Interações de Dissulfiram

Dissulfiram (Antabuse), inibidor da CYP2C9, tem 48 interações documentadas nas bulas da FDA e nas fichas informativas que indexamos (graves: 8; moderadas: 27; leves: 12; casos em que uma bula relata não haver interação significativa: 1). Cada item abaixo cita a frase em que se baseia. Esta página de medicamento é um ponto de partida, não um veredito para a sua situação.

Interações segundo a bula

Interações graves (8)

  • ÁlcoolÁlcoolGrave

    WARNING Disulfiram should never be administered to a patient when he is in a state of alcohol intoxication, or without his full knowledge. (bula de Dissulfiram, Advertência em caixa preta)

  • Bosentanaindutor da CYP3A4Grave

    Co-administration of such combinations of a CYP2C9 inhibitor plus a strong or moderate CYP3A inhibitor with TRACLEER is not recommended. (bula de Bosentana, Interações medicamentosas)

  • Cocaínaanestésico localGrave

    Avoid using NUMBRINO in patients taking disulfiram. (bula de Cocaína, Interações medicamentosas)

  • DronabinolcanabinoideGrave

    …reactions to dronabinol include lip swelling, hives, disseminated rash, oral lesions, skin burning, flushing, throat tightness [see Adverse Reactions ( 6.2 )] . with a history of a hypersensitivity reaction to alcohol. who are receiving, or have recently received, disulfiram- or metronidazole-containing products within 14 days [see Warning and Precautions ( 5.3 )] . (bula de Dronabinol, Contraindicações)

  • Moderate dual CYP3A4 and CYP2C9 inhibitors (fluconazole, amiodarone) or use of combined CYP3A4 and CYP2C9 inhibitors may increase exposure to macitentan: avoid co-administration with OPSUMIT ( 7.3 , 12.3 ). (bula de Macitentana, Interações medicamentosas)

  • MetronidazolantibióticoGrave

    CONTRAINDICATIONS Patients who are receiving or have recently received metronidazole, paraldehyde, alcohol, or alcohol-containing preparations, e.g., cough syrups, tonics and the like, should not be given disulfiram. (bula de Dissulfiram, Contraindicações)

  • CONTRAINDICATIONS Patients who are receiving or have recently received metronidazole, paraldehyde, alcohol, or alcohol-containing preparations, e.g., cough syrups, tonics and the like, should not be given disulfiram. (bula de Dissulfiram, Contraindicações)

  • TinidazolantibióticoGrave

    Alcohols, Disulfiram: Alcoholic beverages and preparations containing ethanol or propylene glycol should be avoided during tinidazole therapy and for 3 days afterward because abdominal cramps, nausea, vomiting, headaches, and flushing may occur. (bula de Tinidazol, Interações medicamentosas)

Interações moderadas (27)

  • AminofilinametilxantinaModerada

    Disulfiram Decreases theophylline clearance by inhibiting hydroxylation and demethylation. (bula de Aminofilina, Interações medicamentosas)

  • ApixabanaanticoagulanteModerada

    It may be necessary to adjust the dosage of oral anticoagulants upon beginning or stopping disulfiram, since disulfiram may prolong prothrombin time. (bula de Dissulfiram, Interações medicamentosas)

  • ArgatrobanaanticoagulanteModerada

    It may be necessary to adjust the dosage of oral anticoagulants upon beginning or stopping disulfiram, since disulfiram may prolong prothrombin time. (bula de Dissulfiram, Interações medicamentosas)

  • Avanafilainibidor da PDE5Moderada

    HIV Protease inhibitor — Ritonavir (600 mg twice daily), a strong CYP3A4 inhibitor, which also inhibits CYP2C9, increased avanafil 50 mg single-dose C max and AUC equal to approximately 2-fold and 13-fold, and prolonged the half-life of avanafil to approximately 9 hours in healthy volunteers. (bula de Avanafila, Interações medicamentosas)

  • BivalirudinaanticoagulanteModerada

    It may be necessary to adjust the dosage of oral anticoagulants upon beginning or stopping disulfiram, since disulfiram may prolong prothrombin time. (bula de Dissulfiram, Interações medicamentosas)

  • CarvedilolbetabloqueadorModerada

    Amiodarone Amiodarone and its metabolite desethyl amiodarone, inhibitors of CYP2C9, and P- glycoprotein increased concentrations of the S(-)-enantiomer of carvedilol by at least 2 fold [see Clinical Pharmacology (12.5) ]. (bula de Carvedilol, Interações medicamentosas)

  • CelecoxibeAINEModerada

    Co-administration of celecoxib with drugs that are known to inhibit CYP2C9 (e.g., fluconazole) may enhance the exposure and toxicity of celecoxib whereas co-administration with CYP2C9 inducers (e.g., rifampin) may lead to compromised efficacy of celecoxib. (bula de Celecoxibe, Interações medicamentosas)

  • DabigatranaanticoagulanteModerada

    It may be necessary to adjust the dosage of oral anticoagulants upon beginning or stopping disulfiram, since disulfiram may prolong prothrombin time. (bula de Dissulfiram, Interações medicamentosas)

  • DiclofenacoAINEModerada

    Co-administration of diclofenac with CYP2C9 inhibitors (e.g. voriconazole) may enhance the exposure and toxicity of diclofenac whereas co- administration with CYP2C9 inducers (e.g. rifampin) may lead to compromised efficacy of diclofenac. (bula de Diclofenaco, Interações medicamentosas)

  • Co-administration of diclofenac with CYP2C9 inhibitors (e.g., voriconazole) may enhance the exposure and toxicity of diclofenac [see Clinical Pharmacology (12.3) ] whereas co-administration with CYP2C9 inducers (e.g., rifampin) may lead to compromised efficacy of diclofenac. (bula de Diclofenaco + misoprostol, Interações medicamentosas)

  • EdoxabanaanticoagulanteModerada

    It may be necessary to adjust the dosage of oral anticoagulants upon beginning or stopping disulfiram, since disulfiram may prolong prothrombin time. (bula de Dissulfiram, Interações medicamentosas)

  • Effect of TRIKAFTA on Other Drugs CYP2C9 Substrates Ivacaftor may inhibit CYP2C9; therefore, monitoring of the international normalized ratio (INR) during concomitant use of TRIKAFTA with warfarin is recommended. (bula de Elexacaftor + tezacaftor + ivacaftor, Interações medicamentosas)

  • EnoxaparinaanticoagulanteModerada

    It may be necessary to adjust the dosage of oral anticoagulants upon beginning or stopping disulfiram, since disulfiram may prolong prothrombin time. (bula de Dissulfiram, Interações medicamentosas)

  • FenitoínaanticonvulsivanteModerada

    DISULFIRAM SHOULD BE USED WITH CAUTION IN THOSE PATIENTS RECEIVING PHENYTOIN AND ITS CONGENERS, SINCE THE CONCOMITANT ADMINISTRATION OF THESE TWO DRUGS CAN LEAD TO PHENYTOIN INTOXICATION. (bula de Dissulfiram, Interações medicamentosas)

  • FondaparinuxanticoagulanteModerada

    It may be necessary to adjust the dosage of oral anticoagulants upon beginning or stopping disulfiram, since disulfiram may prolong prothrombin time. (bula de Dissulfiram, Interações medicamentosas)

  • FosfenitoínaanticonvulsivanteModerada

    …(cimetidine), omeprazole Sulfonamides Sulfamethizole, sulfaphenazole, sulfadiazine, sulfamethoxazole-trimethoprim Other Acute alcohol intake, amiodarone, chloramphenicol, chlordiazepoxide, disulfiram, estrogen, fluvastatin, isoniazid, methylphenidate, phenothiazines, salicylates, ticlopidine, tolbutamide, trazodone, warfarin Drugs that may decrease phenytoin serum levels… (bula de Fosfenitoína, Interações medicamentosas)

  • HeparinaanticoagulanteModerada

    It may be necessary to adjust the dosage of oral anticoagulants upon beginning or stopping disulfiram, since disulfiram may prolong prothrombin time. (bula de Dissulfiram, Interações medicamentosas)

  • LacosamidaanticonvulsivanteModerada

    Strong CYP3A4 or CYP2C9 Inhibitors Patients with renal or hepatic impairment who are taking strong inhibitors of CYP3A4 and CYP2C9 may have a significant increase in exposure to VIMPAT. (bula de Lacosamida, Interações medicamentosas)

  • MeloxicamAINEModerada

    Thus concomitant usage of CYP2C9 inhibitors (such as amiodarone, fluconazole, and sulphaphenazole) may lead to abnormally high plasma levels of meloxicam due to reduced metabolic clearance [ see Use in Specific Populations ( 8.8 ); and Clinical Pharmacology ( 12.3 , 12.5 ) ]. (bula de Meloxicam, Interações medicamentosas)

  • NateglinidameglitinidaModerada

    …salicylates, monoamine oxidase inhibitors, non-selective beta-adrenergic-blocking agents, anabolic hormones (e.g., methandrostenolone), guanethidine, gymnema sylvestre, glucomannan, thioctic acid, and inhibitors of CYP2C9 (e.g., amiodarone, fluconazole, voriconazole, sulfinpyrazone) or in patients known to be poor metabolizers of CYP2C9 substrates, alcohol. (bula de Nateglinida, Interações medicamentosas)

  • Ramelteonasedativo-hipnóticoModerada

    Fluconazole (strong CYP2C9 inhibitor): Increases systemic exposure of ramelteon; administer with caution. (bula de Ramelteona, Interações medicamentosas)

  • RivaroxabanaanticoagulanteModerada

    It may be necessary to adjust the dosage of oral anticoagulants upon beginning or stopping disulfiram, since disulfiram may prolong prothrombin time. (bula de Dissulfiram, Interações medicamentosas)

  • RosuvastatinaestatinaModerada

    Rosuvastatin plasma levels can be significantly increased with concomitant administration of inhibitors of CYP2C9 and transporters. (bula de Rosuvastatina, Interações medicamentosas)

  • TeofilinametilxantinaModerada

    Disulfiram Decreases theophylline clearance by inhibiting hydroxylation and demethylation. (bula de Teofilina, Interações medicamentosas)

  • Torasemidadiurético de alçaModerada

    CYP2C9: Concomitant use with CYP2C9 inhibitors can decrease torsemide clearance. (bula de Torasemida, Interações medicamentosas)

  • VarfarinaanticoagulanteModerada

    It may be necessary to adjust the dosage of oral anticoagulants upon beginning or stopping disulfiram, since disulfiram may prolong prothrombin time. (bula de Dissulfiram, Interações medicamentosas)

  • Zafirlucasteantagonista do receptor de leucotrienosModerada

    Zafirlukast exposure is likely to be increased by other moderate and strong CYP2C9 inhibitors. (bula de Zafirlucaste, Precauções)

Menções leves (12)

  • Amitriptilinaantidepressivo tricíclicoLeve

    Guanethidine or similarly acting compounds; thyroid medication; alcohol, barbiturates and other CNS depressants; and disulfiram – see WARNINGS section. (bula de Amitriptilina, Interações medicamentosas)

  • CefotaximacefalosporinaLeve

    Additionally, no disulfiram-like reactions were reported in a study conducted in 22 healthy volunteers administered cefotaxime and ethanol. (bula de Cefotaxima, Interações medicamentosas)

  • Cetoconazolantifúngico azólicoLeve

    Alcohol: Exceptional cases have been reported of a disulfiram-like reaction to alcohol, characterized by flushing, rash, peripheral edema, nausea and headache. (bula de Cetoconazol, Interações medicamentosas)

  • Clopidogrelantiagregante plaquetárioLeve

    However, at high concentrations in vitro , clopidogrel inhibits CYP2C9. (bula de Clopidogrel, Interações medicamentosas)

  • IsoniazidaantibióticoLeve

    Patients taking isoniazid when disulfiram is given should be observed for the appearance of unsteady gait or marked changes in mental status, the disulfiram should be discontinued if such signs appear. (bula de Dissulfiram, Interações medicamentosas)

  • Lopinavir + ritonavirantirretroviralLeve

    Disulfiram/metronidazole KALETRA oral solution contains ethanol, which can produce disulfiram-like reactions when co-administered with disulfiram or other drugs that produce this reaction (e.g., metronidazole). (bula de Lopinavir + ritonavir, Interações medicamentosas)

  • Omeprazolinibidor da bomba de prótonsLeve

    Other Clinical Impact: There have been clinical reports of interactions with other drugs metabolized via the cytochrome P450 system (e.g., cyclosporine, disulfiram). (bula de Omeprazol, Interações medicamentosas)

  • Omeprazol + bicarbonato de sódioinibidor da bomba de prótonsLeve

    Other Clinical Impact: There have been clinical reports of interactions with other drugs metabolized via the cytochrome P450 system (e.g., cyclosporine, disulfiram). (bula de Omeprazol + bicarbonato de sódio, Interações medicamentosas)

  • TerbinafinaantifúngicoLeve

    Fluconazole is an inhibitor of CYP2C9 and CYP3A enzymes. (bula de Terbinafina, Interações medicamentosas)

  • Toremifenomodulador seletivo do receptor de estrogênioLeve

    Toremifene is a weak inhibitor of CYP2C9. (bula de Toremifeno, Interações medicamentosas)

  • Vardenafilainibidor da PDE5Leve

    The interaction is a consequence of blocking hepatic metabolism of vardenafil by ritonavir, a HIV protease inhibitor and a highly strong CYP3A4 inhibitor, which also inhibits CYP2C9. (bula de Vardenafila, Interações medicamentosas)

  • VenlafaxinaIRSNLeve

    CYP2C9 Venlafaxine did not inhibit CYP2C9 in vitro . (bula de Venlafaxina, Interações medicamentosas)

Nenhuma interação significativa relatada (1)

  • AcamprosatoSem interação

    The pharmacokinetics of acamprosate are not affected by alcohol, diazepam, or disulfiram, and clinically important interactions between naltrexone and acamprosate were not observed [ see Clinical Pharmacology ( 12.3 ) ]. (bula de Acamprosato, Interações medicamentosas)

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Não é aconselhamento médico. A gravidade reflete a redação da bula, não as suas circunstâncias. Um alerta “grave” pode ser rotina sob supervisão, e um “leve” pode ser importante em doses altas. Pergunte a um farmacêutico.