Drug Interactions

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Abiraterone Interactions

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Acetylsalicylic acid

No clinically significant drug interactions identified.

Alprazolam

No clinically significant drug interactions identified.

Amitriptyline

Caution - increased level of amitriptyline due to 2D6 inhibition. Monitor for signs of toxicity. If initiating therapy, titrate slowly. If already established on therapy, may require dose reduction. Consider choosing an alternative agent.

Amlodipine

No clinically significant drug interactions identified.

Amoxicillin

No clinically significant drug interactions identified.

Amoxicillin/clavulanate

No clinically significant drug interactions identified.

Apixaban

Avoid combination - increased level of apixaban due to enzyme inhibition. Choose an alternative agent.

Atenolol

No clinically significant drug interactions identified.

Atorvastatin

Caution - increased level of atorvastatin due to OAT1B1 inhibition. Monitor for signs of toxicity (ie. CK). If initiating therapy, titrate slowly. If already established on therapy, may require dose reduction.

Azithromycin

No clinically significant drug interactions identified.

Bisoprolol

No clinically significant drug interactions identified.

Canagliflozin

No clinically significant drug interactions identified.

Candesartan

No clinically significant drug interactions identified.

Carbamazepine

Avoid combination - decreased level of abiraterone due to 3A4 induction. Choose an alternative agent.

Carvedilol

Caution - increased level of carvedilol due to 2D6 inhibition. Monitor for signs of toxicity (ie. hypotension, bradycardia, impotence). If initiating therapy, titrate slowly. If already established on therapy, may require dose reduction. Consider choosing an alternative agent.

Chlorthalidone

No clinically significant drug interactions identified.

Ciprofloxacin

No clinically significant drug interactions identified.

Citalopram

No clinically significant drug interactions identified.

Clarithromycin

No clinically significant drug interactions identified.

Clomipramine

Caution - increased level of clomipramine due to 2D6 inhibition. Monitor for signs of toxicity. If initiating therapy, titrate slowly. If already established on therapy, may require dose reduction. Consider choosing an alternative agent.

Clonazepam

No clinically significant drug interactions identified.

Clopidogrel

No clinically significant drug interactions identified.

Codeine

Caution - decreased level of codeine due to 2D6 inhibition. CYP2D6 inhibitors may prevent the metabolic conversion of codeine to its active metabolite morphine. Titrate with extreme caution due to risk of overdose. If already established on codeine, may require dose reduction. Consider choosing an alternative agent.

Dabigatran

Caution - increased level of dabigatran due to Pgp inhibition. Monitor for signs of bleeding. If initiating therapy, titrate slowly. If already established on therapy, may require dose reduction. Consider choosing an alternative agent.

Dapagliflozin

No clinically significant drug interactions identified.

Degarelix

No clinically significant drug interactions identified.

Desipramine

Caution - increased level of desipramine due to 2D6 inhibition. Monitor for signs of toxicity. If initiating therapy, titrate slowly. If already established on therapy, may require dose reduction. Consider choosing an alternative agent.

Dexamethasone

No clinically significant drug interactions identified.

Dexlansoprazole

No clinically significant drug interactions identified.

Diltiazem

No clinically significant drug interactions identified.

Doxycycline

No clinically significant drug interactions identified.

Duloxetine

Caution - increased level of duloxetine due to 2D6 inhibition. Monitor for signs of toxicity. If initiating therapy, titrate slowly. If already established on therapy, may require dose reduction. Consider choosing an alternative agent.

Dutasteride

No clinically significant drug interactions identified.

Edoxaban

Caution - increased level of edoxaban due to Pgp inhibition. Monitor for signs of bleeding. If initiating therapy, titrate slowly. If already established on therapy, may require dose reduction. Consider choosing an alternative agent.

Empagliflozin

No clinically significant drug interactions identified.

Escitalopram

No clinically significant drug interactions identified.

Esomeprazole

No clinically significant drug interactions identified.

Famotidine

No clinically significant drug interactions identified.

Finasteride

No clinically significant drug interactions identified.

Fluconazole

No clinically significant drug interactions identified.

Fluoxetine

No clinically significant drug interactions identified.

Furosemide

No clinically significant drug interactions identified.

Gabapentin

No clinically significant drug interactions identified.

Gliclazide

No clinically significant drug interactions identified.

Glyburide

No clinically significant drug interactions identified.

Goserelin

No clinically significant drug interactions identified.

Hydrochlorothiazide

No clinically significant drug interactions identified.

Hydromorphone

No clinically significant drug interactions identified.

Ibuprofen

No clinically significant drug interactions identified.

Irbesartan

No clinically significant drug interactions identified.

Lansoprazole

No clinically significant drug interactions identified.

Leuprolide

No clinically significant drug interactions identified.

Levofloxacin

No clinically significant drug interactions identified.

Levothyroxine

No clinically significant drug interactions identified.

Lorazepam

No clinically significant drug interactions identified.

Metformin

No clinically significant drug interactions identified.

Methadone

Caution - increased level of methadone due to 2D6 inhibition. Titrate with extreme caution due to risk of overdose. If already established on methadone, may require dose reduction. Consider choosing an alternative agent.

Metoclopramide

Caution - increased level of metoclopramide due to 2D6 inhibition. Monitor for signs of toxicity. If initiating therapy, titrate slowly. If already established on therapy, may require dose reduction. Consider choosing an alternative agent.

Metoprolol

Caution - increased level of metoprolol due to 2D6 inhibition. Monitor for signs of toxicity (ie. hypotension, bradycardia, impotence). If initiating therapy, titrate slowly. If already established on therapy, may require dose reduction. Consider choosing an alternative agent.

Mirabegron

No clinically significant drug interactions identified.

Mirtazapine

No clinically significant drug interactions identified.

Moxifloxacin

No clinically significant drug interactions identified.

Naproxen

No clinically significant drug interactions identified.

Nifedipine XL

No clinically significant drug interactions identified.

Nirapirib

No clinically significant drug interactions identified.

Nortriptyline

Caution - increased level of nortriptyline due to 2D6 inhibition. Monitor for signs of toxicity. If initiating therapy, titrate slowly. If already established on therapy, may require dose reduction. Consider choosing an alternative agent.

Olanzapine

No clinically significant drug interactions identified.

Olaparib

No clinically significant drug interactions identified.

Omeprazole

No clinically significant drug interactions identified.

Ondansetron

No clinically significant drug interactions identified.

Oxybutynin

No clinically significant drug interactions identified.

Oxycodone

Caution - increased level of oxycodone due to 2D6 inhibition. Titrate with extreme caution due to risk of overdose. If already established on oxycodone, may require dose reduction. Consider choosing an alternative agent.

Pantoprazole

No clinically significant drug interactions identified.

Paroxetine

Caution - increased level of paroxetine due to 2D6 inhibition. Monitor for signs of toxicity. If initiating therapy, titrate slowly. If already established on therapy, may require dose reduction. Consider choosing an alternative agent.

Perinodopril

No clinically significant drug interactions identified.

Phenytoin

Avoid combination - decreased level of abiraterone due to 3A4 induction. Choose an alternative agent.

Prednisone

No clinically significant drug interactions identified.

Pregabalin

No clinically significant drug interactions identified.

Prochlorperazine

No clinically significant drug interactions identified.

Quetiapine

No clinically significant drug interactions identified.

Rabeprazole

No clinically significant drug interactions identified.

Ramipril

No clinically significant drug interactions identified.

Ranitidine

No clinically significant drug interactions identified.

Risperidone

Caution - increased level of risperidone due to 2D6 inhibition. Monitor for signs of toxicity (ie. EPS, hyperprolactinemia). If initiating therapy, titrate slowly. If already established on therapy, may require dose reduction. Consider choosing an alternative agent.

Rivaroxaban

Avoid combination - increased level of rivaroxaban due to enzyme inhibition. Choose an alternative agent.

Rosuvastatin

Caution - increased level of rosuvastatin due to OAT1B1 inhibition. Monitor for signs of toxicity (ie. CK). If initiating therapy, titrate slowly. If already established on therapy, may require dose reduction.

Semaglutide

No clinically significant drug interactions identified.

Sertraline

No clinically significant drug interactions identified.

Sildenafil

No clinically significant drug interactions identified.

Silodosin

No clinically significant drug interactions identified.

Simvastatin

Caution - increased level of simvastatin due to OAT1B1 inhibition. Monitor for signs of toxicity (ie. CK). If initiating therapy, titrate slowly. If already established on therapy, may require dose reduction.

Sitagliptin

No clinically significant drug interactions identified.

Sulfamethoxazole-trimethoprim

No clinically significant drug interactions identified.

Tadalafil

No clinically significant drug interactions identified.

Talazoparib

No clinically significant drug interactions identified.

Tamsulosin

Caution - increased level of tamsulosin due to 2D6 inhibition. Monitor for signs of toxicity (ie. syncope). If initiating therapy, titrate slowly. If already established on therapy, may require dose reduction. Consider choosing an alternative agent.

Terazocin

No clinically significant drug interactions identified.

Ticagrelor

No clinically significant drug interactions identified.

Tolterodine

No clinically significant drug interactions identified.

Tramadol

Caution - increased level of tramadol due to 2D6 inhibition. Titrate with extreme caution due to risk of overdose. If already established on tramadol, may require dose reduction. Consider choosing an alternative agent.

Selected Drugs

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