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Interaction Check

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Selected Drugs Clear All

  • remove black garlic
    garlic (Allium sativum)
  • remove doxylamine/ pyridoxine
    generic
  • remove Pyzchiva (ustekinumab-ttwe)
    ustekinumab
  • remove valproate sodium
    generic
  • remove Xanax
    alprazolam

multicheck MultiCheck Results - 5 Interactions

Smiley face Smiley face

Avoid/Use Alternative

Smiley face Smiley face doxylamine/pyridoxine (generic) + valproate sodium (generic)

Avoid/Use Alternative


doxylamine + valproic acid

avoid combo if doxylamine use for pregnancy-related nausea/vomiting, otherwise caution advised: combo may incr. risk of CNS depression, psychomotor impairment (additive effects)

Smiley face Smiley face doxylamine/pyridoxine (generic) + Xanax (alprazolam)

Avoid/Use Alternative


doxylamine + alprazolam

avoid combo if doxylamine use for pregnancy-related nausea/vomiting, otherwise monitor respiratory rate: combo may incr. risk of CNS and respiratory depression, psychomotor impairment (additive effects)

Monitor/Modify Tx

Smiley face Smiley face black garlic (garlic (Allium sativum)) + valproate sodium (generic)

Monitor/Modify Tx


garlic + valproic acid

monitor bleeding s/sx, especially w/ supplemental garlic; dietary intake OK: combo may incr. risk of GI or other bleeding (additive effects)

Smiley face Smiley face valproate sodium (generic) + Xanax (alprazolam)

Monitor/Modify Tx


valproic acid + alprazolam

monitor respiratory rate: combo may incr. risk of CNS and respiratory depression, psychomotor impairment (additive effects)

Caution Advised

Smiley face Smiley face black garlic (garlic (Allium sativum)) + Xanax (alprazolam)

Caution Advised


garlic + alprazolam

caution advised w/ supplemental garlic; dietary intake OK: combo may decr. alprazolam levels, efficacy (hepatic metabolism induced)

Additional Considerations

Smiley face Smiley face ustekinumab in Pyzchiva (ustekinumab-ttwe)

caution advised w/ narrow therapeutic index drugs; chronic inflammatory conditions may alter metabolic enzyme formation; tx w/ immune modulators may reverse this effect, resulting in altered levels of concomitant drugs

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