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Interactions with PBC Agents www.hep-druginteractions.org Interactions with PBC Agents Charts created August 2019. Full information available at www.hep-druginteractions.org Page 1 of 4 Please note that if a drug is not listed it cannot automatically be assumed it is safe to coadminister. Obeticholic Ursodeoxycholic Obeticholic Ursodeoxycholic Obeticholic Ursodeoxycholic Acid Acid Acid Acid Acid Acid Anaesthetics & Muscle Relaxants Antibacterials (continued) Antidepressants Bupivacaine Dapsone Agomelatine Cisatracurium Delamanid Amitriptyline Isoflurane Ertapenem Bupropion Ketamine Erythromycin Citalopram Nitrous oxide Ethambutol Clomipramine Propofol Flucloxacillin Desipramine Thiopental Gentamicin Desvenlafaxine Tizanidine Imipenem Dosulepin Analgesics Isoniazid Doxepin Aceclofenac Levofloxacin Duloxetine Alfentanil Linezolid Escitalopram Aspirin Lymecycline Fluoxetine Buprenorphine Meropenem Fluvoxamine Celecoxib Imipramine Methenamine Codeine distribution. for Lithium Metronidazole Dexketoprofen Maprotiline Moxifloxacin Dextropropoxyphene Mianserin Nitrofurantoin Diamorphine Milnacipran Diclofenac Norfloxacin Mirtazapine Diflunisal Ofloxacin Moclobemide Dihydrocodeine Penicillin V Nefazodone Etoricoxib Piperacillin Nortriptyline Fentanyl Pivmecillinam Paroxetine Flurbiprofen Pyrazinamide Sertraline Hydrocodone distribution. for only. Not use ersonal Rifabutin Tianeptine Hydromorphone Rifampicin Trazodone Ibuprofen Rifapentine Trimipramine Indometacin Rifaximin Venlafaxine Ketoprofen Spectinomycin Vortioxetine Mefenamic acid Streptomycin Meloxicam Antidiabetics Sulfadiazine Metamizole (Dipyrone) Acarbose Tazobactam Methadone Albiglutide Morphine Telithromycin Alogliptin Temocillin Naproxen Canagliflozin Oxycodone Tetracyclines Not only. use For personal for distribution. Dapagliflozin Paracetamol Ticarcillin Dulaglutide Pethidine (Meperidine) Trimethoprim/Sulfamethoxazole Empagliflozin Piroxicam Troleandomycin Exenatide Tapentadol Vancomycin Glibenclamide (Glyburide) Tramadol Anticoagulant, Antiplatelet & Fibrinolytic Gliclazide Anthelmintics Acenocoumarol Glimepiride Albendazole Anagrelide Glipizide nal use only. Not for distribution. For p for distribution. Not only. use nal Ivermectin Apixaban Insulin Oxamniquine Clopidogrel Linagliptin Praziquantel Dabigatran Liraglutide Pyrantel r perso Dalteparin Lixisenatide Danaparoid Antiarrhythmics Metformin Dipyridamole Amiodarone Nateglinide Edoxaban Bepridil Pioglitazone Eltrombopag Digoxin Repaglinide Disopyramide Enoxaparin Rosiglitazone Dofetilide Fluindione Saxagliptin Dronedarone Fondaparinux Flecainide Heparin Sitagliptin Lidocaine (Lignocaine) Phenprocoumon Tolbutamide Mexiletine Prasugrel Vildagliptin Propafenone Rivaroxaban Antifungals Quinidine Streptokinase Amphotericin B Vernakalant Ticagrelor Anidulafungin Antibacterials Ticlodipine Caspofungin Amikacin Tinazaparin Fluconazole Amoxicillin Warfarin Flucytosine Ampicillin Anticonvulsants Griseofulvin Azithromycin Carbamazepine Isavuconazole Aztreonam Clonazepam Itraconazole Bedaquiline Eslicarbazepine Ketoconazole Benzylpenicillin Ethosuximide For personal use only. Not for distribution. Fo for distribution. Not only. use For personal For personal use only. Not for distribution. For personal use only. Not Not only. use For personal for distribution. only. Not use For personal Miconazole Gabapentin Capreomycin Nystatin Lacosamide Cefaclor Posaconazole Cefadroxil Lamotrigine Terbinafine Cefalexin Levetiracetam Voriconazole Cefazolin Oxcarbazepine Cefixime Perampanel Cefotaxime Phenobarbital Cefradine Phenytoin Ceftaroline Pregabalin Ceftazidine Primidone Ceftriazone Retigabine Cefuroxime Rufinamide Chloramphenicol Sultiame Ciprofloxacin Tiagabine Clarithromycin Topiramate Clavulanic acid Valproate (Divalproex) Clindamycin Vigabatrin Cloxacillin Zonisamide Key to symbols Notes Further information is available at © Liverpool Drug Interactions Group, These drugs should not be coadministered www.hep-druginteractions.org University of Liverpool, Pharmacology Research Labs, Potential clinically significant interaction that is likely to require additional Predicted interactions are based on known 1st Floor Block H, 70 Pembroke Place, LIVERPOOL, L69 3GF monitoring, alteration of drug dosage or timing of administration metabolic pathways and routes of clearance. We aim to ensure that information is accurate and consistent with current knowledge Potential interaction likely to be of weak intensity. Additional Caution is required in patients with hepatic and practice. However, the University of Liverpool and its servants or agents shall action/monitoring or dosage adjustment is unlikely to be required impairment as this may also increase drug levels not be responsible or in any way liable for the continued currency of information in and require dose modification. this publication whether arising from negligence or otherwise howsoever or for any consequences arising therefrom. The University of Liverpool expressly exclude No clinically significant interaction expected Where advice differs between countries, the liability for errors, omissions or inaccuracies to the fullest extent permitted by law. charts reflect the more cautious option. www.hep-druginteractions.org Interactions with PBC Agents Charts created August 2019. Full information available at www.hep-druginteractions.org Page 2 of 4 Please note that if a drug is not listed it cannot automatically be assumed it is safe to coadminister. Obeticholic Ursodeoxycholic Obeticholic Ursodeoxycholic Obeticholic Ursodeoxycholic Acid Acid Acid Acid Acid Acid Antihistamines Antivirals Cancer Therapies Astemizole Aciclovir Abiraterone Bilastine Amantadine Acalabrutinib Cetirizine Brivudine Anastrozole Chlorphenamine Cidofovir Avelumab Desloratadine Foscarnet Axitinib Diphenhydramine Oseltamivir Bevacizumab Doxylamine Blinatumomab Rimantadine Ebastine Valaciclovir Bortezomib Fexofenadine Zanamivir Bosutinib Hydroxyzine Brentuximab vedotin Anxiolytics/Hypnotics/Sedatives Levocetirizine Capecitabine Alprazolam Loratadine Carboplatin Promethazine Amobarbital Cetuximab Terfenadine Bromazepam for distribution. for Chlorambucil Antimigraine Agents Bromperidol Cisplatin Almotriptan Buspirone Daratumumab Dihydoergotamine Clobazam Dasatinib Eletriptan Clorazepate Doxorubicin Ergotamine Clotiapine Erlotinib Frovatriptan Diazepam Estramustine Methylergonovine Estazolam Etoposide Naratriptan Flurazepam Everolimus Pizotifen ersonal use only. Not for distribution. for only. Not use ersonal Lorazepam Exemestane Rizatriptan Lormetazepam Fludarabine Sumatriptan Midazolam (oral) Gefitinib Zolmiptriptan Midazolam (parenteral) Gemcitabine Antiprotozoals Oxazepam Idarubicin Amodiaquine Imatinib Artemether Quazepam Ipilimumab Artemisinin Temazepam Irinotecan Artesunate Triazolam Ixazomib Atovaquone Zaleplon Lapatinib Chloroquine Zolpidem Dihydroartemisinin Zopiclone Not only. use For personal for distribution. Letrozole Mercaptopurine Doxycycline Beta Blockers Methotrexate Halofantrine Atenolol Hydroxychloroquine Bisoprolol Mitoxantrone Lumefantrine Carvediol Nilotinib Mefloquine Celiprolol Niraparib Pentamidine Labetalol Nivolumab Primaquine Obinutuzumab nal use only. Not for distribution. For p for distribution. Not only. use nal Metoprolol Proguanil Nebivolol Ofatumumab Pyrimethamine Oxprenolol Olaratumab Quinine Pindolol Oxaliplatin r perso Sodium stibogluconate Propanolol Paclitaxel Sulfadoxine Sotalol Panitumumab Antipsychotics/Neuroleptics Timolol Pembrolizumab Amisulpride Bisphosphonates Rituximab Aripiprazole Alendronic acid Sorafenib Asenapine Clodronate Sunitinib Tamoxifen Chlorpromazine Ibandronic acid Chlorprothixene Temsirolimus Pamidronate Clozapine Vinblastine Risedronate Flupentixol Vincristine Fluphenazine Bronchodilators Vinorelbine Haloperidol Formoterol Contraceptives and Hormone Replacements Indacaterol Iloperidone Desogestrel Ipatropium bromide Levomepromazine Dienogest Montelukast Olanzapine Drospirenone Paliperidone Omalizumab Estradiol Perazine Salbutamol Ethinylestradiol Periciazine Salmeterol Etonogestrel (implant) Perphenazine Theophylline Etonogestrel (vaginal ring) Pimozide Tiotropium For personal use only. Not for distribution. Fo for distribution. Not only. use For personal Pipotiazine Not only. use For personal for distribution. only. Not use For personal Levonorgestrel (COC) Calcium Channel Blockers Prochlorperazine Levonorgestrel Amlodipine Quetiapine (Emergency Contraception) Risperidone Diltiazem Levonorgestrel (HRT) Sulpride Felodipine Levonorgestrel (implant) Thioridazine Nicardipine Levonorgestrel (IUD) Tiapride Nifedipine Levonorgestrel (POP) Trifluoperazine Nisoldipine Medroxyprogesterone (depot) Ziprasidone Nitrendipine Medroxyprogesterone (oral) Zuclopentixol Verapamil Norethisterone (norethindrone) Key to symbols Notes Further information is
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