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Interaction Check

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Selected Drugs Clear All

  • remove Cabometyx
    cabozantinib
  • remove cefazolin
    generic
  • remove clindamycin/ benzoyl peroxide topical
    generic
  • remove Ingrezza
    valbenazine
  • remove Paxil CR
    paroxetine
  • remove Prolixin
    fluphenazine
  • remove Vemlidy
    tenofovir alafenamide
  • remove Victoza
    liraglutide
  • remove Zosyn
    piperacillin/ tazobactam

multicheck MultiCheck Results - 10 Interactions

Smiley face Smiley face

Monitor/Modify Tx

Smiley face Smiley face Cabometyx (cabozantinib) + Ingrezza (valbenazine)

Monitor/Modify Tx


cabozantinib + valbenazine

monitor ECG: combo may incr. risk of QT prolongation, cardiac arrhythmias (additive effects)

Smiley face Smiley face Cabometyx (cabozantinib) + Paxil CR (paroxetine)

Monitor/Modify Tx


cabozantinib + paroxetine

monitor bleeding s/sx: combo may incr. risk of GI or other bleeding, including life-threatening (additive effects, antiplatelet effects augmented by inhibition of platelet serotonin uptake)

Smiley face Smiley face Cabometyx (cabozantinib) + Vemlidy (tenofovir alafenamide)

Monitor/Modify Tx


cabozantinib + tenofovir alafenamide

monitor renal fxn: combo may incr. tenofovir levels, risk of nephrotoxicity, other adverse effects (additive effects)

Smiley face Smiley face Cabometyx (cabozantinib) + Zosyn (piperacillin/ tazobactam)

Monitor/Modify Tx


cabozantinib + piperacillin

monitor bleeding s/sx, especially w/ prolonged piperacillin tx and/or concomitant renal impairment: combo may incr. risk of GI or other bleeding, including life-threatening (additive effects)

Smiley face Smiley face Ingrezza (valbenazine) + Paxil CR (paroxetine)

Monitor/Modify Tx


valbenazine + paroxetine

monitor ECG; decr. valbenazine dose to 40 mg qd: combo may incr. valbenazine active metabolite levels, risk of QT prolongation, cardiac arrhythmias, CNS depression, psychomotor impairment, other adverse effects (hepatic metabolism inhibited, additive effects)

Smiley face Smiley face Ingrezza (valbenazine) + Prolixin (fluphenazine)

Monitor/Modify Tx


valbenazine + fluphenazine

consider decr. dose of one or both drugs: combo may incr. risk of CNS depression, psychomotor impairment (additive effects)

Smiley face Smiley face Ingrezza (valbenazine) + Vemlidy (tenofovir alafenamide)

Monitor/Modify Tx


valbenazine + tenofovir alafenamide

if tenofovir alafenamide not admin. w/ cobicistat, monitor renal fxn: combo may incr. tenofovir levels, risk of nephrotoxicity, other adverse effects (gut P-gp-mediated transport inhibited)

Smiley face Smiley face Paxil CR (paroxetine) + Prolixin (fluphenazine)

Monitor/Modify Tx


paroxetine + fluphenazine

consider decr. dose of one or both drugs: combo may incr. fluphenazine levels, risk of CNS depression, psychomotor impairment, other adverse effects (hepatic metabolism inhibited, additive effects)

Smiley face Smiley face Paxil CR (paroxetine) + Vemlidy (tenofovir alafenamide)

Monitor/Modify Tx


paroxetine + tenofovir alafenamide

if tenofovir alafenamide not admin. w/ cobicistat, monitor renal fxn: combo may incr. tenofovir levels, risk of nephrotoxicity, other adverse effects (gut P-gp-mediated transport inhibited)

Smiley face Smiley face Paxil CR (paroxetine) + Zosyn (piperacillin/ tazobactam)

Monitor/Modify Tx


paroxetine + piperacillin

monitor bleeding s/sx, especially w/ prolonged piperacillin tx and/or concomitant renal impairment: combo may incr. risk of bleeding, including life-threatening (additive effects, antiplatelet effects augmented by inhibition of platelet serotonin uptake)

Additional Considerations

Smiley face Smiley face valbenazine in Ingrezza

add MAO inhibitor to Interaction Check if recent (14 days) use

Smiley face Smiley face tenofovir alafenamide in Vemlidy

tenofovir alafenamide (prodrug) converted to tenofovir

Smiley face Smiley face liraglutide in Victoza

caution advised with concurrent oral drugs requiring rapid onset; liraglutide delays gastric emptying

Smiley face Smiley face paroxetine in Paxil CR

add MAO inhibitor to Interaction Check if recent (14 days) use

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