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ziv-aflibercept - medtigo

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ziv-aflibercept

Brand Name :

Zaltrap

Synonyms :

ziv-aflibercept

Class :

Tyrosine Kinase Inhibitor, Anti-neoplastics





No data available for drug.

Actions and Spectrum: 

  • ziv-aflibercept is a medication used to treat certain types of cancer, specifically metastatic colorectal cancer and advanced-stage ovarian cancer. It works by inhibiting the growth and spread of cancer cells by preventing the formation of new blood vessels that tumors need to grow and survive. 
  • ziv-aflibercept is a recombinant fusion protein that binds to and neutralizes vascular endothelial growth factor (VEGF), a protein that promotes the growth of new blood vessels. By neutralizing VEGF, ziv-aflibercept prevents the formation of new blood vessels, limiting the supply of nutrients and oxygen to cancer cells and preventing them from growing and spreading. 
  • In addition to its use in cancer treatment, ziv-aflibercept has been approved to treat certain eye diseases, such as neovascular age-related macular degeneration (AMD) and diabetic macular edema (DME). In these conditions, ziv-aflibercept works by blocking VEGF and preventing the growth of abnormal blood vessels in the eye, which can cause vision loss. 

DRUG INTERACTION

ziv-aflibercept

&

  • 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)
  • rabies immune globulin, human (RIG)
  • 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 (Pending FDA Approval)
  • 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 (Pending FDA Approval)
  • 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-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
  • 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
  • brinzolamide/brimonidine
  • betamethasone topical
  • omaveloxolone
  • bardoxolone
  • allogeneic processed thymus tissue
  • fluocinolone topical
  • tacrolimus topical
  • ruxolitnib topical
  • pimecrolimus topical
  • sofosbuvir, velpatasvir and voxilaprevir
  • sofosbuvir/velpatasvir
  • mitotane
  • elbasvir/​grazoprevir
  • wheat dextrin
  • vanadium
  • iron/folic acid/vitamin/mineral
  • molybdenum
  • sparsentan
  • velmanase alfa-tycv
  • pegcetacoplan
  • ferrous sulfate
  • cyclosporine ophthalmic
  • ferric pyrophosphate
  • ammonium lactate
  • etelcalcetide
  • iodoquinol
  • sucroferric oxyhydroxide
  • doxercalciferol
  • terconazole vaginal
  • cortisone
  • pyronaridine
  • tetrahydrozoline, ophthalmic
  • tenapanor
  • tesamorelin
  • benazepril/hydrochlorothiazide
  • nadolol and bendroflumethiazide
  • spironolactone and hydrochlorothiazide
  • COVID-19 Vaccine, mRNA
  • atosiban
  • bisoprolol and hydrochlorothiazide
  • ephedrine/guaifenesin
  • clonidine/chlorthalidone
  • captopril/hydrochlorothiazide
  • amlodipine/valsartan/hydrochlorothiazide
  • hydrochlorothiazide and irbesartan
  • candesartan/hydrochlorothiazide
  • ciclesonide intranasal
  • cromolyn sodium ophthalmic
  • methyldopa/hydrochlorothiazide
  • valsartan/hydrochlorothiazide
  • hydrochlorothiazide and triamterene
  • moexipril/hydrochlorothiazide
  • mometasone/intranasal
  • ofloxacin ophthalmic
  • cysteamine
  • metoprolol/hydrochlorothiazide
  • amlodipine/olmesartan
  • eprosartan/hydrochlorothiazide
  • amlodipine/telmisartan
  • hydrochlorothiazide/aliskiren
  • betamethasone/clotrimazole
  • telmisartan/hydrochlorothiazide
  • benazepril/amlodipine
  • bezlotoxumab
  • propranolol/hydrochlorothiazide
  • bupropion/naltrexone
  • burosumab
  • acetylcholine chloride intraocular solution
  • bupivacaine and meloxicam
  • budesonide and formoterol (inhalation)
  • valerian
  • entacapone/levodopa/carbidopa
  • carbidopa/levodopa
  • calaspargase pegol
  • cabotegravir
  • cefixime
  • calfactant
  • brinzolamide
  • daprodustat
  • brimonidine and timolol
  • brodalumab
  • buprenorphine and naloxone
  • hydrocortisone acetic acid otic
  • butorphanol
  • butoconazole
  • adapalene and benzoyl peroxide
  • acrivastine and pseudoephedrine
  • neomycin/polymyxin B/bacitracin topical
  • midodrine
  • baloxavir marboxil
  • bacitracin, neomycin, polymyxin B, and hydrocortisone topical
  • avatrombopag
  • glucagon
  • atenolol/chlorthalidone
  • adefovir
  • activated charcoal
  • avalglucosidase alfa
  • aclidinium and formoterol
  • iclaprim (Pending FDA Approval)
  • ampicillin/sulbactam
  • quinupristin/dalfopristin
  • lamivudine/zidovudine/abacavir
  • acetaminophen and caffeine
  • acetaminophen/pamabrom
  • abacavir and lamivudine
  • anifrolumab
  • elacestrant
  • anidulafungin
  • acetohydroxamic acid
  • alogliptin/pioglitazone
  • anthralin
  • pirtobrutinib
  • gabapentin
  • galsulfase
  • gadoterate meglumine
  • ferric gluconate
  • ferric derisomaltose
  • ethanolamine oleate
  • eteplirsen
  • vasopressin
  • desmopressin
  • meropenem/vaborbactam
  • ecallantide
  • econazole topical
  • dornase alfa
  • aspirin/dipyridamole
  • dipyridamole
  • difenoxin and atropine
  • diflorasone
  • difluprednate ophthalmic
  • eptinezumab
  • diethylpropion
  • dexchlorpheniramine
  • dexmethylphenidate
  • serdexmethylphenidate/​dexmethylphenidate
  • bexagliflozin
  • galcanezumab
  • fremanezumab
  • tapinarof topical
  • darifenacin
  • dalbavancin
  • darbepoetin alfa
  • azilsartan
  • colestipol
  • corticorelin
  • crotamiton
  • crofelemer
  • allogeneic cultured keratinocytes/fibroblasts in bovine collagen
  • tapentadol
  • cyclopentolate
  • polymyxin B/bacitracin topical
  • ketoconazole topical
  • tavaborole
  • tagraxofusp
  • crisaborole
  • crizanlizumab
  • satralizumab
  • spinosad
  • sacubitril/valsartan
  • sargramostim
  • sebelipase alfa
  • regadenoson
  • ribociclib/letrozole
  • ragweed allergen extract
  • radium-223 dichloride
  • secnidazole
  • setmelanotide
  • polycarbophil
  • plecanatide
  • sacituzumab govitecan
  • pertuzumab
  • pertuzumab/trastuzumab/hyaluronidase
  • pamidronate
  • halcinonide
  • glecaprevir/​pibrentasvir
  • glucarpidase
  • golodirsen
  • dextrose (antidote)
  • hexaminolevulinate
  • iohexol
  • ferric citrate
  • elapegademase
  • emicizumab
  • erenumab
  • danaparoid
  • dantrolene
  • eflapegrastim
  • edaravone
  • amcinonide
  • carglumic acid
  • alcaftadine ophthalmic
  • agalsidase beta
  • afamelanotide
  • fosdenopterin
  • lidocaine and chlorhexidine
  • levorphanol
  • calcifediol
  • factor VIIa, recombinant
  • triheptanoin
  • peanut oral allergen powder
  • teprotumumab
  • poly-L-lactic acid/carboxymethylcellulose/mannitol
  • xenon Xe 129 hyperpolarized
  • ublituximab
  • anacaulase
  • glatiramer
  • peginterferon beta-1a
  • interferon beta-1a
  • onabotulinumtoxinA
  • cycloserine
  • ethionamide
  • cabotegravir and rilpivirine
  • vericiguat
  • omidenepag isopropyl
  • azelastine/fluticasone intranasal
  • benzyl peroxide
  • vutrisiran
  • brimonidine
  • testosterone topical
  • lenacapavir
  • tebentafusp
  • mosunetuzumab
  • faricimab
  • ganirelix
  • nadofaragene firadenovec
  • ozenoxacin
  • guaifenesin
  • adagrasib
  • guselkumab
  • adalimumab-aacf
  • nonoxynol-9
  • nifurtimox
  • nusinersen
  • nitazoxanide
  • mavacamten
  • calcipotriene
  • bimatoprost
  • obinutuzumab
  • amifostine
  • oxycodone/​aspirin
  • oxycodone/ibuprofen
  • oteseconazole
  • oxychlorosene
  • porfimer
  • pramoxine /hydrocortisone topical
  • podofilox
  • quinapril/hydrochlorothiazide
  • acetaminophen/pamabrom/pyrilamine
  • levobunolol
  • paregoric
  • idursulfase
  • lesinurad and allopurinol
  • latanoprost/​netarsudil ophthalmic
  • lactase enzyme
  • bioadherent oral
  • latanoprost and timolol
  • latanoprostene bunod
  • ledipasvir/sofosbuvir
  • imipenem/cilastatin/relebactam
  • imipenem/cilastatin
  • hemin
  • deucravacitinib
  • house dust mite allergen extract
  • halobetasol topical/tazarotene
  • remimazolam
  • somatropin
  • remifentanil
  • ethotoin
  • etidronate
  • empagliflozin, linagliptin, and metformin
  • elvitegravir/cobicistat/emtricitabine/tenofovir AF
  • empagliflozin/​linagliptin
  • evinacumab
  • finasteride and tadalafil
  • flortaucipir (18F)
  • proparacaine/ fluorescein ophthalmic
  • fluorescein/benoxinate ophthalmic
  • fluphenazine
  • alogliptin/​metformin
  • alogliptin/pioglitazone
  • alitretinoin topical
  • dextrose/ sodium citrate/fructose
  • dasabuvir
  • ombitasvir​/paritaprevir/​ritonavir
  • hydrocodone/​chlorpheniramine/​pseudoephedrine
  • hydroxyamphetamine/​tropicamide
  • acamprosate
  • gadobutrol
  • teclistamab
  • tremelimumab
  • futibatinib
  • etranacogene dezaparvovec
  • olutasidenib
  • naproxen and diphenhydramine
  • naratriptan
  • gadopiclenol
  • gadoxetate
  • gadoversetamide
  • naphazoline/pheniramine
  • naphazoline
  • nalbuphine
  • vosoritide
  • vitamin K1 (phytonadione)
  • moxidectin
  • basiliximab
  • fecal microbiota, live-jslm
  • ibuprofen/famotidine
  • famotidine
  • raxibacumab
  • omalizumab
  • measles, mumps, rubella, and varicella vaccine, live (Rx)
  • senna/docusate
  • dinoprostone
  • measles mumps and rubella vaccine, live
  • immune globulin IM (IGIM)
  • dyclonine
  • doravirine, lamivudine, and tenofovir disoproxil fumarate
  • elexacaftor/tezacaftor/ivacaftor
  • ivacaftor/tezacaftor
  • treosulfan
  • tranexamic acid
  • norethindrone acetate/​estradiol/​elagolix
  • artesunate
  • trientine
  • trifarotene
  • ziconotide
  • vonoprazan/amoxicillin/clarithromycin
  • pyrithione zinc
  • zinc oxide topical
  • naphazoline/​zinc sulfate/​glycerin ophthalmic
  • voretigene neparvovec
  • nirmatrelvir/ritonavir
  • bebetelovimab
  • sodium chloride
  • relugolix/​estradiol/​norethindrone
  • defibrotide
  • prothionamide
  • liraglutide
  • etilfrine
  • alpha-lipoic acid
  • ramosetron
  • olodaterol/tritropium
  • cimetropium
  • umeclidinium
  • itopride
  • secretin
  • naftopidil
  • trimeprazine
  • benperidol
  • chlormethiazole
  • multivitamins
  • secukinumab
  • glycopyrrolate inhaled and formoterol
  • amitriptyline and chlordiazepoxide
  • tirzepatide
  • relugolix/estradiol/norethindrone
  • mupirocin
  • alvimopan
  • chlordiazepoxide
  • insulin regular human
  • insulin aspart protamine/​insulin aspart
  • insulin isophane human/​insulin regular human
  • insulin degludec/insulin aspart
  • teplizumab
  • chlordiazepoxide/clidinium
  • aspirin, sodium bicarbonate, and citric acid
  • aluminum hydroxide, magnesium hydroxide, and simethicone
  • glycopyrrolate inhaled
  • olodaterol/tiotropium
  • umeclidinium bromide
  • timolol/dorzolamide
  • travoprost ophthalmic
  • loxapine
  • eptifibatide
  • hydrocodone/acetaminophen
  • omega 3 fatty acids
  • trandolapril/​verapamil
  • abciximab
  • artificial saliva
  • diphtheria, hepatitis B, pertussis (acellular), polio, and tetanus vaccine
  • diphtheria, haemophilus B, pertussis, polio, tetanus vaccine
  • haemophilus influenzae type b vaccine/hepatitis b vaccine
  • butalbital/aspirin/caffeine 
  • colchicine/probenecid
  • atovaquone and proguanil
  • ursodiol
  • chenodiol
  • casirivimab/imdevimab
  • tixagevimab/cilgavimab
  • molnupiravir
  • bebtelovimab
  • calcium, magnesium, potassium and sodium oxybate
  • sodium oxybate
  • diphtheria, polio, pertussis acellular, tetanus vaccine
  • pseudoephedrine loratadine
  • sodium chloride nasal
  • hydroxychloroquine sulfate
  • atorvastatin and ezetimibe
  • teriparatide
  • alendronate and cholecalciferol
  • alprostadil (IV)
  • romosozumab
  • risedronate
  • alendronate
  • glyburide/metformin
  • clorazepate
  • rosuvastatin/​ezetimibe
  • paclitaxel/encequidar
  • valsartan/amlodipine
  • enalapril/hydrochlorothiazide
  • enalapril and felodipine
  • amiloride/hydrochlorothiazide
  • triamterene/hydrochlorothiazide
  • lisinopril/hydrochlorothiazide
  • tegaserod
  • rhein
  • ritanserin
  • sulfaphenazole
  • sulconazole
  • taurursodiol
  • bromeperidol
  • carbapenems
  • fotemustine
  • difelikefalin
  • bromopride
  • alizapride
  • olopatadine
  • oxomemazine
  • paraldehyde
  • oxcarbazepine
  • kratom
  • elexacaftor
  • oritavancin
  • miocamycin
  • curcumin sulfate
  • seproxetine
  • clotrimazole
  • remacemide
  • piperine
  • ditiocarb
  • danoprevir
  • oxetacaine
  • topiroxostat
  • indisulam
  • tofisopam
  • noscapine
  • thiopental
  • tioconazole
  • nicotinamide
  • rutin
  • mequitazine
  • somatostatin
  • vapreotide
  • econazole
  • saracatinib
  • lestaurtinib
  • efonidipine
  • zimelidine
  • indalpine
  • desvenlafaxine
  • benidipine
  • dapoxetine
  • tesmilifene
  • pergolide
  • sitaxentan
  • resveratrol
  • bifonazole
  • tildipirosin
  • solithromycin
  • selamectin
  • imiquimod topical
  • fluorouracil topical
  • peginterferon alfa-2b
  • interferon alfa-2b
  • alteplase
  • tanshinone I
  • rosmarinic acid
  • caryophyllene
  • ursolic acid
  • cepharanthine
  • veliflapon
  • mirikizumab
  • cp-96345
  • famprofazone
  • peoniflorin
  • fepradinol
  • licofelone
  • polmacoxib
  • ebselen
  • taxifolin
  • betulinic acid
  • flurbiprofen axetil
  • talniflumate
  • morniflumate
  • nitroaspirin
  • firocoxib
  • ns-398
  • cimicoxib
  • robenacoxib
  • sc-236
  • imidazole salicylate
  • trolamine salicylate
  • pirprofen
  • benorilate
  • ethenzamide
  • mofebutazone
  • proquazone
  • carbaspirin calcium
  • guacetisal
  • proglumetacin
  • propyphenazone
  • pranoprofen
  • bendazac
  • tenidap
  • lonazolac
  • nifenazone
  • flunoxaprofen
  • difenpiramide
  • feprazone
  • bufexamac
  • alminoprofen
  • suxibuzone
  • fentiazac
  • tinoridine
  • tepoxalin
  • indobufen
  • flunixin
  • propacetamol
  • clonixin
  • droxicam
  • epirizole
  • etofenamate
  • ibuproxam
  • indoprofen
  • kebuzone
  • felbinac
  • zaltoprofen
  • azapropazone
  • zomepirac
  • niflumic acid
  • magnesium salicylate
  • suprofen
  • nepafenac
  • bromfenac
  • ciprofloxacin and hydrocortisone (otic) (Rx)
  • hydrocortisone/neomycin/polymyxin otic (Rx)
  • vigabatrine
  • valproate
  • tezepelumab (Rx)
  • triamcinolone acetonide/nystatin
  • triamcinolone suprachoroidal (Rx)
  • triamcinolone, intranasal
  • ciclesonide inhaled
  • diosmin
  • tirbanibulin
  • padeliporfin
  • roxadustat
  • aminosalicylic acid
  • rasburicase
  • tetracaine
  • articaine
  • ropivacaine
  • nitrous oxide
  • sulfapyridine
  • sulfanilamide
  • mafenide
  • isometheptene
  • amyl nitrite
  • antipyrine
  • isosorbide dinitrate
  • prilocaine
  • nitroglycerin
  • tobacco
  • batefenterol
  • hexoprenaline
  • pf-00610355
  • racepinephrine
  • protokylol
  • doxofylline
  • phenylpropanolamine
  • isoetharine
  • ephedra sinica root
  • dipivefrin
  • arbutamine
  • norepinephrine
  • fenoterol
  • clenbuterol
  • pirbuterol
  • epinephrine
  • ritodrine
  • procaterol
  • orciprenaline
  • bitolterol
  • abediterol
  • fluticasone furoate, umeclidinium and vilanterol
  • fluticasone furoate and vilanterol
  • mometasone and formoterol
  • pramoxine topical (OTC)
  • menthol/pramoxine (topical)
  • tetrastarch
  • plasma protein fraction
  • hetastarch
  • rokitamycin
  • ridaforolimus
  • oleandomycin
  • patupilone
  • mitemcinal
  • midecamycin
  • mirvetuximab soravtansine
  • lorvotuzumab mertansine
  • kitasamycin
  • flurithromycin
  • eprinomectin
  • epofolate
  • epothilone D
  • coltuximab ravtansine
  • dirithromycin
  • doramectin
  • cethromycin
  • carbomycin
  • paramethasone
  • dexamethasone isonicotinate
  • quinupristin
  • sarilumab
  • dalfopristin
  • curcumin
  • luliconazole
  • procaine
  • chloroprocaine
  • phencyclidine
  • tenocyclidine
  • profenamine
  • halothane
  • lfenprodil
  • calcium levulinate
  • agmatine
  • calcium pangamate
  • calcium glubionate
  • edodekin alfa
  • beloranib
  • aflibercept
  • endostar
  • volociximab
  • roquinimex
  • anecortave acetate
  • squalamine
  • brolucizumab
  • trebananib
  • semaxanib
  • endostatin
  • halofuginone
  • resveratol
  • ranibizumab
  • fumagilin
  • bevacizumab
  • hyperforin
  • aminohippuric acid
  • opicapone
  • pafolacianine
  • bempedoic acid
  • belantamab mafodotin
  • prasterone
  • glecaprevir
  • levomenol
  • parachlorophenol
  • gadoxetic acid
  • cholecystokinin
  • caspofungin
  • ouabain
  • rifampicin
  • taurocholic acid
  • methylphosphinic acid
  • revefenacin
  • isoprenaline
  • posiphen
  • acotiamide
  • triflupromazine
  • pegvisomant
  • pipecuronium
  • regramostim
  • phenserine
  • diethylcarbamazine
  • cinchocaine
  • pancuronium
  • bambuterol
  • hexafluronium
  • aprotinin
  • tyrothricin
  • decamethonium
  • ipidacrine
  • tubocurarine
  • paraoxon
  • ginkgo biloba
  • methanesulfonyl fluoride
  • dichlorvos
  • fenthion
  • metrifonate
  • coumaphos
  • huperzine A
  • distigmine
  • neostigmine
  • isoflurophate
  • tasosartan
  • fimasartan
  • methylthioninium
  • minaprine
  • gallamine triethiodide
  • ambenonium
  • abiraterone
  • mibefradil
  • hydrocortisone (systemic)
  • cetirizine (systemic)
  • Talimogene Laherparepvec
  • Diacerein
  • Magnesium glucoheptonate
  • acyclovir and hydrocortisone
  • acyclovir (ophthalmic)
  • acyclovir (topical)
  • docosanol cream
  • camphor and phenol
  • dolutegravir, abacavir, and lamivudine
  • peramivir
  • lisdexamfetamine
  • ergoloid mesylates
  • memantine/donepezil
  • tranylcypromine
  • isocarboxazid
  • methenamine/sodium salicylate/benzoic acid
  • mometasone topical (Rx)
  • Esketamine intranasal
  • Oracit
  • Shohls Solution
  • sodium lactate
  • sodium citrate
  • lecanemab
  • donepezil (Rx)
  • donepezil transdermal
  • sodium thiosulfate
  • ciclopirox
  • undecylenic acid
  • butenafine
  • calcium and vitamin D
  • zoledronic acid
  • calcitonin salmon
  • pizotifen
  • indoramin
  • salicylic acid acne
  • minoxidil topical
  • adapalene
  • orlistat
  • COVID-19 subunit vaccine
  • amoxicillin /vonoprazan
  • levamlodipine (Rx)
  • Omeprazole, amoxicillin, and clarithromycin
  • simvastatin/ezetimibe
  • amlodipine/atorvastatin
  • amoxicillin and clavulanate potassium
  • lansoprazole, amoxicillin, and clarithromycin
  • noradrenaline
  • carbaryl
  • botulinum toxin
  • atropine
  • artemether/lumefantrine
  • ergonovine
  • bunazosin (Not available in the United States)
  • ibalizumab
  • dolutegravir
  • hydrocodone/pseudoephedrine
  • cetirizine/pseudoephedrine
  • acetaminophen/dextromethorphan/pseudoephedrine/guaifenesin
  • acetaminophen IV/ibuprofen IV (Pending FDA Approval)
  • medroxyprogesterone
  • acetaminophen/caffeine
  • Acetaminophen/magnesium salicylate/pamabrom
  • megestrol
  • pyridoxine (vitamin B6)
  • folic acid-cyanocobalamin-pyridoxine
  • L-methylfolate-pyridoxal 5′-phosphate-methylcobalamine
  • estropipate
  • betamethasone (systemic)
  • dolutegravir and lamivudine
  • zidovudine and lamivudine
  • mineral oil (oral/rectal)
  • regular insulin
  • dextromethorphan/bupropion
  • diphenhydramine/ibuprofen
  • enfuvirtide
  • doxapram
  • methamphetamine
  • dextroamphetamine
  • ephedrine
  • brompheniramine, dextromethorphan and phenylephrine
  • aspirin, chlorpheniramine, and phenylephrine
  • acetaminophen, pheniramine, and phenylephrine
  • chlorpheniramine and phenylephrine
  • guaifenesin and phenylephrine
  • rivastigmine
  • pyridostigmine
  • arecoline
  • physostigmine
  • abobotulinumtoxinA
  • echothiophate iodide
  • malathion
  • glibenclamide
  • rimabotulinumtoxinB
  • pioglitazone
  • daxibotulinumtoxinA
  • prabotulinumtoxinA
  • mepenzolate
  • trospium
  • modafinil
  • budesonide (oral inhalation)
  • budesonide (nasal)
  • budesonide (Topical)
  • vedolizumab
  • hydrocodone and homatropine
  • homatropine ophthalmic
  • methscopolamine
  • oxandrolone
  • nandrolone
  • fluoxymesterone
  • procyclidine
  • biperiden
  • benztropine
  • oxymetholone
  • ipratropium
  • belladonna/opium
  • pilocarpine
  • nicotine intranasal
  • succinylcholine
  • cromolyn sodium
  • mepolizumab
  • palivizumab
  • reslizumab
  • dupilumab
  • potassium iodide
  • beclomethasone (nasal)
  • tetrahydrozoline nasal
  • fluticasone (topical)
  • tecovirimat
  • entacapone
  • vaccinia immune globulin intravenous (Rx)
  • smallpox (vaccinia) vaccine, live
  • terazosin
  • labetalol 
  • smallpox and monkeypox vaccine (live, nonreplicating) (US: Availability limited to health department/CDC expanded access protocol) (Rx)
  • oxymetazoline
  • xylometazoline
  • meclizine
  • prazosin
  • belinostat
  • nabilone
  • tripelennamine
  • bismuth subcitrate, metronidazole and tetracycline
  • levalbuterol
  • rifaximin
  • cotrimoxazole
  • ethacrynic acid
  • senna
  • bisacodyl
  • sodium picosulfate, citric acid, and magnesium oxide
  • kaolin
  • anastrozole
  • docusate
  • cascara
  • dichlorphenamide
  • bismuth subsalicylate
  • methylcellulose
  • magnesium sulfate 
  • talazoparib
  • diphenoxylate/atropine
  • bacillus clausii
  • psyllium
  • bifidobacterium
  • lactobacillus
  • saccharomyces boulardii
  • lanreotide
  • cyproterone
  • ramucirumab (Rx)
  • fidaxomicin
  • tobramycin (systemic)
  • dacomitinib
  • pembrolizumab
  • amikacin (systemic)
  • panitumumab
  • blinatumomab
  • durvalumab
  • olaratumab
  • necitumumab
  • moxetumomab pasudotox
  • mogamulizumab
  • inotuzumab
  • dinutuximab
  • pentamycin
  • dibekacin
  • cemiplimab
  • gemtuzumab
  • demeclocycline
  • omadacycline
  • tobramycin (ophthalmic)
  • sarecycline
  • cefiderocol
  • valrubicin
  • plicamycin
  • denileukin diftitox
  • decitabine
  • niraparib
  • methacholine
  • carbachol
  • bethanechol
  • acetylcholine
  • atezolizumab
  • raloxifene
  • avelumab
  • leucovorin
  • cladabrine
  • pralatrexate
  • meclofenamate
  • pemetrexed
  • ustekinumab
  • diroximel fumarate
  • daratumumab
  • coccidioidin skin test
  • candida albicans extract
  • brewer’s yeast
  • poliovirus vaccine, live, trivalent
  • elotuzumab
  • trimetrexate
  • l-methyl folate
  • methyclothiazide
  • Influenza virus vaccine
  • acitretin
  • tafamidis
  • sapropterin
  • Pidotimod
  • nitisinone
  • mipomersen
  • levetiracetam
  • Inebilizumab
  • Diethylamine salicylate
  • COVID-19 vaccine
  • Cephalothin
  • alitretinoin
  • Alitretinoin
  • methotrexate
  • verteporfin
  • omacetaxine
  • methyl aminolevulinate topical
  • efgartigimod alfa
  • aminolevulinic acid
  • cetuximab
  • streptozocin
  • zoster vaccine recombinant
  • lyme disease vaccine
  • human papillomavirus vaccine
  • daclizumab
  • lomustiine
  • amitriptyline
  • triptorelin
  • Tedizolid
  • rituximab
  • darolutamide
  • altretamine
  • Varicella-zoster vaccine
  • topotecan
  • ajmaline
  • pneumococcal vaccine
  • poliovirus vaccine
  • adenovirus vaccine type 7
  • adenovirus vaccine type 4
  • brincidofovir
  • lenograstim
  • ofatumumab
  • doxorubicin
  • thioguanine
  • tetanus toxoid
  • primidone
  • lipegfilgrastim
  • pegaspargase
  • monomethyl fumarate
  • ibritumomab
  • dimethyl fumarate
  • varicella-zoster vaccine (recombinant)
  • influenza virus vaccine, h5n1, live
  • carmustine
  • influenza virus vaccine (h5n1), adjuvanted
  • influenza a (h5n1) vaccine
  • eluxadoline
  • influenza virus vaccine quadrivalent, adjuvanted
  • idecabtagene vicleucel
  • adenovirus types 4 and 7 live, oral
  • thiotepa
  • tocilizumab
  • levodopa inhaled
  • efalizumab
  • canakinumab
  • aminoglutethimide
  • ado-trastuzumab emtansine
  • adenovirus vaccine
  • zoster vaccine live
  • typhoid vaccine, live
  • influenza virus vaccine, live, trivalent
  • influenza virus vaccine, h1n1, live
  • delavirdine
  • paclitaxel
  • siltuximab
  • miconazole
  • fludarabine
  • epirubicin
  • vinblastine
  • lomustine
  • risankizumab
  • rilonacept
  • pacritinib
  • linezolid
  • griseofulvin
  • vincristine
  • rufinamide
  • phenobarbital
  • nelarabine
  • mitoxantrone
  • mitomycin
  • mitapivat
  • letermovir
  • lasmiditan
  • idarubicin
  • filgrastim
  • elagolix
  • daunorubicin
  • daclatasvir
  • carfilzomib
  • anakinra
  • alefacept
  • thalidomide
  • teriflunomide
  • rubella virus vaccine
  • ozanimod
  • mumps virus vaccine
  • measles virus vaccine
  • golimumab
  • etanercept
  • certolizumab
  • adalimumab
  • etoposide
  • mechlorethamine
  • adenovirus type 7 vaccine
  • melphalan
  • palifermin
  • pimecrolimus
  • ropeginterferon alfa 2b
  • tacrolimus
  • tofacitinib
  • amphotericin B cholesteryl sulfate
  • amphotericin B deoxycholate
  • amphotericin B liposomal
  • amphotericin B phospholipid complex
  • anthrax vaccine adsorbed
  • denosumab
  • diphtheria & tetanus toxoids
  • echinacea
  • haemophilus influenzae type b vaccine
  • hepatitis A vaccine inactivated
  • hepatitis a/b vaccine
  • hepatitis b vaccine
  • HIV vaccine
  • human papillomavirus vaccine, quadrivalent
  • hydroxyurea
  • influenza virus vaccine (H5N1)
  • influenza virus vaccine trivalent
  • influenza virus vaccine trivalent, adjuvanted
  • influenza virus vaccine trivalent, recombinant
  • meningococcal A C Y and W-135 diphtheria conjugate vaccine
  • meningococcal A C Y and W-135 polysaccharide vaccine combined
  • meningococcal group B vaccine
  • ofatumumab SC
  • pneumococcal vaccine 13-valent
  • pneumococcal vaccine heptavalent
  • pneumococcal vaccine polyvalent
  • poliovirus vaccine inactivated
  • rabies vaccine
  • sipuleucel-T
  • trastuzumab
  • trastuzumab deruxtecan
  • eslicarbazepine acetate
  • vitamin A
  • rifampin
  • belzutifan
  • belimumab
  • belatacept
  • armodafinil
  • amobarbital
  • alemtuzumab
  • ocrelizumab
  • nivolumab
  • natalizumab
  • fingolimod
  • desogestrel
  • butalbital
  • brexanolone
  • zoster vaccine
  • yellow fever vaccine
  • varicella virus vaccine
  • smallpox vaccine
  • rotavirus vaccine
  • rubella vaccine
  • influenza virus vaccine quadrivalent
  • atracurium
  • dengue vaccine
  • tisagenlecleucel
  • lisocabtagene maraleucel
  • ciltacabtagene autoleucel
  • brexucabtagene autoleucel
  • axicabtagene ciloleucel
  • chlorambucil
  • ethinyl estradiol
  • dicumarol
  • atenolol
  • anisindione
  • penicillin G benzathine
  • sequelerin
  • chloramphenicol
  • heparin
  • enoxaparin
  • dalteparin
  • bivalirudin
  • argatroban
  • willow bark
  • bazedoxifene/conjugated estrogens
  • aspirin rectal
  • aspirin/citric acid/sodium bicarbonate
  • aspirin
  • ganaxolone
  • erythromycin stearate
  • erythromycin lactobionate
  • erythromycin ethylsuccinate
  • elbasvir/grazoprevir
  • daridorexant
  • cholera vaccine
  • lumacaftor/ivacaftor
  • dienogest/estradiol valerate
  • zafirlukast
  • urofollitropin
  • tralokinumab
  • torsemide
  • tazarotene
  • pseudoephedrine
  • propoxiphene napsylate
  • propoxiphene hydrochloride
  • oxyphencyclimine hydrochloride
  • oxymetazoline hydrochloride
  • naxitamab
  • nandrolone decanoate
  • methylphenidate
  • methocarbamol
  • idoxuridine
  • hyaluronidase
  • hyaluronic acid
  • gonadoreline hydrochloride
  • glycopyrrolate
  • ganirelix acetate
  • gallium citrate
  • fulvestrant
  • fexofenadine hydrochloride
  • fenefluramine hydrochloride
  • febuxostat
  • famciclovir
  • ergocalciferol
  • divalproex sodium
  • diclorfenamide
  • dezocine
  • desmopressin acetate
  • demeclocycline hydrochloride
  • defibrotide sodium
  • deferiprone
  • deferasirox
  • daunorubicin hydrochloride
  • darunavir
  • darifenacin hydrobromide
  • daptomycin
  • dapsone
  • dantrolene sodium
  • danazol
  • dalafampridine
  • dalbavancin Hydrochloride
  • daclatasvir dihydrochloride
  • dactinomycin
  • dacitabine
  • cefiderocol sulfate tosylate
  • butoconazole nitrate
  • benralizumab (Rx)
  • albuterol
  • acetylcysteine
  • acebutolol
  • acam2000
  • abrocitinib
  • abatacept
  • abametapir
  • abaloparatide
  • chloroquine
  • ferric maltol
  • lorlatinib
  • piracetam
  • timolol
  • chlorothiazide
  • ferric pyrophosphate citrate
  • lornoxicam
  • piretanide
  • tinidazole
  • chloroxylenol
  • ferric sulfate
  • lorpiprazole
  • pirfenidone
  • tiopronin
  • chlorpheniramine
  • ferrous bisglycinate
  • losartan
  • piroxicam
  • tiotropium
  • chlorpromazine
  • ferrous fumarate
  • lovastatin
  • pitavastatin
  • tipranavir
  • chlorpropamide
  • ferrous gluconate
  • loxoprofen
  • pitolisant
  • tirofiban
  • chlorprothixene
  • ferrous succinate
  • lubiprostone
  • pivampicillin
  • tisotumab vedotin
  • chlorthalidone
  • ferrous sulfate anhydrous
  • lumateperone
  • pivmecillinam
  • tixocortol
  • chlorzoxazone
  • ferumoxides
  • lumefantrine
  • plazomicin
  • tizanidine
  • abiraterone
  • cholecalciferolc
  • ferumoxsil
  • lumiracoxib
  • plerixafor
  • tobramycin (oral inhalation)
  • acalabrutinib
  • choline c 11
  • ferumoxytol
  • lurasidone
  • polatuzumab vedotin
  • tocainide
  • acarbose
  • choline magnesium trisalicylate
  • fesoterodine
  • lurbinectedin
  • polythiazide
  • tocofersolan
  • aceclofenac
  • choline salicylate
  • fexinidazole
  • lynestrenol
  • pomalidomide
  • tocopherol
  • acemetacin
  • chondroitin sulfate
  • finasteride
  • macimorelin
  • ponatinib
  • acenocoumarol
  • chromic chloride
  • finerenone (Rx)
  • macitentan
  • ponesimod
  • tolazamide
  • acetaminophen
  • chromic nitrate
  • fish oil
  • magaldrate
  • posaconazole
  • tolbutamide
  • acetazolamide
  • chromium
  • flavoxate
  • magnesium
  • potassium
  • tolcapone
  • acetohexamide
  • chromium gluconate
  • flecainide
  • magnesium carbonate
  • potassium acetate
  • tolfenamic acid
  • acetylsalicylic acid
  • chromium nicotinate
  • flibanserin
  • magnesium chloride
  • potassium bicarbonate
  • tolmetin
  • acipimox
  • chromous sulfate
  • floctafenine
  • magnesium citrate
  • potassium cation
  • tolterodine
  • aclidinium
  • ciclesonide
  • florbetaben (18f)
  • magnesium gluconate
  • potassium chloride
  • tolvaptan
  • acrivastine
  • cidofovir
  • florbetapir (18f)
  • magnesium hydroxide
  • potassium citrate
  • topiramate
  • acyclovir
  • cilazapril
  • floxuridine
  • magnesium oxide
  • potassium nitrate
  • adefovir dipivoxil
  • cilostazol
  • flucloxacillin
  • magnesium silicate
  • potassium perchlorate
  • torasemide
  • adenosine
  • cimetidine
  • fluconazole
  • potassium sulfate
  • toremifene
  • agomelatine
  • cinacalcet
  • flucytosine
  • magnesium trisilicate
  • tositumomab
  • albendazole
  • cinnarizine
  • fludeoxyglucose (18f)
  • mangafodipir
  • pralidoxime
  • trabectedin
  • albiglutide
  • cinoxacin
  • fludrocortisone
  • manidipine
  • pralsetinib
  • tramadol
  • albutrepenonacog alfa
  • ciprofibrate
  • fluindione
  • mannitol
  • pramipexole
  • trametinib
  • alclofenac
  • cisapride
  • flumazenil
  • maprotiline
  • pramlintide
  • trandolapril
  • aldesleukin
  • cisplatin
  • flumethasone
  • maraviroc
  • prasugrel
  • trastuzumab emtansine
  • alectinib
  • citalopram
  • flunarizine
  • maribavir
  • pravastatin
  • trazodone
  • alendronic acid
  • cladribine
  • flunisolide
  • mebeverine
  • prazepamb
  • treprostinil
  • alfentanil
  • clarithromycin
  • flunitrazepam
  • mecamylamine
  • praziquantel
  • tretinoin
  • alfuzosin
  • clemastine
  • fluocinolone acetonide
  • mecasermin
  • prednisolone
  • triamcinolone
  • alimemazine
  • clevidipine
  • fluocinonide
  • meclofenamic acid
  • prednisolone acetate
  • triamterene
  • aliskiren
  • clindamycin
  • fluocortolone
  • medrogestone
  • prednisolone phosphate
  • triazolam
  • allopurinol
  • clobazam
  • fluorouracil
  • medroxyprogesterone acetate
  • prednisone (Rx)
  • trichlormethiazide
  • almasilate
  • clobetasol propionate
  • fluoxetine
  • mefenamic acid
  • prednisone acetate
  • triclabendazole
  • almotriptan
  • clofarabine
  • flupentixol
  • mefloquine
  • pregabalin
  • triethylenetetramine
  • alogliptin
  • clofazimine
  • fluprednisolone
  • megestrol acetate
  • pregnenolone
  • trifluoperazine
  • alosetron
  • clofibrate
  • flurazepam
  • melatonin
  • prenylamine
  • trifluridine
  • alpelisib
  • clomipramine
  • flurbiprofen
  • meloxicam
  • pretomanid
  • trilaciclib
  • alprazolam
  • fluspirilene
  • memantine
  • primaquine
  • trilostane
  • clonidine
  • flutamide
  • menthyl salicylate
  • probenecid
  • trimebutine
  • aluminium phosphate
  • clopidogrel
  • fluticasone (nasal)
ziv-aflibercept + 

deferiprone 

may increase the neutropenic effect of myelosuppressive agents

ropeginterferon alfa 2b 

may increase the myelosuppressive effect of myelosuppressive agents

ibutilide 

may increase the QTc prolonging effect of QT-prolonging agents

bcg vaccine 

may decrease the therapeutic effect of myelosuppressive agents

cladribine 

may increase the myelosuppressive effect of myelosuppressive agents

fexinidazole 

may increase the toxic effect of myelosuppressive agents

balsalazide

may increase the myelosuppressive effect of myelosuppressive agents

sulfasalazine

may increase the myelosuppressive effect of myelosuppressive agents

abiraterone

may increase the hypertensive effect of hypertension-associated agents

cyproterone

may increase the hypertensive effect of hypertension-associated agents

darolutamide

may increase the hypertensive effect of hypertension-associated agents

dienogest/estradiol valerate

may increase the hypertensive effect of hypertension-associated agents

bicalutamide

may increase the hypertensive effect of hypertension-associated agents

solriamfetol 

may increase the hypertensive effect of hypertension-associated agents

desflurane 

may increase the arrhythmogenic effect of Inhalational Anaesthetics

lenacapavir

may increase the levels of serum concentration

abiraterone

may increase the levels of serum concentration

mibefradil

may increase the levels of serum concentration

isoniazid

may increase the levels of serum concentration

mexiletine

may increase the levels of serum concentration

lenacapavir

may increase the levels of serum concentration

abiraterone

may increase the levels of serum concentration

mibefradil

may increase the levels of serum concentration

citalopram

may increase the levels of serum concentration

efavirenz

may increase the levels of serum concentration

maralixibat

may increase the levels of serum concentration

lenacapavir

may increase the levels of serum concentration

curcumin

may increase the levels of serum concentration

glecaprevir

may increase the levels of serum concentration

caspofungin

may increase the levels of serum concentration

maralixibat

may increase the levels of serum concentration

lenacapavir

may increase the levels of serum concentration

diacerein

may increase the levels of serum concentration

memantine/donepezil

may increase the levels of serum concentration

tranylcypromine

may increase the levels of serum concentration

primidone

may decrease the levels of serum concentration

phenobarbital

may decrease the levels of serum concentration

carbamazepine

may decrease the levels of serum concentration

efavirenz

may decrease the levels of serum concentration

isoniazid

may decrease the levels of serum concentration

memantine/donepezil

may decrease the levels of serum concentration

donepezil transdermal

may decrease the levels of serum concentration

efavirenz

may decrease the levels of serum concentration

prednisolone

may decrease the levels of serum concentration

 

Dosage Forms & Strengths 

injectable solution 

25mg/mL 

Colorectal Cancer 

Indicated for metastatic colorectal cancer that is resistant to or has advanced after receiving oxaliplatin, it is recommended in conjunction with 5-fluorouracil, leucovorin, and irinotecan (FOLFIRI):


4mg/kg intravenous every two weeks
On the day of therapy, give before any FOLFIRI regimen component



 

Safety and efficacy not established 

 

Refer adult dosing 

Frequency defined 

>10% 

All grades 

Diarrhea (69%) 

Proteinuria (62%) 

ALT increased (50%) 

Thrombocytopenia (48%) 

Hypertension (41%) 

Decreased appetite (32%) 

Epistaxis (28%) 

Dysphonia (25%) 

Asthenia (18%) 

Dyspnea (12%) 

Upper abdominal pain (11%) 

Leukopenia (78%) 

Neutropenia (67%) 

AST increased (62%) 

Stomatitis (50%) 

Fatigue (48%) 

Decreased weight (32%) 

Abdominal pain (27%) 

Increased serum creatinine (23%)  

Grades 3 to 4 

Diarrhea (19%) 

Leukopenia (16%) 

Fatigue (13%) 

Neutropenia (37%) 

Hypertension (19%) 

Stomatitis (13%) 

Palmar-plantar erythrodysesthesia syndrome (11%) 

1-10% 

All grades 

Oropharyngeal pain (8%) 

Venous thromboembolic events (9%) 

Rectal bleeding (5%) 

Pulmonary embolism (5%) 

Urinary tract infection (9%) 

Skin hyperpigmentation (8%) 

Hemorrhoids (6%) 

Proctalgia (5%)  

Grades 3-4 

Asthenia (5%) 

Palmar-plantar erythrodysesthesia syndrome (3%) 

AST increased (3%) 

Decreased weight (3%) 

Upper abdominal pain (1%) 

Proteinuria (8%) 

Abdominal pain (4%) 

Thrombocytopenia (3%) 

ALT increased (3%) 

Decreased appetite (3%) 

<1% 

Grades 3-4 

Rectal bleeding (0.7%) 

Proctalgia (0.3%) 

Oropharyngeal pain (0.2%) 

Dyspnea (0.8%) 

Dysphonia (0.5%) 

Epistaxis (0.2%) 

Post-marketing Reports 

Aneurysms 

Arterial (including aortic) 

Dissections and rupture 

Contraindications/caution: 

Contraindications: 

ziv-aflibercept is contraindicated in patients with a previous severe allergic reaction to ziv-aflibercept or any of its components 

Caution: 

  • Bleeding: ziv-aflibercept can increase the risk of bleeding, especially in patients taking blood-thinning medications. Patients should be closely monitored for signs of bleeding, such as easy bruising or bleeding gums. 
  • Hypertension: ziv-aflibercept can cause an increase in blood pressure, which can lead to complications such as heart attack or stroke. Patients should have their blood pressure regularly monitored during treatment. 
  • Gastrointestinal perforation: ziv-aflibercept can increase the risk of gastrointestinal perforation, a hole in the wall of the stomach or intestines. Patients should be monitored for symptoms such as severe abdominal pain, nausea, and vomiting. 
  • Impaired wound healing: ziv-aflibercept can impair the healing of wounds, including surgical incisions. Patients should inform their doctor if they have any upcoming surgeries. 
  • Pregnancy and breast-feeding: ziv-aflibercept may harm an unborn baby and is not recommended for use during pregnancy. It is also unknown if it passes into breast milk and could harm a nursing baby. Patients should discuss the risks and benefits of using ziv-aflibercept during pregnancy and breastfeeding with their doctor. 
  • Allergic reactions: Some patients may experience an allergic reaction to ziv-aflibercept. Signs of an allergic reaction include difficulty breathing, swelling of the face, lips, tongue, or throat, and hives or rash. Patients should seek immediate medical attention if they experience any of these symptoms. 

Pregnancy consideration: ziv-aflibercept may harm an unborn baby and is not recommended during pregnancy. 

Lactation:  

  • Excretion of the drug in human breast milk is unknown 
  • It is recommended that women who are breastfeeding not receive ziv-aflibercept unless the potential benefit justifies the potential risk to the infant. 

Pregnancy category: 

Category A: well-controlled and Satisfactory studies show no risk to the fetus in the first or later trimester.   

Category B: there was no evidence of risk to the fetus in animal studies, and there were not enough studies on pregnant women. 

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: 

ziv-aflibercept is a medication used to treat certain types of cancer, including colorectal, lung, and ovarian cancer. It works by blocking the growth of blood vessels that supply tumors with nutrients and oxygen, slowing down or stopping the growth of cancer cells.  

The pharmacology of ziv-aflibercept involves several vital mechanisms: 

  • Vascular endothelial growth factor (VEGF) blockade: ziv-aflibercept is a fusion protein comprising the extracellular domain of the VEGF receptor 1 and 2 and the Fc region of human IgG1. By binding to VEGF-A, VEGF-B, and placental growth factor (PlGF), ziv-aflibercept blocks their interaction with their receptors, thereby inhibiting the formation of new blood vessels. 
  • Reduced angiogenesis: By blocking the formation of new blood vessels, ziv-aflibercept reduces the supply of oxygen and nutrients to the tumor, which can slow down or stop the growth of cancer cells. 
  • Improved chemotherapy efficacy: ziv-aflibercept can also enhance the efficacy of chemotherapy by reducing the formation of new blood vessels and improving drug delivery to the tumor. 

Pharmacodynamics: 

The pharmacodynamics of ziv-aflibercept are complex and involve multiple mechanisms of action that work together to inhibit angiogenesis and improve the efficacy of chemotherapy. By blocking the formation of new blood vessels, ziv-aflibercept can help to slow down or stop the growth of tumors, and may be effective in treating various types of cancers, including colorectal, lung, and ovarian cancer. 

Pharmacokinetics: 

Absorption 

ziv-aflibercept is administered as an intravenous infusion, and its absorption is irrelevant. 

Distribution 

ziv-aflibercept has a large volume of distribution, indicating that it distributes widely throughout the body. The protein binds to plasma proteins to a moderate extent. 

Metabolism 

ziv-aflibercept is not metabolized by the liver. It is broken down into smaller peptides and amino acids by proteolytic enzymes in the reticuloendothelial system. 

Elimination and Excretion 

The half-life of ziv-aflibercept is approximately 11 days, and it is eliminated from the body through the reticuloendothelial system. The drug is not excreted through the kidneys. 

Administration: 

  • ziv-aflibercept is administered as an intravenous infusion (IV) in a medical facility such as a hospital or clinic. The dosage and frequency of administration depend on the type of cancer being treated, the patient’s medical history, and other factors that the healthcare provider will consider. 
  • The recommended dose for ziv-aflibercept is usually based on the patient’s weight, with a standard dose of 4 mg/kg administered every two weeks. The infusion is typically given over about one hour. 

Patient information leaflet 

Generic Name: ziv-afilbercept 

Why do we use ziv-afilbercept? 

ziv-aflibercept is a medication used to treat certain types of cancer, including: 

  • Metastatic colorectal cancer: ziv-aflibercept, combined with chemotherapy, is indicated for treating patients with metastatic colorectal cancer that has progressed after previous treatment with an oxaliplatin-containing regimen. 
  • Non-small cell lung cancer: ziv-aflibercept, in combination with chemotherapy, is indicated for the first-line treatment of patients with metastatic non-small cell lung cancer. 
  • Metastatic prostate cancer: ziv-aflibercept, combined with chemotherapy, is indicated for treating metastatic castration-resistant prostate cancer patients who have previously received docetaxel chemotherapy. 
  • Ovarian cancer: ziv-aflibercept, in combination with chemotherapy, is indicated for the treatment of patients with platinum-resistant recurrent epithelial ovarian, fallopian tube, or primary peritoneal cancer. 

ADVERTISEMENT 

ziv-aflibercept

Brand Name :

Zaltrap

Synonyms :

ziv-aflibercept

Class :

Tyrosine Kinase Inhibitor, Anti-neoplastics




No data available for drug.

Dosage Forms & Strengths 

injectable solution 

25mg/mL 

colorectal Cancer 

Indicated for metastatic colorectal cancer that is resistant to or has advanced after receiving oxaliplatin, it is recommended in conjunction with 5-fluorouracil, leucovorin, and irinotecan (FOLFIRI):


4mg/kg intravenous every two weeks
On the day of therapy, give before any FOLFIRI regimen component



Safety and efficacy not established 

Refer adult dosing 

DRUG INTERACTION

ziv-aflibercept

&

  • 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)
  • rabies immune globulin, human (RIG)
  • 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 (Pending FDA Approval)
  • 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 (Pending FDA Approval)
  • 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-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
  • 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
  • brinzolamide/brimonidine
  • betamethasone topical
  • omaveloxolone
  • bardoxolone
  • allogeneic processed thymus tissue
  • fluocinolone topical
  • tacrolimus topical
  • ruxolitnib topical
  • pimecrolimus topical
  • sofosbuvir, velpatasvir and voxilaprevir
  • sofosbuvir/velpatasvir
  • mitotane
  • elbasvir/​grazoprevir
  • wheat dextrin
  • vanadium
  • iron/folic acid/vitamin/mineral
  • molybdenum
  • sparsentan
  • velmanase alfa-tycv
  • pegcetacoplan
  • ferrous sulfate
  • cyclosporine ophthalmic
  • ferric pyrophosphate
  • ammonium lactate
  • etelcalcetide
  • iodoquinol
  • sucroferric oxyhydroxide
  • doxercalciferol
  • terconazole vaginal
  • cortisone
  • pyronaridine
  • tetrahydrozoline, ophthalmic
  • tenapanor
  • tesamorelin
  • benazepril/hydrochlorothiazide
  • nadolol and bendroflumethiazide
  • spironolactone and hydrochlorothiazide
  • COVID-19 Vaccine, mRNA
  • atosiban
  • bisoprolol and hydrochlorothiazide
  • ephedrine/guaifenesin
  • clonidine/chlorthalidone
  • captopril/hydrochlorothiazide
  • amlodipine/valsartan/hydrochlorothiazide
  • hydrochlorothiazide and irbesartan
  • candesartan/hydrochlorothiazide
  • ciclesonide intranasal
  • cromolyn sodium ophthalmic
  • methyldopa/hydrochlorothiazide
  • valsartan/hydrochlorothiazide
  • hydrochlorothiazide and triamterene
  • moexipril/hydrochlorothiazide
  • mometasone/intranasal
  • ofloxacin ophthalmic
  • cysteamine
  • metoprolol/hydrochlorothiazide
  • amlodipine/olmesartan
  • eprosartan/hydrochlorothiazide
  • amlodipine/telmisartan
  • hydrochlorothiazide/aliskiren
  • betamethasone/clotrimazole
  • telmisartan/hydrochlorothiazide
  • benazepril/amlodipine
  • bezlotoxumab
  • propranolol/hydrochlorothiazide
  • bupropion/naltrexone
  • burosumab
  • acetylcholine chloride intraocular solution
  • bupivacaine and meloxicam
  • budesonide and formoterol (inhalation)
  • valerian
  • entacapone/levodopa/carbidopa
  • carbidopa/levodopa
  • calaspargase pegol
  • cabotegravir
  • cefixime
  • calfactant
  • brinzolamide
  • daprodustat
  • brimonidine and timolol
  • brodalumab
  • buprenorphine and naloxone
  • hydrocortisone acetic acid otic
  • butorphanol
  • butoconazole
  • adapalene and benzoyl peroxide
  • acrivastine and pseudoephedrine
  • neomycin/polymyxin B/bacitracin topical
  • midodrine
  • baloxavir marboxil
  • bacitracin, neomycin, polymyxin B, and hydrocortisone topical
  • avatrombopag
  • glucagon
  • atenolol/chlorthalidone
  • adefovir
  • activated charcoal
  • avalglucosidase alfa
  • aclidinium and formoterol
  • iclaprim (Pending FDA Approval)
  • ampicillin/sulbactam
  • quinupristin/dalfopristin
  • lamivudine/zidovudine/abacavir
  • acetaminophen and caffeine
  • acetaminophen/pamabrom
  • abacavir and lamivudine
  • anifrolumab
  • elacestrant
  • anidulafungin
  • acetohydroxamic acid
  • alogliptin/pioglitazone
  • anthralin
  • pirtobrutinib
  • gabapentin
  • galsulfase
  • gadoterate meglumine
  • ferric gluconate
  • ferric derisomaltose
  • ethanolamine oleate
  • eteplirsen
  • vasopressin
  • desmopressin
  • meropenem/vaborbactam
  • ecallantide
  • econazole topical
  • dornase alfa
  • aspirin/dipyridamole
  • dipyridamole
  • difenoxin and atropine
  • diflorasone
  • difluprednate ophthalmic
  • eptinezumab
  • diethylpropion
  • dexchlorpheniramine
  • dexmethylphenidate
  • serdexmethylphenidate/​dexmethylphenidate
  • bexagliflozin
  • galcanezumab
  • fremanezumab
  • tapinarof topical
  • darifenacin
  • dalbavancin
  • darbepoetin alfa
  • azilsartan
  • colestipol
  • corticorelin
  • crotamiton
  • crofelemer
  • allogeneic cultured keratinocytes/fibroblasts in bovine collagen
  • tapentadol
  • cyclopentolate
  • polymyxin B/bacitracin topical
  • ketoconazole topical
  • tavaborole
  • tagraxofusp
  • crisaborole
  • crizanlizumab
  • satralizumab
  • spinosad
  • sacubitril/valsartan
  • sargramostim
  • sebelipase alfa
  • regadenoson
  • ribociclib/letrozole
  • ragweed allergen extract
  • radium-223 dichloride
  • secnidazole
  • setmelanotide
  • polycarbophil
  • plecanatide
  • sacituzumab govitecan
  • pertuzumab
  • pertuzumab/trastuzumab/hyaluronidase
  • pamidronate
  • halcinonide
  • glecaprevir/​pibrentasvir
  • glucarpidase
  • golodirsen
  • dextrose (antidote)
  • hexaminolevulinate
  • iohexol
  • ferric citrate
  • elapegademase
  • emicizumab
  • erenumab
  • danaparoid
  • dantrolene
  • eflapegrastim
  • edaravone
  • amcinonide
  • carglumic acid
  • alcaftadine ophthalmic
  • agalsidase beta
  • afamelanotide
  • fosdenopterin
  • lidocaine and chlorhexidine
  • levorphanol
  • calcifediol
  • factor VIIa, recombinant
  • triheptanoin
  • peanut oral allergen powder
  • teprotumumab
  • poly-L-lactic acid/carboxymethylcellulose/mannitol
  • xenon Xe 129 hyperpolarized
  • ublituximab
  • anacaulase
  • glatiramer
  • peginterferon beta-1a
  • interferon beta-1a
  • onabotulinumtoxinA
  • cycloserine
  • ethionamide
  • cabotegravir and rilpivirine
  • vericiguat
  • omidenepag isopropyl
  • azelastine/fluticasone intranasal
  • benzyl peroxide
  • vutrisiran
  • brimonidine
  • testosterone topical
  • lenacapavir
  • tebentafusp
  • mosunetuzumab
  • faricimab
  • ganirelix
  • nadofaragene firadenovec
  • ozenoxacin
  • guaifenesin
  • adagrasib
  • guselkumab
  • adalimumab-aacf
  • nonoxynol-9
  • nifurtimox
  • nusinersen
  • nitazoxanide
  • mavacamten
  • calcipotriene
  • bimatoprost
  • obinutuzumab
  • amifostine
  • oxycodone/​aspirin
  • oxycodone/ibuprofen
  • oteseconazole
  • oxychlorosene
  • porfimer
  • pramoxine /hydrocortisone topical
  • podofilox
  • quinapril/hydrochlorothiazide
  • acetaminophen/pamabrom/pyrilamine
  • levobunolol
  • paregoric
  • idursulfase
  • lesinurad and allopurinol
  • latanoprost/​netarsudil ophthalmic
  • lactase enzyme
  • bioadherent oral
  • latanoprost and timolol
  • latanoprostene bunod
  • ledipasvir/sofosbuvir
  • imipenem/cilastatin/relebactam
  • imipenem/cilastatin
  • hemin
  • deucravacitinib
  • house dust mite allergen extract
  • halobetasol topical/tazarotene
  • remimazolam
  • somatropin
  • remifentanil
  • ethotoin
  • etidronate
  • empagliflozin, linagliptin, and metformin
  • elvitegravir/cobicistat/emtricitabine/tenofovir AF
  • empagliflozin/​linagliptin
  • evinacumab
  • finasteride and tadalafil
  • flortaucipir (18F)
  • proparacaine/ fluorescein ophthalmic
  • fluorescein/benoxinate ophthalmic
  • fluphenazine
  • alogliptin/​metformin
  • alogliptin/pioglitazone
  • alitretinoin topical
  • dextrose/ sodium citrate/fructose
  • dasabuvir
  • ombitasvir​/paritaprevir/​ritonavir
  • hydrocodone/​chlorpheniramine/​pseudoephedrine
  • hydroxyamphetamine/​tropicamide
  • acamprosate
  • gadobutrol
  • teclistamab
  • tremelimumab
  • futibatinib
  • etranacogene dezaparvovec
  • olutasidenib
  • naproxen and diphenhydramine
  • naratriptan
  • gadopiclenol
  • gadoxetate
  • gadoversetamide
  • naphazoline/pheniramine
  • naphazoline
  • nalbuphine
  • vosoritide
  • vitamin K1 (phytonadione)
  • moxidectin
  • basiliximab
  • fecal microbiota, live-jslm
  • ibuprofen/famotidine
  • famotidine
  • raxibacumab
  • omalizumab
  • measles, mumps, rubella, and varicella vaccine, live (Rx)
  • senna/docusate
  • dinoprostone
  • measles mumps and rubella vaccine, live
  • immune globulin IM (IGIM)
  • dyclonine
  • doravirine, lamivudine, and tenofovir disoproxil fumarate
  • elexacaftor/tezacaftor/ivacaftor
  • ivacaftor/tezacaftor
  • treosulfan
  • tranexamic acid
  • norethindrone acetate/​estradiol/​elagolix
  • artesunate
  • trientine
  • trifarotene
  • ziconotide
  • vonoprazan/amoxicillin/clarithromycin
  • pyrithione zinc
  • zinc oxide topical
  • naphazoline/​zinc sulfate/​glycerin ophthalmic
  • voretigene neparvovec
  • nirmatrelvir/ritonavir
  • bebetelovimab
  • sodium chloride
  • relugolix/​estradiol/​norethindrone
  • defibrotide
  • prothionamide
  • liraglutide
  • etilfrine
  • alpha-lipoic acid
  • ramosetron
  • olodaterol/tritropium
  • cimetropium
  • umeclidinium
  • itopride
  • secretin
  • naftopidil
  • trimeprazine
  • benperidol
  • chlormethiazole
  • multivitamins
  • secukinumab
  • glycopyrrolate inhaled and formoterol
  • amitriptyline and chlordiazepoxide
  • tirzepatide
  • relugolix/estradiol/norethindrone
  • mupirocin
  • alvimopan
  • chlordiazepoxide
  • insulin regular human
  • insulin aspart protamine/​insulin aspart
  • insulin isophane human/​insulin regular human
  • insulin degludec/insulin aspart
  • teplizumab
  • chlordiazepoxide/clidinium
  • aspirin, sodium bicarbonate, and citric acid
  • aluminum hydroxide, magnesium hydroxide, and simethicone
  • glycopyrrolate inhaled
  • olodaterol/tiotropium
  • umeclidinium bromide
  • timolol/dorzolamide
  • travoprost ophthalmic
  • loxapine
  • eptifibatide
  • hydrocodone/acetaminophen
  • omega 3 fatty acids
  • trandolapril/​verapamil
  • abciximab
  • artificial saliva
  • diphtheria, hepatitis B, pertussis (acellular), polio, and tetanus vaccine
  • diphtheria, haemophilus B, pertussis, polio, tetanus vaccine
  • haemophilus influenzae type b vaccine/hepatitis b vaccine
  • butalbital/aspirin/caffeine 
  • colchicine/probenecid
  • atovaquone and proguanil
  • ursodiol
  • chenodiol
  • casirivimab/imdevimab
  • tixagevimab/cilgavimab
  • molnupiravir
  • bebtelovimab
  • calcium, magnesium, potassium and sodium oxybate
  • sodium oxybate
  • diphtheria, polio, pertussis acellular, tetanus vaccine
  • pseudoephedrine loratadine
  • sodium chloride nasal
  • hydroxychloroquine sulfate
  • atorvastatin and ezetimibe
  • teriparatide
  • alendronate and cholecalciferol
  • alprostadil (IV)
  • romosozumab
  • risedronate
  • alendronate
  • glyburide/metformin
  • clorazepate
  • rosuvastatin/​ezetimibe
  • paclitaxel/encequidar
  • valsartan/amlodipine
  • enalapril/hydrochlorothiazide
  • enalapril and felodipine
  • amiloride/hydrochlorothiazide
  • triamterene/hydrochlorothiazide
  • lisinopril/hydrochlorothiazide
  • tegaserod
  • rhein
  • ritanserin
  • sulfaphenazole
  • sulconazole
  • taurursodiol
  • bromeperidol
  • carbapenems
  • fotemustine
  • difelikefalin
  • bromopride
  • alizapride
  • olopatadine
  • oxomemazine
  • paraldehyde
  • oxcarbazepine
  • kratom
  • elexacaftor
  • oritavancin
  • miocamycin
  • curcumin sulfate
  • seproxetine
  • clotrimazole
  • remacemide
  • piperine
  • ditiocarb
  • danoprevir
  • oxetacaine
  • topiroxostat
  • indisulam
  • tofisopam
  • noscapine
  • thiopental
  • tioconazole
  • nicotinamide
  • rutin
  • mequitazine
  • somatostatin
  • vapreotide
  • econazole
  • saracatinib
  • lestaurtinib
  • efonidipine
  • zimelidine
  • indalpine
  • desvenlafaxine
  • benidipine
  • dapoxetine
  • tesmilifene
  • pergolide
  • sitaxentan
  • resveratrol
  • bifonazole
  • tildipirosin
  • solithromycin
  • selamectin
  • imiquimod topical
  • fluorouracil topical
  • peginterferon alfa-2b
  • interferon alfa-2b
  • alteplase
  • tanshinone I
  • rosmarinic acid
  • caryophyllene
  • ursolic acid
  • cepharanthine
  • veliflapon
  • mirikizumab
  • cp-96345
  • famprofazone
  • peoniflorin
  • fepradinol
  • licofelone
  • polmacoxib
  • ebselen
  • taxifolin
  • betulinic acid
  • flurbiprofen axetil
  • talniflumate
  • morniflumate
  • nitroaspirin
  • firocoxib
  • ns-398
  • cimicoxib
  • robenacoxib
  • sc-236
  • imidazole salicylate
  • trolamine salicylate
  • pirprofen
  • benorilate
  • ethenzamide
  • mofebutazone
  • proquazone
  • carbaspirin calcium
  • guacetisal
  • proglumetacin
  • propyphenazone
  • pranoprofen
  • bendazac
  • tenidap
  • lonazolac
  • nifenazone
  • flunoxaprofen
  • difenpiramide
  • feprazone
  • bufexamac
  • alminoprofen
  • suxibuzone
  • fentiazac
  • tinoridine
  • tepoxalin
  • indobufen
  • flunixin
  • propacetamol
  • clonixin
  • droxicam
  • epirizole
  • etofenamate
  • ibuproxam
  • indoprofen
  • kebuzone
  • felbinac
  • zaltoprofen
  • azapropazone
  • zomepirac
  • niflumic acid
  • magnesium salicylate
  • suprofen
  • nepafenac
  • bromfenac
  • ciprofloxacin and hydrocortisone (otic) (Rx)
  • hydrocortisone/neomycin/polymyxin otic (Rx)
  • vigabatrine
  • valproate
  • tezepelumab (Rx)
  • triamcinolone acetonide/nystatin
  • triamcinolone suprachoroidal (Rx)
  • triamcinolone, intranasal
  • ciclesonide inhaled
  • diosmin
  • tirbanibulin
  • padeliporfin
  • roxadustat
  • aminosalicylic acid
  • rasburicase
  • tetracaine
  • articaine
  • ropivacaine
  • nitrous oxide
  • sulfapyridine
  • sulfanilamide
  • mafenide
  • isometheptene
  • amyl nitrite
  • antipyrine
  • isosorbide dinitrate
  • prilocaine
  • nitroglycerin
  • tobacco
  • batefenterol
  • hexoprenaline
  • pf-00610355
  • racepinephrine
  • protokylol
  • doxofylline
  • phenylpropanolamine
  • isoetharine
  • ephedra sinica root
  • dipivefrin
  • arbutamine
  • norepinephrine
  • fenoterol
  • clenbuterol
  • pirbuterol
  • epinephrine
  • ritodrine
  • procaterol
  • orciprenaline
  • bitolterol
  • abediterol
  • fluticasone furoate, umeclidinium and vilanterol
  • fluticasone furoate and vilanterol
  • mometasone and formoterol
  • pramoxine topical (OTC)
  • menthol/pramoxine (topical)
  • tetrastarch
  • plasma protein fraction
  • hetastarch
  • rokitamycin
  • ridaforolimus
  • oleandomycin
  • patupilone
  • mitemcinal
  • midecamycin
  • mirvetuximab soravtansine
  • lorvotuzumab mertansine
  • kitasamycin
  • flurithromycin
  • eprinomectin
  • epofolate
  • epothilone D
  • coltuximab ravtansine
  • dirithromycin
  • doramectin
  • cethromycin
  • carbomycin
  • paramethasone
  • dexamethasone isonicotinate
  • quinupristin
  • sarilumab
  • dalfopristin
  • curcumin
  • luliconazole
  • procaine
  • chloroprocaine
  • phencyclidine
  • tenocyclidine
  • profenamine
  • halothane
  • lfenprodil
  • calcium levulinate
  • agmatine
  • calcium pangamate
  • calcium glubionate
  • edodekin alfa
  • beloranib
  • aflibercept
  • endostar
  • volociximab
  • roquinimex
  • anecortave acetate
  • squalamine
  • brolucizumab
  • trebananib
  • semaxanib
  • endostatin
  • halofuginone
  • resveratol
  • ranibizumab
  • fumagilin
  • bevacizumab
  • hyperforin
  • aminohippuric acid
  • opicapone
  • pafolacianine
  • bempedoic acid
  • belantamab mafodotin
  • prasterone
  • glecaprevir
  • levomenol
  • parachlorophenol
  • gadoxetic acid
  • cholecystokinin
  • caspofungin
  • ouabain
  • rifampicin
  • taurocholic acid
  • methylphosphinic acid
  • revefenacin
  • isoprenaline
  • posiphen
  • acotiamide
  • triflupromazine
  • pegvisomant
  • pipecuronium
  • regramostim
  • phenserine
  • diethylcarbamazine
  • cinchocaine
  • pancuronium
  • bambuterol
  • hexafluronium
  • aprotinin
  • tyrothricin
  • decamethonium
  • ipidacrine
  • tubocurarine
  • paraoxon
  • ginkgo biloba
  • methanesulfonyl fluoride
  • dichlorvos
  • fenthion
  • metrifonate
  • coumaphos
  • huperzine A
  • distigmine
  • neostigmine
  • isoflurophate
  • tasosartan
  • fimasartan
  • methylthioninium
  • minaprine
  • gallamine triethiodide
  • ambenonium
  • abiraterone
  • mibefradil
  • hydrocortisone (systemic)
  • cetirizine (systemic)
  • Talimogene Laherparepvec
  • Diacerein
  • Magnesium glucoheptonate
  • acyclovir and hydrocortisone
  • acyclovir (ophthalmic)
  • acyclovir (topical)
  • docosanol cream
  • camphor and phenol
  • dolutegravir, abacavir, and lamivudine
  • peramivir
  • lisdexamfetamine
  • ergoloid mesylates
  • memantine/donepezil
  • tranylcypromine
  • isocarboxazid
  • methenamine/sodium salicylate/benzoic acid
  • mometasone topical (Rx)
  • Esketamine intranasal
  • Oracit
  • Shohls Solution
  • sodium lactate
  • sodium citrate
  • lecanemab
  • donepezil (Rx)
  • donepezil transdermal
  • sodium thiosulfate
  • ciclopirox
  • undecylenic acid
  • butenafine
  • calcium and vitamin D
  • zoledronic acid
  • calcitonin salmon
  • pizotifen
  • indoramin
  • salicylic acid acne
  • minoxidil topical
  • adapalene
  • orlistat
  • COVID-19 subunit vaccine
  • amoxicillin /vonoprazan
  • levamlodipine (Rx)
  • Omeprazole, amoxicillin, and clarithromycin
  • simvastatin/ezetimibe
  • amlodipine/atorvastatin
  • amoxicillin and clavulanate potassium
  • lansoprazole, amoxicillin, and clarithromycin
  • noradrenaline
  • carbaryl
  • botulinum toxin
  • atropine
  • artemether/lumefantrine
  • ergonovine
  • bunazosin (Not available in the United States)
  • ibalizumab
  • dolutegravir
  • hydrocodone/pseudoephedrine
  • cetirizine/pseudoephedrine
  • acetaminophen/dextromethorphan/pseudoephedrine/guaifenesin
  • acetaminophen IV/ibuprofen IV (Pending FDA Approval)
  • medroxyprogesterone
  • acetaminophen/caffeine
  • Acetaminophen/magnesium salicylate/pamabrom
  • megestrol
  • pyridoxine (vitamin B6)
  • folic acid-cyanocobalamin-pyridoxine
  • L-methylfolate-pyridoxal 5′-phosphate-methylcobalamine
  • estropipate
  • betamethasone (systemic)
  • dolutegravir and lamivudine
  • zidovudine and lamivudine
  • mineral oil (oral/rectal)
  • regular insulin
  • dextromethorphan/bupropion
  • diphenhydramine/ibuprofen
  • enfuvirtide
  • doxapram
  • methamphetamine
  • dextroamphetamine
  • ephedrine
  • brompheniramine, dextromethorphan and phenylephrine
  • aspirin, chlorpheniramine, and phenylephrine
  • acetaminophen, pheniramine, and phenylephrine
  • chlorpheniramine and phenylephrine
  • guaifenesin and phenylephrine
  • rivastigmine
  • pyridostigmine
  • arecoline
  • physostigmine
  • abobotulinumtoxinA
  • echothiophate iodide
  • malathion
  • glibenclamide
  • rimabotulinumtoxinB
  • pioglitazone
  • daxibotulinumtoxinA
  • prabotulinumtoxinA
  • mepenzolate
  • trospium
  • modafinil
  • budesonide (oral inhalation)
  • budesonide (nasal)
  • budesonide (Topical)
  • vedolizumab
  • hydrocodone and homatropine
  • homatropine ophthalmic
  • methscopolamine
  • oxandrolone
  • nandrolone
  • fluoxymesterone
  • procyclidine
  • biperiden
  • benztropine
  • oxymetholone
  • ipratropium
  • belladonna/opium
  • pilocarpine
  • nicotine intranasal
  • succinylcholine
  • cromolyn sodium
  • mepolizumab
  • palivizumab
  • reslizumab
  • dupilumab
  • potassium iodide
  • beclomethasone (nasal)
  • tetrahydrozoline nasal
  • fluticasone (topical)
  • tecovirimat
  • entacapone
  • vaccinia immune globulin intravenous (Rx)
  • smallpox (vaccinia) vaccine, live
  • terazosin
  • labetalol 
  • smallpox and monkeypox vaccine (live, nonreplicating) (US: Availability limited to health department/CDC expanded access protocol) (Rx)
  • oxymetazoline
  • xylometazoline
  • meclizine
  • prazosin
  • belinostat
  • nabilone
  • tripelennamine
  • bismuth subcitrate, metronidazole and tetracycline
  • levalbuterol
  • rifaximin
  • cotrimoxazole
  • ethacrynic acid
  • senna
  • bisacodyl
  • sodium picosulfate, citric acid, and magnesium oxide
  • kaolin
  • anastrozole
  • docusate
  • cascara
  • dichlorphenamide
  • bismuth subsalicylate
  • methylcellulose
  • magnesium sulfate 
  • talazoparib
  • diphenoxylate/atropine
  • bacillus clausii
  • psyllium
  • bifidobacterium
  • lactobacillus
  • saccharomyces boulardii
  • lanreotide
  • cyproterone
  • ramucirumab (Rx)
  • fidaxomicin
  • tobramycin (systemic)
  • dacomitinib
  • pembrolizumab
  • amikacin (systemic)
  • panitumumab
  • blinatumomab
  • durvalumab
  • olaratumab
  • necitumumab
  • moxetumomab pasudotox
  • mogamulizumab
  • inotuzumab
  • dinutuximab
  • pentamycin
  • dibekacin
  • cemiplimab
  • gemtuzumab
  • demeclocycline
  • omadacycline
  • tobramycin (ophthalmic)
  • sarecycline
  • cefiderocol
  • valrubicin
  • plicamycin
  • denileukin diftitox
  • decitabine
  • niraparib
  • methacholine
  • carbachol
  • bethanechol
  • acetylcholine
  • atezolizumab
  • raloxifene
  • avelumab
  • leucovorin
  • cladabrine
  • pralatrexate
  • meclofenamate
  • pemetrexed
  • ustekinumab
  • diroximel fumarate
  • daratumumab
  • coccidioidin skin test
  • candida albicans extract
  • brewer’s yeast
  • poliovirus vaccine, live, trivalent
  • elotuzumab
  • trimetrexate
  • l-methyl folate
  • methyclothiazide
  • Influenza virus vaccine
  • acitretin
  • tafamidis
  • sapropterin
  • Pidotimod
  • nitisinone
  • mipomersen
  • levetiracetam
  • Inebilizumab
  • Diethylamine salicylate
  • COVID-19 vaccine
  • Cephalothin
  • alitretinoin
  • Alitretinoin
  • methotrexate
  • verteporfin
  • omacetaxine
  • methyl aminolevulinate topical
  • efgartigimod alfa
  • aminolevulinic acid
  • cetuximab
  • streptozocin
  • zoster vaccine recombinant
  • lyme disease vaccine
  • human papillomavirus vaccine
  • daclizumab
  • lomustiine
  • amitriptyline
  • triptorelin
  • Tedizolid
  • rituximab
  • darolutamide
  • altretamine
  • Varicella-zoster vaccine
  • topotecan
  • ajmaline
  • pneumococcal vaccine
  • poliovirus vaccine
  • adenovirus vaccine type 7
  • adenovirus vaccine type 4
  • brincidofovir
  • lenograstim
  • ofatumumab
  • doxorubicin
  • thioguanine
  • tetanus toxoid
  • primidone
  • lipegfilgrastim
  • pegaspargase
  • monomethyl fumarate
  • ibritumomab
  • dimethyl fumarate
  • varicella-zoster vaccine (recombinant)
  • influenza virus vaccine, h5n1, live
  • carmustine
  • influenza virus vaccine (h5n1), adjuvanted
  • influenza a (h5n1) vaccine
  • eluxadoline
  • influenza virus vaccine quadrivalent, adjuvanted
  • idecabtagene vicleucel
  • adenovirus types 4 and 7 live, oral
  • thiotepa
  • tocilizumab
  • levodopa inhaled
  • efalizumab
  • canakinumab
  • aminoglutethimide
  • ado-trastuzumab emtansine
  • adenovirus vaccine
  • zoster vaccine live
  • typhoid vaccine, live
  • influenza virus vaccine, live, trivalent
  • influenza virus vaccine, h1n1, live
  • delavirdine
  • paclitaxel
  • siltuximab
  • miconazole
  • fludarabine
  • epirubicin
  • vinblastine
  • lomustine
  • risankizumab
  • rilonacept
  • pacritinib
  • linezolid
  • griseofulvin
  • vincristine
  • rufinamide
  • phenobarbital
  • nelarabine
  • mitoxantrone
  • mitomycin
  • mitapivat
  • letermovir
  • lasmiditan
  • idarubicin
  • filgrastim
  • elagolix
  • daunorubicin
  • daclatasvir
  • carfilzomib
  • anakinra
  • alefacept
  • thalidomide
  • teriflunomide
  • rubella virus vaccine
  • ozanimod
  • mumps virus vaccine
  • measles virus vaccine
  • golimumab
  • etanercept
  • certolizumab
  • adalimumab
  • etoposide
  • mechlorethamine
  • adenovirus type 7 vaccine
  • melphalan
  • palifermin
  • pimecrolimus
  • ropeginterferon alfa 2b
  • tacrolimus
  • tofacitinib
  • amphotericin B cholesteryl sulfate
  • amphotericin B deoxycholate
  • amphotericin B liposomal
  • amphotericin B phospholipid complex
  • anthrax vaccine adsorbed
  • denosumab
  • diphtheria & tetanus toxoids
  • echinacea
  • haemophilus influenzae type b vaccine
  • hepatitis A vaccine inactivated
  • hepatitis a/b vaccine
  • hepatitis b vaccine
  • HIV vaccine
  • human papillomavirus vaccine, quadrivalent
  • hydroxyurea
  • influenza virus vaccine (H5N1)
  • influenza virus vaccine trivalent
  • influenza virus vaccine trivalent, adjuvanted
  • influenza virus vaccine trivalent, recombinant
  • meningococcal A C Y and W-135 diphtheria conjugate vaccine
  • meningococcal A C Y and W-135 polysaccharide vaccine combined
  • meningococcal group B vaccine
  • ofatumumab SC
  • pneumococcal vaccine 13-valent
  • pneumococcal vaccine heptavalent
  • pneumococcal vaccine polyvalent
  • poliovirus vaccine inactivated
  • rabies vaccine
  • sipuleucel-T
  • trastuzumab
  • trastuzumab deruxtecan
  • eslicarbazepine acetate
  • vitamin A
  • rifampin
  • belzutifan
  • belimumab
  • belatacept
  • armodafinil
  • amobarbital
  • alemtuzumab
  • ocrelizumab
  • nivolumab
  • natalizumab
  • fingolimod
  • desogestrel
  • butalbital
  • brexanolone
  • zoster vaccine
  • yellow fever vaccine
  • varicella virus vaccine
  • smallpox vaccine
  • rotavirus vaccine
  • rubella vaccine
  • influenza virus vaccine quadrivalent
  • atracurium
  • dengue vaccine
  • tisagenlecleucel
  • lisocabtagene maraleucel
  • ciltacabtagene autoleucel
  • brexucabtagene autoleucel
  • axicabtagene ciloleucel
  • chlorambucil
  • ethinyl estradiol
  • dicumarol
  • atenolol
  • anisindione
  • penicillin G benzathine
  • sequelerin
  • chloramphenicol
  • heparin
  • enoxaparin
  • dalteparin
  • bivalirudin
  • argatroban
  • willow bark
  • bazedoxifene/conjugated estrogens
  • aspirin rectal
  • aspirin/citric acid/sodium bicarbonate
  • aspirin
  • ganaxolone
  • erythromycin stearate
  • erythromycin lactobionate
  • erythromycin ethylsuccinate
  • elbasvir/grazoprevir
  • daridorexant
  • cholera vaccine
  • lumacaftor/ivacaftor
  • dienogest/estradiol valerate
  • zafirlukast
  • urofollitropin
  • tralokinumab
  • torsemide
  • tazarotene
  • pseudoephedrine
  • propoxiphene napsylate
  • propoxiphene hydrochloride
  • oxyphencyclimine hydrochloride
  • oxymetazoline hydrochloride
  • naxitamab
  • nandrolone decanoate
  • methylphenidate
  • methocarbamol
  • idoxuridine
  • hyaluronidase
  • hyaluronic acid
  • gonadoreline hydrochloride
  • glycopyrrolate
  • ganirelix acetate
  • gallium citrate
  • fulvestrant
  • fexofenadine hydrochloride
  • fenefluramine hydrochloride
  • febuxostat
  • famciclovir
  • ergocalciferol
  • divalproex sodium
  • diclorfenamide
  • dezocine
  • desmopressin acetate
  • demeclocycline hydrochloride
  • defibrotide sodium
  • deferiprone
  • deferasirox
  • daunorubicin hydrochloride
  • darunavir
  • darifenacin hydrobromide
  • daptomycin
  • dapsone
  • dantrolene sodium
  • danazol
  • dalafampridine
  • dalbavancin Hydrochloride
  • daclatasvir dihydrochloride
  • dactinomycin
  • dacitabine
  • cefiderocol sulfate tosylate
  • butoconazole nitrate
  • benralizumab (Rx)
  • albuterol
  • acetylcysteine
  • acebutolol
  • acam2000
  • abrocitinib
  • abatacept
  • abametapir
  • abaloparatide
  • chloroquine
  • ferric maltol
  • lorlatinib
  • piracetam
  • timolol
  • chlorothiazide
  • ferric pyrophosphate citrate
  • lornoxicam
  • piretanide
  • tinidazole
  • chloroxylenol
  • ferric sulfate
  • lorpiprazole
  • pirfenidone
  • tiopronin
  • chlorpheniramine
  • ferrous bisglycinate
  • losartan
  • piroxicam
  • tiotropium
  • chlorpromazine
  • ferrous fumarate
  • lovastatin
  • pitavastatin
  • tipranavir
  • chlorpropamide
  • ferrous gluconate
  • loxoprofen
  • pitolisant
  • tirofiban
  • chlorprothixene
  • ferrous succinate
  • lubiprostone
  • pivampicillin
  • tisotumab vedotin
  • chlorthalidone
  • ferrous sulfate anhydrous
  • lumateperone
  • pivmecillinam
  • tixocortol
  • chlorzoxazone
  • ferumoxides
  • lumefantrine
  • plazomicin
  • tizanidine
  • abiraterone
  • cholecalciferolc
  • ferumoxsil
  • lumiracoxib
  • plerixafor
  • tobramycin (oral inhalation)
  • acalabrutinib
  • choline c 11
  • ferumoxytol
  • lurasidone
  • polatuzumab vedotin
  • tocainide
  • acarbose
  • choline magnesium trisalicylate
  • fesoterodine
  • lurbinectedin
  • polythiazide
  • tocofersolan
  • aceclofenac
  • choline salicylate
  • fexinidazole
  • lynestrenol
  • pomalidomide
  • tocopherol
  • acemetacin
  • chondroitin sulfate
  • finasteride
  • macimorelin
  • ponatinib
  • acenocoumarol
  • chromic chloride
  • finerenone (Rx)
  • macitentan
  • ponesimod
  • tolazamide
  • acetaminophen
  • chromic nitrate
  • fish oil
  • magaldrate
  • posaconazole
  • tolbutamide
  • acetazolamide
  • chromium
  • flavoxate
  • magnesium
  • potassium
  • tolcapone
  • acetohexamide
  • chromium gluconate
  • flecainide
  • magnesium carbonate
  • potassium acetate
  • tolfenamic acid
  • acetylsalicylic acid
  • chromium nicotinate
  • flibanserin
  • magnesium chloride
  • potassium bicarbonate
  • tolmetin
  • acipimox
  • chromous sulfate
  • floctafenine
  • magnesium citrate
  • potassium cation
  • tolterodine
  • aclidinium
  • ciclesonide
  • florbetaben (18f)
  • magnesium gluconate
  • potassium chloride
  • tolvaptan
  • acrivastine
  • cidofovir
  • florbetapir (18f)
  • magnesium hydroxide
  • potassium citrate
  • topiramate
  • acyclovir
  • cilazapril
  • floxuridine
  • magnesium oxide
  • potassium nitrate
  • adefovir dipivoxil
  • cilostazol
  • flucloxacillin
  • magnesium silicate
  • potassium perchlorate
  • torasemide
  • adenosine
  • cimetidine
  • fluconazole
  • potassium sulfate
  • toremifene
  • agomelatine
  • cinacalcet
  • flucytosine
  • magnesium trisilicate
  • tositumomab
  • albendazole
  • cinnarizine
  • fludeoxyglucose (18f)
  • mangafodipir
  • pralidoxime
  • trabectedin
  • albiglutide
  • cinoxacin
  • fludrocortisone
  • manidipine
  • pralsetinib
  • tramadol
  • albutrepenonacog alfa
  • ciprofibrate
  • fluindione
  • mannitol
  • pramipexole
  • trametinib
  • alclofenac
  • cisapride
  • flumazenil
  • maprotiline
  • pramlintide
  • trandolapril
  • aldesleukin
  • cisplatin
  • flumethasone
  • maraviroc
  • prasugrel
  • trastuzumab emtansine
  • alectinib
  • citalopram
  • flunarizine
  • maribavir
  • pravastatin
  • trazodone
  • alendronic acid
  • cladribine
  • flunisolide
  • mebeverine
  • prazepamb
  • treprostinil
  • alfentanil
  • clarithromycin
  • flunitrazepam
  • mecamylamine
  • praziquantel
  • tretinoin
  • alfuzosin
  • clemastine
  • fluocinolone acetonide
  • mecasermin
  • prednisolone
  • triamcinolone
  • alimemazine
  • clevidipine
  • fluocinonide
  • meclofenamic acid
  • prednisolone acetate
  • triamterene
  • aliskiren
  • clindamycin
  • fluocortolone
  • medrogestone
  • prednisolone phosphate
  • triazolam
  • allopurinol
  • clobazam
  • fluorouracil
  • medroxyprogesterone acetate
  • prednisone (Rx)
  • trichlormethiazide
  • almasilate
  • clobetasol propionate
  • fluoxetine
  • mefenamic acid
  • prednisone acetate
  • triclabendazole
  • almotriptan
  • clofarabine
  • flupentixol
  • mefloquine
  • pregabalin
  • triethylenetetramine
  • alogliptin
  • clofazimine
  • fluprednisolone
  • megestrol acetate
  • pregnenolone
  • trifluoperazine
  • alosetron
  • clofibrate
  • flurazepam
  • melatonin
  • prenylamine
  • trifluridine
  • alpelisib
  • clomipramine
  • flurbiprofen
  • meloxicam
  • pretomanid
  • trilaciclib
  • alprazolam
  • fluspirilene
  • memantine
  • primaquine
  • trilostane
  • clonidine
  • flutamide
  • menthyl salicylate
  • probenecid
  • trimebutine
  • aluminium phosphate
  • clopidogrel
  • fluticasone (nasal)
ziv-aflibercept + 

deferiprone 

may increase the neutropenic effect of myelosuppressive agents

ropeginterferon alfa 2b 

may increase the myelosuppressive effect of myelosuppressive agents

ibutilide 

may increase the QTc prolonging effect of QT-prolonging agents

bcg vaccine 

may decrease the therapeutic effect of myelosuppressive agents

cladribine 

may increase the myelosuppressive effect of myelosuppressive agents

fexinidazole 

may increase the toxic effect of myelosuppressive agents

balsalazide

may increase the myelosuppressive effect of myelosuppressive agents

sulfasalazine

may increase the myelosuppressive effect of myelosuppressive agents

abiraterone

may increase the hypertensive effect of hypertension-associated agents

cyproterone

may increase the hypertensive effect of hypertension-associated agents

darolutamide

may increase the hypertensive effect of hypertension-associated agents

dienogest/estradiol valerate

may increase the hypertensive effect of hypertension-associated agents

bicalutamide

may increase the hypertensive effect of hypertension-associated agents

solriamfetol 

may increase the hypertensive effect of hypertension-associated agents

desflurane 

may increase the arrhythmogenic effect of Inhalational Anaesthetics

lenacapavir

may increase the levels of serum concentration

abiraterone

may increase the levels of serum concentration

mibefradil

may increase the levels of serum concentration

isoniazid

may increase the levels of serum concentration

mexiletine

may increase the levels of serum concentration

lenacapavir

may increase the levels of serum concentration

abiraterone

may increase the levels of serum concentration

mibefradil

may increase the levels of serum concentration

citalopram

may increase the levels of serum concentration

efavirenz

may increase the levels of serum concentration

maralixibat

may increase the levels of serum concentration

lenacapavir

may increase the levels of serum concentration

curcumin

may increase the levels of serum concentration

glecaprevir

may increase the levels of serum concentration

caspofungin

may increase the levels of serum concentration

maralixibat

may increase the levels of serum concentration

lenacapavir

may increase the levels of serum concentration

diacerein

may increase the levels of serum concentration

memantine/donepezil

may increase the levels of serum concentration

tranylcypromine

may increase the levels of serum concentration

primidone

may decrease the levels of serum concentration

phenobarbital

may decrease the levels of serum concentration

carbamazepine

may decrease the levels of serum concentration

efavirenz

may decrease the levels of serum concentration

isoniazid

may decrease the levels of serum concentration

memantine/donepezil

may decrease the levels of serum concentration

donepezil transdermal

may decrease the levels of serum concentration

efavirenz

may decrease the levels of serum concentration

prednisolone

may decrease the levels of serum concentration

Actions and Spectrum: 

  • ziv-aflibercept is a medication used to treat certain types of cancer, specifically metastatic colorectal cancer and advanced-stage ovarian cancer. It works by inhibiting the growth and spread of cancer cells by preventing the formation of new blood vessels that tumors need to grow and survive. 
  • ziv-aflibercept is a recombinant fusion protein that binds to and neutralizes vascular endothelial growth factor (VEGF), a protein that promotes the growth of new blood vessels. By neutralizing VEGF, ziv-aflibercept prevents the formation of new blood vessels, limiting the supply of nutrients and oxygen to cancer cells and preventing them from growing and spreading. 
  • In addition to its use in cancer treatment, ziv-aflibercept has been approved to treat certain eye diseases, such as neovascular age-related macular degeneration (AMD) and diabetic macular edema (DME). In these conditions, ziv-aflibercept works by blocking VEGF and preventing the growth of abnormal blood vessels in the eye, which can cause vision loss. 

Frequency defined 

>10% 

All grades 

Diarrhea (69%) 

Proteinuria (62%) 

ALT increased (50%) 

Thrombocytopenia (48%) 

Hypertension (41%) 

Decreased appetite (32%) 

Epistaxis (28%) 

Dysphonia (25%) 

Asthenia (18%) 

Dyspnea (12%) 

Upper abdominal pain (11%) 

Leukopenia (78%) 

Neutropenia (67%) 

AST increased (62%) 

Stomatitis (50%) 

Fatigue (48%) 

Decreased weight (32%) 

Abdominal pain (27%) 

Increased serum creatinine (23%)  

Grades 3 to 4 

Diarrhea (19%) 

Leukopenia (16%) 

Fatigue (13%) 

Neutropenia (37%) 

Hypertension (19%) 

Stomatitis (13%) 

Palmar-plantar erythrodysesthesia syndrome (11%) 

1-10% 

All grades 

Oropharyngeal pain (8%) 

Venous thromboembolic events (9%) 

Rectal bleeding (5%) 

Pulmonary embolism (5%) 

Urinary tract infection (9%) 

Skin hyperpigmentation (8%) 

Hemorrhoids (6%) 

Proctalgia (5%)  

Grades 3-4 

Asthenia (5%) 

Palmar-plantar erythrodysesthesia syndrome (3%) 

AST increased (3%) 

Decreased weight (3%) 

Upper abdominal pain (1%) 

Proteinuria (8%) 

Abdominal pain (4%) 

Thrombocytopenia (3%) 

ALT increased (3%) 

Decreased appetite (3%) 

<1% 

Grades 3-4 

Rectal bleeding (0.7%) 

Proctalgia (0.3%) 

Oropharyngeal pain (0.2%) 

Dyspnea (0.8%) 

Dysphonia (0.5%) 

Epistaxis (0.2%) 

Post-marketing Reports 

Aneurysms 

Arterial (including aortic) 

Dissections and rupture 

Contraindications/caution: 

Contraindications: 

ziv-aflibercept is contraindicated in patients with a previous severe allergic reaction to ziv-aflibercept or any of its components 

Caution: 

  • Bleeding: ziv-aflibercept can increase the risk of bleeding, especially in patients taking blood-thinning medications. Patients should be closely monitored for signs of bleeding, such as easy bruising or bleeding gums. 
  • Hypertension: ziv-aflibercept can cause an increase in blood pressure, which can lead to complications such as heart attack or stroke. Patients should have their blood pressure regularly monitored during treatment. 
  • Gastrointestinal perforation: ziv-aflibercept can increase the risk of gastrointestinal perforation, a hole in the wall of the stomach or intestines. Patients should be monitored for symptoms such as severe abdominal pain, nausea, and vomiting. 
  • Impaired wound healing: ziv-aflibercept can impair the healing of wounds, including surgical incisions. Patients should inform their doctor if they have any upcoming surgeries. 
  • Pregnancy and breast-feeding: ziv-aflibercept may harm an unborn baby and is not recommended for use during pregnancy. It is also unknown if it passes into breast milk and could harm a nursing baby. Patients should discuss the risks and benefits of using ziv-aflibercept during pregnancy and breastfeeding with their doctor. 
  • Allergic reactions: Some patients may experience an allergic reaction to ziv-aflibercept. Signs of an allergic reaction include difficulty breathing, swelling of the face, lips, tongue, or throat, and hives or rash. Patients should seek immediate medical attention if they experience any of these symptoms. 

Pregnancy consideration: ziv-aflibercept may harm an unborn baby and is not recommended during pregnancy. 

Lactation:  

  • Excretion of the drug in human breast milk is unknown 
  • It is recommended that women who are breastfeeding not receive ziv-aflibercept unless the potential benefit justifies the potential risk to the infant. 

Pregnancy category: 

Category A: well-controlled and Satisfactory studies show no risk to the fetus in the first or later trimester.   

Category B: there was no evidence of risk to the fetus in animal studies, and there were not enough studies on pregnant women. 

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: 

ziv-aflibercept is a medication used to treat certain types of cancer, including colorectal, lung, and ovarian cancer. It works by blocking the growth of blood vessels that supply tumors with nutrients and oxygen, slowing down or stopping the growth of cancer cells.  

The pharmacology of ziv-aflibercept involves several vital mechanisms: 

  • Vascular endothelial growth factor (VEGF) blockade: ziv-aflibercept is a fusion protein comprising the extracellular domain of the VEGF receptor 1 and 2 and the Fc region of human IgG1. By binding to VEGF-A, VEGF-B, and placental growth factor (PlGF), ziv-aflibercept blocks their interaction with their receptors, thereby inhibiting the formation of new blood vessels. 
  • Reduced angiogenesis: By blocking the formation of new blood vessels, ziv-aflibercept reduces the supply of oxygen and nutrients to the tumor, which can slow down or stop the growth of cancer cells. 
  • Improved chemotherapy efficacy: ziv-aflibercept can also enhance the efficacy of chemotherapy by reducing the formation of new blood vessels and improving drug delivery to the tumor. 

Pharmacodynamics: 

The pharmacodynamics of ziv-aflibercept are complex and involve multiple mechanisms of action that work together to inhibit angiogenesis and improve the efficacy of chemotherapy. By blocking the formation of new blood vessels, ziv-aflibercept can help to slow down or stop the growth of tumors, and may be effective in treating various types of cancers, including colorectal, lung, and ovarian cancer. 

Pharmacokinetics: 

Absorption 

ziv-aflibercept is administered as an intravenous infusion, and its absorption is irrelevant. 

Distribution 

ziv-aflibercept has a large volume of distribution, indicating that it distributes widely throughout the body. The protein binds to plasma proteins to a moderate extent. 

Metabolism 

ziv-aflibercept is not metabolized by the liver. It is broken down into smaller peptides and amino acids by proteolytic enzymes in the reticuloendothelial system. 

Elimination and Excretion 

The half-life of ziv-aflibercept is approximately 11 days, and it is eliminated from the body through the reticuloendothelial system. The drug is not excreted through the kidneys. 

Administration: 

  • ziv-aflibercept is administered as an intravenous infusion (IV) in a medical facility such as a hospital or clinic. The dosage and frequency of administration depend on the type of cancer being treated, the patient’s medical history, and other factors that the healthcare provider will consider. 
  • The recommended dose for ziv-aflibercept is usually based on the patient’s weight, with a standard dose of 4 mg/kg administered every two weeks. The infusion is typically given over about one hour. 

Patient information leaflet 

Generic Name: ziv-afilbercept 

Why do we use ziv-afilbercept? 

ziv-aflibercept is a medication used to treat certain types of cancer, including: 

  • Metastatic colorectal cancer: ziv-aflibercept, combined with chemotherapy, is indicated for treating patients with metastatic colorectal cancer that has progressed after previous treatment with an oxaliplatin-containing regimen. 
  • Non-small cell lung cancer: ziv-aflibercept, in combination with chemotherapy, is indicated for the first-line treatment of patients with metastatic non-small cell lung cancer. 
  • Metastatic prostate cancer: ziv-aflibercept, combined with chemotherapy, is indicated for treating metastatic castration-resistant prostate cancer patients who have previously received docetaxel chemotherapy. 
  • Ovarian cancer: ziv-aflibercept, in combination with chemotherapy, is indicated for the treatment of patients with platinum-resistant recurrent epithelial ovarian, fallopian tube, or primary peritoneal cancer. 

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