

it may increase the levels of serum concentration

oxycodone

it may increase the levels of serum concentration

naloxegol

it may increase the levels of serum concentration

oxaprozin

it may increase the levels of serum concentration

lenacapavir

they increase the concentration of active metabolites of CYP3A4 inhibitors in the serum

abiraterone

they increase the concentration of active metabolites of CYP3A4 inhibitors in the serum

mibefradil

they increase the concentration of active metabolites of CYP3A4 inhibitors in the serum

citalopram

they increase the concentration of active metabolites of CYP3A4 inhibitors in the serum

efavirenz

they increase the concentration of active metabolites of CYP3A4 inhibitors in the serum

glasdegib 

they increase the concentration of glasdegib in the serum

lenacapavir

they increase the concentration of active metabolites of CYP3A4 inhibitors in the serum

abiraterone

they increase the concentration of active metabolites of CYP3A4 inhibitors in the serum

mibefradil

they increase the concentration of active metabolites of CYP3A4 inhibitors in the serum

citalopram

they increase the concentration of active metabolites of CYP3A4 inhibitors in the serum

efavirenz

they increase the concentration of active metabolites of CYP3A4 inhibitors in the serum

ubrogepant 

CYP3A4 inhibitors increase the concentration of ubrogepant in the serum

metoclopramide 

they increase the concentration of metoclopramide in the serum

manidipine 

they modify the response of glucose or insulin when taken with manidipine

tamoxifen 

they decrease the concentration of active metabolites of tamoxifen in serum

Actions and Spectrum: 

Action: mibefradil selectively blocks T-type calcium channels in the heart and peripheral blood vessels. Doing so reduces the influx of calcium ions into these cells, leading to vasodilation (widening of blood vessels) and decreased cardiac contractility. The net effect is a reduction in blood pressure and a decrease in the workload on the heart, making it an effective antihypertensive and antianginal agent. 

Spectrum: mibefradil was initially approved to treat hypertension and chronic stable angina. Its unique mechanism of action, particularly its inhibition of T-type calcium channels, made it a promising alternative to other calcium channel blockers. 

 

 

Frequency not defined  

Dyspepsia 

Light-headedness 

Abdominal pain 

Rhinitis 

Leg edema 

headache 

Black Box Warning:  

None  

Contraindication/Caution:  

Hypersensitivity: Individuals with a known hypersensitivity or allergy to mibefradil should not use this medication. 

Concomitant Use with CYP3A4 Inhibitors: mibefradil was known to interact with CYP3A4 inhibitors, such as certain antifungal medications, certain antibiotics, and some HIV protease inhibitors, which could lead to potentially serious adverse effects. Therefore, co-administration with these inhibitors was contraindicated. 

Liver Impairment: mibefradil was known to cause hepatotoxicity (liver toxicity) in some cases, and it was contraindicated in patients with pre-existing liver impairment or liver disease. 

Hypotension: Since mibefradil was a calcium channel blocker, it could potentially cause low blood pressure (hypotension), especially in individuals with already low blood pressure or certain medical conditions. 

Pregnancy warnings:     

Pregnancy category: C 

Lactation: Excreted into human milk is unknown 

Pregnancy Categories:         

Category A: Studies that were well-controlled and met expectations revealed no risk to the fetus in either the first or second trimester. 

Category B: There were a lack of studies on pregnant women and no evidence of risk to the fetus in animal experiments.   

Category C: there was evidence of risk of adverse effects in animal reproduction studies, and no adequate evidence in human studies must take care of potential risks in pregnant women.    

Category D: adequate data with sufficient evidence of human fetal risk from various platforms, but despite the potential risk, and used only in emergency cases for potential benefits.   

Category X: Drugs listed in this category outweigh the risks over benefits. Hence these categories of drugs need to be avoided by pregnant women.    

Category N: There is no data available for the drug under this category

Pharmacology:  

mibefradil is a calcium channel blocker that was used to treat chronic stable angina pectoris and hypertension. 

Pharmacodynamics:  

mibefradil inhibits the influx of calcium ions through T-type calcium channels in cardiac and smooth muscle cells. By blocking these channels, it reduces the entry of calcium into the cells, leading to vasodilation of peripheral arteries and arterioles. This vasodilatory effect reduces peripheral resistance and, subsequently, lowers blood pressure. 

Pharmacokinetics: 

Absorption 

mibefradil was commonly given through oral administration, and its absorption from the gastrointestinal tract was known to be gradual and inconsistent. The rate of absorption could be influenced by the presence of food in the stomach. 

Distribution 

After absorption, mibefradil would enter the bloodstream and be distributed throughout the body. It may bind to plasma proteins, which could influence its distribution to various tissues. 

Metabolism 

mibefradil was primarily metabolized in the liver by the cytochrome P450 enzyme system, specifically CYP3A4. The major metabolite was hydroxy-mibefradil. The metabolism process could influence the drug’s efficacy and potential drug interactions. 

Excretion and Elimination 

The metabolized mibefradil and its metabolites were excreted mainly through the feces (as metabolites) and to a lesser extent through the urine. The drug’s elimination half-life, which is the time it takes for half of the drug to be cleared from the body, could be influenced by its metabolism and excretion rates. 

Administration:  

mibefradil is typically administered orally in the form of tablets or capsules. The medication is usually taken with a glass of water, with or without food, as directed by the healthcare provider. 

Patient information leaflet 

Generic Name: mibefradil 

Why do we use mibefradil?  

Hypertension: mibefradil was used to lower blood pressure by blocking calcium channels in the smooth muscles of blood vessels, leading to relaxation and dilation of the vessels, which helps in reducing blood pressure. 

Chronic Stable Angina: mibefradil was employed in the treatment of chronic stable angina, By dilating the coronary arteries, mibefradil could increase blood supply to the heart and alleviate chest pain associated with angina. 

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    *Redemption of points can occur only through the medtigo marketplace, courses, or simulation system. Money will not be credited to your bank account. 10 points = $1.

All Your Certificates in One Place

When you have your licenses, certificates and CMEs in one place, it's easier to track your career growth. You can easily share these with hospitals as well, using your medtigo app.

Our Certificate Courses