DDI Drug Name |
DDI Drug ID |
Severity |
Mechanism |
Comorbidity |
REF |
Methylene blue |
DMJAPE7
|
Major |
Additive serotonergic effects by the combination of Fenfluramine and Methylene blue. |
Acquired methaemoglobinaemia [3A93]
|
[9] |
Oliceridine |
DM6MDCF
|
Moderate |
Additive CNS depression effects by the combination of Fenfluramine and Oliceridine. |
Acute pain [MG31]
|
[10] |
Donepezil |
DMIYG7Z
|
Minor |
Decreased metabolism of Fenfluramine caused by Donepezil mediated inhibition of CYP450 enzyme. |
Alzheimer disease [8A20]
|
[11] |
Inotersen |
DMJ93CT
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Inotersen. |
Amyloidosis [5D00]
|
[12] |
Cilostazol |
DMZMSCT
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Cilostazol. |
Arterial occlusive disease [BD40]
|
[12] |
Desipramine |
DMT2FDC
|
Moderate |
Additive serotonergic effects by the combination of Fenfluramine and Desipramine. |
Attention deficit hyperactivity disorder [6A05]
|
[13] |
Droxidopa |
DM5YF4M
|
Moderate |
Additive hypertensive effects by the combination of Fenfluramine and Droxidopa. |
Autonomic nervous system disorder [8D87]
|
[14] |
Tamoxifen |
DMLB0EZ
|
Major |
Decreased metabolism of Fenfluramine caused by Tamoxifen mediated inhibition of CYP450 enzyme. |
Breast cancer [2C60-2C6Y]
|
[15] |
Trastuzumab Emtansine |
DMU1LXS
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Trastuzumab Emtansine. |
Breast cancer [2C60-2C6Y]
|
[16] |
Phenylbutazone |
DMAYL0T
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Phenylbutazone. |
Chronic pain [MG30]
|
[12] |
Dihydrocodeine |
DMB0FWL
|
Moderate |
Additive serotonergic effects by the combination of Fenfluramine and Dihydrocodeine. |
Chronic pain [MG30]
|
[10] |
Ketoprofen |
DMRKXPT
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Ketoprofen. |
Chronic pain [MG30]
|
[12] |
Levomilnacipran |
DMV26S8
|
Major |
Additive serotonergic effects by the combination of Fenfluramine and Levomilnacipran. |
Chronic pain [MG30]
|
[17] |
Anisindione |
DM2C48U
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Anisindione. |
Coagulation defect [3B10]
|
[12] |
Regorafenib |
DMHSY1I
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Regorafenib. |
Colorectal cancer [2B91]
|
[12] |
Alfentanil |
DMVO0UB
|
Major |
Additive serotonergic effects by the combination of Fenfluramine and Alfentanil. |
Corneal disease [9A76-9A78]
|
[17] |
Remifentanil |
DMZTXCH
|
Major |
Additive serotonergic effects by the combination of Fenfluramine and Remifentanil. |
Corneal disease [9A76-9A78]
|
[17] |
Ardeparin |
DMYRX8B
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Ardeparin. |
Coronary thrombosis [BA43]
|
[12] |
Ethanol |
DMDRQZU
|
Moderate |
Additive CNS depression effects by the combination of Fenfluramine and Ethanol. |
Cystitis [GC00]
|
[18] |
Danaparoid |
DM6CLBN
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Danaparoid. |
Deep vein thrombosis [BD71]
|
[12] |
Rivaroxaban |
DMQMBZ1
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Rivaroxaban. |
Deep vein thrombosis [BD71]
|
[12] |
Sertraline |
DM0FB1J
|
Major |
Additive serotonergic effects by the combination of Fenfluramine and Sertraline. |
Depression [6A70-6A7Z]
|
[17] |
Trimipramine |
DM1SC8M
|
Moderate |
Decreased metabolism of Fenfluramine caused by Trimipramine mediated inhibition of CYP450 enzyme. |
Depression [6A70-6A7Z]
|
[13] |
Cyclobenzaprine |
DM1YBRM
|
Major |
Additive serotonergic effects by the combination of Fenfluramine and Cyclobenzaprine. |
Depression [6A70-6A7Z]
|
[17] |
Vilazodone |
DM4LECQ
|
Major |
Additive serotonergic effects by the combination of Fenfluramine and Vilazodone. |
Depression [6A70-6A7Z]
|
[17] |
Nefazodone |
DM4ZS8M
|
Major |
Additive serotonergic effects by the combination of Fenfluramine and Nefazodone. |
Depression [6A70-6A7Z]
|
[17] |
Paroxetine |
DM5PVQE
|
Major |
Additive serotonergic effects by the combination of Fenfluramine and Paroxetine. |
Depression [6A70-6A7Z]
|
[17] |
Selegiline |
DM6034S
|
Major |
Additive serotonergic effects by the combination of Fenfluramine and Selegiline. |
Depression [6A70-6A7Z]
|
[19] |
Vortioxetine |
DM6F1PU
|
Major |
Additive serotonergic effects by the combination of Fenfluramine and Vortioxetine. |
Depression [6A70-6A7Z]
|
[17] |
Isocarboxazid |
DMAF1NB
|
Major |
Additive serotonergic effects by the combination of Fenfluramine and Isocarboxazid. |
Depression [6A70-6A7Z]
|
[19] |
Milnacipran |
DMBFE74
|
Major |
Additive serotonergic effects by the combination of Fenfluramine and Milnacipran. |
Depression [6A70-6A7Z]
|
[17] |
Escitalopram |
DMFK9HG
|
Major |
Additive serotonergic effects by the combination of Fenfluramine and Escitalopram. |
Depression [6A70-6A7Z]
|
[17] |
Tranylcypromine |
DMGB5RE
|
Major |
Additive serotonergic effects by the combination of Fenfluramine and Tranylcypromine. |
Depression [6A70-6A7Z]
|
[19] |
Desvenlafaxine |
DMHD4PE
|
Major |
Additive serotonergic effects by the combination of Fenfluramine and Desvenlafaxine. |
Depression [6A70-6A7Z]
|
[17] |
Phenelzine |
DMHIDUE
|
Major |
Additive serotonergic effects by the combination of Fenfluramine and Phenelzine. |
Depression [6A70-6A7Z]
|
[19] |
Clomipramine |
DMINRKW
|
Moderate |
Additive serotonergic effects by the combination of Fenfluramine and Clomipramine. |
Depression [6A70-6A7Z]
|
[13] |
Trazodone |
DMK1GBJ
|
Major |
Additive serotonergic effects by the combination of Fenfluramine and Trazodone. |
Depression [6A70-6A7Z]
|
[17] |
Doxepin |
DMPI98T
|
Moderate |
Additive serotonergic effects by the combination of Fenfluramine and Doxepin. |
Depression [6A70-6A7Z]
|
[13] |
Maprotiline |
DMPWB7T
|
Major |
Additive serotonergic effects by the combination of Fenfluramine and Maprotiline. |
Depression [6A70-6A7Z]
|
[17] |
Esketamine |
DMVU687
|
Major |
Additive hypertensive effects by the combination of Fenfluramine and Esketamine. |
Depression [6A70-6A7Z]
|
[20] |
5-hydroxy-L-tryptophan |
DMDWZGJ
|
Major |
Additive serotonergic effects by the combination of Fenfluramine and 5-hydroxy-L-tryptophan. |
Discovery agent [N.A.]
|
[21] |
Mefenamic acid |
DMK7HFI
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Mefenamic acid. |
Female pelvic pain [GA34]
|
[12] |
Tazemetostat |
DMWP1BH
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Tazemetostat. |
Follicular lymphoma [2A80]
|
[12] |
Mirabegron |
DMS1GYT
|
Moderate |
Decreased metabolism of Fenfluramine caused by Mirabegron mediated inhibition of CYP450 enzyme. |
Functional bladder disorder [GC50]
|
[22] |
Tolterodine |
DMSHPW8
|
Minor |
Decreased metabolism of Fenfluramine caused by Tolterodine mediated inhibition of CYP450 enzyme. |
Functional bladder disorder [GC50]
|
[23] |
Terbinafine |
DMI6HUW
|
Moderate |
Decreased metabolism of Fenfluramine caused by Terbinafine mediated inhibition of CYP450 enzyme. |
Fungal infection [1F29-1F2F]
|
[24] |
Avapritinib |
DMK2GZX
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Avapritinib. |
Gastrointestinal stromal tumour [2B5B]
|
[12] |
Sulfinpyrazone |
DMEV954
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Sulfinpyrazone. |
Gout [FA25]
|
[12] |
Ergotamine |
DMKR3C5
|
Major |
Additive serotonergic effects by the combination of Fenfluramine and Ergotamine. |
Headache [8A80-8A84]
|
[17] |
Cobicistat |
DM6L4H2
|
Moderate |
Decreased metabolism of Fenfluramine caused by Cobicistat mediated inhibition of CYP450 enzyme. |
Human immunodeficiency virus disease [1C60-1C62]
|
[25] |
Dipyridamole |
DMXY30O
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Dipyridamole. |
Hypertension [BA00-BA04]
|
[12] |
Givosiran |
DM5PFIJ
|
Moderate |
Decreased metabolism of Fenfluramine caused by Givosiran mediated inhibition of CYP450 enzyme. |
Inborn porphyrin/heme metabolism error [5C58]
|
[26] |
Meclofenamic acid |
DM05FXR
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Meclofenamic acid. |
Inflammatory spondyloarthritis [FA92]
|
[16] |
Berotralstat |
DMWA2DZ
|
Moderate |
Decreased metabolism of Fenfluramine caused by Berotralstat mediated inhibition of CYP450 enzyme. |
Innate/adaptive immunodeficiency [4A00]
|
[27] |
Polyethylene glycol |
DM4I1JP
|
Moderate |
Increased risk of lowers seizure threshold by the combination of Fenfluramine and Polyethylene glycol. |
Irritable bowel syndrome [DD91]
|
[28] |
Glycerol phenylbutyrate |
DMDGRQO
|
Moderate |
Decreased metabolism of Fenfluramine caused by Glycerol phenylbutyrate mediated inhibition of CYP450 enzyme. |
Liver disease [DB90-DB9Z]
|
[29] |
Dacomitinib |
DMOH8VY
|
Moderate |
Decreased metabolism of Fenfluramine caused by Dacomitinib mediated inhibition of CYP450 enzyme. |
Lung cancer [2C25]
|
[30] |
Acalabrutinib |
DM7GCVW
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Acalabrutinib. |
Mature B-cell lymphoma [2A85]
|
[12] |
Ibrutinib |
DMHZCPO
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Ibrutinib. |
Mature B-cell lymphoma [2A85]
|
[12] |
Ponatinib |
DMYGJQO
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Ponatinib. |
Mature B-cell lymphoma [2A85]
|
[12] |
Vemurafenib |
DM62UG5
|
Moderate |
Decreased metabolism of Fenfluramine caused by Vemurafenib mediated inhibition of CYP450 enzyme. |
Melanoma [2C30]
|
[31] |
Almogran |
DM7I64Z
|
Major |
Additive serotonergic effects by the combination of Fenfluramine and Almogran. |
Migraine [8A80]
|
[17] |
Frovatriptan |
DM7RE8P
|
Major |
Additive serotonergic effects by the combination of Fenfluramine and Frovatriptan. |
Migraine [8A80]
|
[17] |
Rizatriptan |
DMDJMA3
|
Major |
Additive serotonergic effects by the combination of Fenfluramine and Rizatriptan. |
Migraine [8A80]
|
[17] |
Naratriptan |
DMO50U2
|
Major |
Additive serotonergic effects by the combination of Fenfluramine and Naratriptan. |
Migraine [8A80]
|
[17] |
Sumatriptan |
DMVYXR8
|
Major |
Additive serotonergic effects by the combination of Fenfluramine and Sumatriptan. |
Migraine [8A80]
|
[17] |
Exjade |
DMHPRWG
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Exjade. |
Mineral absorption/transport disorder [5C64]
|
[12] |
Panobinostat |
DM58WKG
|
Major |
Increased risk of bleeding by the combination of Fenfluramine and Panobinostat. |
Multiple myeloma [2A83]
|
[12] |
Ozanimod |
DMT6AM2
|
Moderate |
Additive serotonergic effects by the combination of Fenfluramine and Ozanimod. |
Multiple sclerosis [8A40]
|
[19] |
Fedratinib |
DM4ZBK6
|
Moderate |
Decreased metabolism of Fenfluramine caused by Fedratinib mediated inhibition of CYP450 enzyme. |
Myeloproliferative neoplasm [2A20]
|
[29] |
Ruxolitinib |
DM7Q98D
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Ruxolitinib. |
Myeloproliferative neoplasm [2A20]
|
[12] |
Imatinib |
DM7RJXL
|
Moderate |
Decreased metabolism of Fenfluramine caused by Imatinib mediated inhibition of CYP450 enzyme. |
Myeloproliferative neoplasm [2A20]
|
[32] |
Dasatinib |
DMJV2EK
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Dasatinib. |
Myeloproliferative neoplasm [2A20]
|
[12] |
Prasugrel |
DM7MT6E
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Prasugrel. |
Myocardial infarction [BA41-BA43]
|
[12] |
Vorapaxar |
DMA16BR
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Vorapaxar. |
Myocardial infarction [BA41-BA43]
|
[12] |
Tirofiban |
DMQG17S
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Tirofiban. |
Myocardial infarction [BA41-BA43]
|
[12] |
Rolapitant |
DM8XP26
|
Moderate |
Decreased metabolism of Fenfluramine caused by Rolapitant mediated inhibition of CYP450 enzyme. |
Nausea/vomiting [MD90]
|
[33] |
Granisetron |
DMIUW25
|
Major |
Additive serotonergic effects by the combination of Fenfluramine and Granisetron. |
Nausea/vomiting [MD90]
|
[34] |
Dolasetron |
DMMG26Z
|
Major |
Additive serotonergic effects by the combination of Fenfluramine and Dolasetron. |
Nausea/vomiting [MD90]
|
[34] |
Ondansetron |
DMOTQ1I
|
Major |
Additive serotonergic effects by the combination of Fenfluramine and Ondansetron. |
Nausea/vomiting [MD90]
|
[34] |
Bupropion |
DM5PCS7
|
Major |
Increased risk of lowers seizure threshold by the combination of Fenfluramine and Bupropion. |
Nicotine use disorder [6C4A]
|
[34] |
Levomethadyl Acetate |
DM06HG5
|
Moderate |
Additive CNS depression effects by the combination of Fenfluramine and Levomethadyl Acetate. |
Opioid use disorder [6C43]
|
[10] |
Diclofenac |
DMPIHLS
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Diclofenac. |
Osteoarthritis [FA00-FA05]
|
[12] |
Naproxen |
DMZ5RGV
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Naproxen. |
Osteoarthritis [FA00-FA05]
|
[12] |
Pentazocine |
DM1XBHS
|
Major |
Additive serotonergic effects by the combination of Fenfluramine and Pentazocine. |
Pain [MG30-MG3Z]
|
[17] |
Butorphanol |
DM5KYPJ
|
Moderate |
Additive serotonergic effects by the combination of Fenfluramine and Butorphanol. |
Pain [MG30-MG3Z]
|
[10] |
Oxymorphone |
DM65AGJ
|
Moderate |
Additive CNS depression effects by the combination of Fenfluramine and Oxymorphone. |
Pain [MG30-MG3Z]
|
[10] |
Aspirin |
DM672AH
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Aspirin. |
Pain [MG30-MG3Z]
|
[16] |
Etodolac |
DM6WJO9
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Etodolac. |
Pain [MG30-MG3Z]
|
[12] |
Diflunisal |
DM7EN8I
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Diflunisal. |
Pain [MG30-MG3Z]
|
[12] |
Ibuprofen |
DM8VCBE
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Ibuprofen. |
Pain [MG30-MG3Z]
|
[12] |
Levorphanol |
DMGS80V
|
Moderate |
Additive CNS depression effects by the combination of Fenfluramine and Levorphanol. |
Pain [MG30-MG3Z]
|
[10] |
Dezocine |
DMJDB0Y
|
Moderate |
Additive serotonergic effects by the combination of Fenfluramine and Dezocine. |
Pain [MG30-MG3Z]
|
[10] |
Nalbuphine |
DMOSQGU
|
Moderate |
Additive CNS depression effects by the combination of Fenfluramine and Nalbuphine. |
Pain [MG30-MG3Z]
|
[10] |
Buprenorphine |
DMPRI8G
|
Moderate |
Additive serotonergic effects by the combination of Fenfluramine and Buprenorphine. |
Pain [MG30-MG3Z]
|
[10] |
Hydrocodone |
DMQ2JO5
|
Moderate |
Additive CNS depression effects by the combination of Fenfluramine and Hydrocodone. |
Pain [MG30-MG3Z]
|
[10] |
Safinamide |
DM0YWJC
|
Major |
Additive serotonergic effects by the combination of Fenfluramine and Safinamide. |
Parkinsonism [8A00]
|
[19] |
Rasagiline |
DM3WKQ4
|
Major |
Additive serotonergic effects by the combination of Fenfluramine and Rasagiline. |
Parkinsonism [8A00]
|
[19] |
Choline salicylate |
DM8P137
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Choline salicylate. |
Postoperative inflammation [1A00-CA43]
|
[12] |
Bromfenac |
DMKB79O
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Bromfenac. |
Postoperative inflammation [1A00-CA43]
|
[12] |
ABIRATERONE |
DM8V75C
|
Moderate |
Decreased metabolism of Fenfluramine caused by ABIRATERONE mediated inhibition of CYP450 enzyme. |
Prostate cancer [2C82]
|
[35] |
Tamsulosin |
DM5QF9V
|
Moderate |
Decreased metabolism of Fenfluramine caused by Tamsulosin mediated inhibition of CYP450 enzyme. |
Prostate hyperplasia [GA90]
|
[36] |
Epoprostenol |
DMUTYR2
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Epoprostenol. |
Pulmonary hypertension [BB01]
|
[12] |
Iloprost |
DMVPZBE
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Iloprost. |
Pulmonary hypertension [BB01]
|
[12] |
Meloxicam |
DM2AR7L
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Meloxicam. |
Rheumatoid arthritis [FA20]
|
[12] |
Sulindac |
DM2QHZU
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Sulindac. |
Rheumatoid arthritis [FA20]
|
[12] |
Oxaprozin |
DM9UB0P
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Oxaprozin. |
Rheumatoid arthritis [FA20]
|
[12] |
Flurbiprofen |
DMGN4BY
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Flurbiprofen. |
Rheumatoid arthritis [FA20]
|
[12] |
Thioridazine |
DM35M8J
|
Major |
Decreased metabolism of Fenfluramine caused by Thioridazine mediated inhibition of CYP450 enzyme. |
Schizophrenia [6A20]
|
[37] |
Aripiprazole |
DM3NUMH
|
Moderate |
Decreased metabolism of Fenfluramine caused by Aripiprazole mediated inhibition of CYP450 enzyme. |
Schizophrenia [6A20]
|
[38] |
Salicyclic acid |
DM2F8XZ
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Salicyclic acid. |
Seborrhoeic dermatitis [EA81]
|
[16] |
Fentanyl |
DM8WAHT
|
Major |
Additive serotonergic effects by the combination of Fenfluramine and Fentanyl. |
Sensation disturbance [MB40]
|
[17] |
Sufentanil |
DMU7YEL
|
Major |
Additive serotonergic effects by the combination of Fenfluramine and Sufentanil. |
Sensation disturbance [MB40]
|
[17] |
Pitolisant |
DM8RFNJ
|
Moderate |
Decreased metabolism of Fenfluramine caused by Pitolisant mediated inhibition of CYP450 enzyme. |
Somnolence [MG42]
|
[29] |
Warfarin |
DMJYCVW
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Warfarin. |
Supraventricular tachyarrhythmia [BC81]
|
[12] |
Caplacizumab |
DMPUKA7
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Caplacizumab. |
Thrombocytopenia [3B64]
|
[12] |
Apixaban |
DM89JLN
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Apixaban. |
Thrombosis [DB61-GB90]
|
[12] |
Cangrelor |
DM8JRH0
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Cangrelor. |
Thrombosis [DB61-GB90]
|
[12] |
Brilinta |
DMBR01X
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Brilinta. |
Thrombosis [DB61-GB90]
|
[12] |
Clopidogrel |
DMOL54H
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Clopidogrel. |
Thrombosis [DB61-GB90]
|
[12] |
Cabozantinib |
DMIYDT4
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Cabozantinib. |
Thyroid cancer [2D10]
|
[12] |
Betrixaban |
DM2C4RF
|
Moderate |
Increased risk of bleeding by the combination of Fenfluramine and Betrixaban. |
Venous thromboembolism [BD72]
|
[12] |
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