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20200316 2020covid interactionsummary_web_2020_mar12
1.
Liverpool Drug Interactions
Group Charts updated 12 March 2020 Page 1 of 4 Please check www.covid19-druginteractions.org for updates. Please note that if a drug is not listed it cannot automatically be assumed it is safe to coadminister. No recommendation to use experimental therapy for COVID-19 is made. Drug interaction data for many agents are limited or absent; therefore, risk-benefit assessment for any individual patient rests with prescribers. Key to abbreviations DRV/c Darunavir/cobicistat CLQ Chloroquine LPV/r Lopinavir/ritonavir NITA Nitazoxanide RDV Remdesivir RBV Ribavirin FAVI Favipiravir Key to symbols These drugs should not be coadministered Potential interaction - may require close monitoring, alteration of drug dosage or timing of administration Potential interaction likely to be of weak intensity. Additional action/monitoring or dosage adjustment is unlikely to be required No clinically significant interaction expected © Liverpool Drug Interaction Group, University of Liverpool, Pharmacology Research Labs, 1st Floor Block H, 70 Pembroke Place, LIVERPOOL, L69 3GF We aim to ensure that information is accurate and consistent with current knowledge and practice. However, the University of Liverpool and its servants or agents shall not be responsible or in any way liable for the continued currency of information in this publication whether arising from negligence or otherwise howsoever or for any consequences arising therefrom. The University of Liverpool expressly exclude liability for errors, omissions or inaccuracies to the fullest extent permitted by law. Interactions with Experimental COVID-19 Therapies DRV/c LPV/r RDV FAVI CLQ NITA RBV Anaesthetics & Muscle Relaxants Alcuronium Bupivacaine Cisatracurium Desflurane Dexmedetomidine Enflurane Ephedrine Etidocaine Halothane Isoflurane Ketamine Minaxolone Nitrous oxide Propofol Rocuronium Sevoflurane Sufentanil Suxamethonium (succinylcholine) Tetracaine Thiopental Tizanidine Vecuronium Analgesics Alfentanil Aspirin Buprenorphine Celecoxib Codeine Dextropropoxyphene Diamorphine (diacetylmorphine) Diclofenac Dihydrocodeine Fentanyl Hydrocodone Hydromorphone Ibuprofen Mefenamic acid Methadone Morphine Naproxen Nimesulide Oxycodone Paracetamol (Acetaminophen) Pethidine (Meperidine) Piroxicam Remifentanil Tapentadol Tramadol Antiarrhythmics Amiodarone Bepridil Disopyramide Dofetilide Flecainide Lidocaine (Lignocaine) Mexiletine Propafenone Quinidine DRV/c LPV/r RDV FAVI CLQ NITA RBV Antibacterials Amikacin Amoxicillin Ampicillin Azithromycin Bedaquiline Capreomycin Cefalexin Cefazolin Cefixime Cefotaxime Ceftazidime Ceftriaxone Chloramphenicol Ciprofloxacin Clarithromycin Clavulanic acid Clindamycin Clofazimine Cloxacillin Cycloserine Dapsone Delamanid Doxycycline Ertapenem Erythromycin Ethambutol Ethionamide Flucloxacillin Gentamicin Imipenem/Cilastatin Isoniazid Kanamycin Levofloxacin Linezolid Meropenem Metronidazole Moxifloxacin Nitrofurantoin Ofloxacin Para-aminosalicylic acid Penicillins Piperacillin Pyrazinamide Rifabutin Rifampicin Rifapentine Rifaximin Spectinomycin Streptomycin Sulfadiazine Tazobactam Telithromycin Tetracyclines Tinidazole Trimethoprim/Sulfamethoxazole Vancomycin
2.
Liverpool Drug Interactions
Group Charts updated 12 March 2020 Page 2 of 4 Please check www.covid19-druginteractions.org for updates. Please note that if a drug is not listed it cannot automatically be assumed it is safe to coadminister. No recommendation to use experimental therapy for COVID-19 is made. Drug interaction data for many agents are limited or absent; therefore, risk-benefit assessment for any individual patient rests with prescribers. Key to abbreviations DRV/c Darunavir/cobicistat CLQ Chloroquine LPV/r Lopinavir/ritonavir NITA Nitazoxanide RDV Remdesivir RBV Ribavirin FAVI Favipiravir Key to symbols These drugs should not be coadministered Potential interaction - may require close monitoring, alteration of drug dosage or timing of administration Potential interaction likely to be of weak intensity. Additional action/monitoring or dosage adjustment is unlikely to be required No clinically significant interaction expected © Liverpool Drug Interaction Group, University of Liverpool, Pharmacology Research Labs, 1st Floor Block H, 70 Pembroke Place, LIVERPOOL, L69 3GF We aim to ensure that information is accurate and consistent with current knowledge and practice. However, the University of Liverpool and its servants or agents shall not be responsible or in any way liable for the continued currency of information in this publication whether arising from negligence or otherwise howsoever or for any consequences arising therefrom. The University of Liverpool expressly exclude liability for errors, omissions or inaccuracies to the fullest extent permitted by law. Interactions with Experimental COVID-19 Therapies DRV/c LPV/r RDV FAVI CLQ NITA RBV Anti-coagulant, Anti-platelet and Fibrinolytic Acenocoumarol Apixaban Argatroban Aspirin (anti-platelet) Betrixaban Clopidogrel Dabigatran Dalteparin Dipyridamole Edoxaban Eltrombopag Enoxaparin Fondaparinux Heparin Phenprocoumon Prasugrel Rivaroxaban Streptokinase Ticagrelor Warfarin Antidepressants Agomelatine Amitriptyline Bupropion Citalopram Clomipramine Desipramine Doxepin Duloxetine Escitalopram Fluoxetine Fluvoxamine Imipramine Lithium Maprotiline Mianserin Milnacipran Mirtazapine Nefazodone Nortriptyline Paroxetine Phenelzine Reboxetine Sertraline St John’s wort Tranylcypromine Trazodone Trimipramine Venlafaxine Vortioxetine DRV/c LPV/r RDV FAVI CLQ NITA RBV Anti-diabetics Acarbose Canagliflozin Dapagliflozin Dulaglutide Empagliflozin Exanatide Glibenclamide (Glyburide) Gliclazide Glimepiride Glipizide Insulin Linagliptin Liraglutide Metformin Nateglinide Pioglitazone Repaglinide Rosiglitazone Saxagliptin Sitagliptin Tolbutamide Vildagliptin Antipsychotics/Neuroleptics Amisulpride Aripiprazole Asenapine Chlorpromazine Clozapine Fluphenazine Haloperidol Iloperidone Levomepromazine Olanzapine Paliperidone Perazine Periciazine Perphenazine Pimozide Pipotiazine Quetiapine Risperidone Sulpiride Thioridazine Tiapride Ziprasidone Zotepine Zuclopenthixol Antivirals Darunavir/cobicistat Lopinavir/ritonavir Remdesivir Favipiravir Chloroquine Nitazoxanide Ribavirin Oseltamivir
3.
Liverpool Drug Interactions
Group Charts updated 12 March 2020 Page 3 of 4 Please check www.covid19-druginteractions.org for updates. Please note that if a drug is not listed it cannot automatically be assumed it is safe to coadminister. No recommendation to use experimental therapy for COVID-19 is made. Drug interaction data for many agents are limited or absent; therefore, risk-benefit assessment for any individual patient rests with prescribers. Key to abbreviations DRV/c Darunavir/cobicistat CLQ Chloroquine LPV/r Lopinavir/ritonavir NITA Nitazoxanide RDV Remdesivir RBV Ribavirin FAVI Favipiravir Key to symbols These drugs should not be coadministered Potential interaction - may require close monitoring, alteration of drug dosage or timing of administration Potential interaction likely to be of weak intensity. Additional action/monitoring or dosage adjustment is unlikely to be required No clinically significant interaction expected © Liverpool Drug Interaction Group, University of Liverpool, Pharmacology Research Labs, 1st Floor Block H, 70 Pembroke Place, LIVERPOOL, L69 3GF We aim to ensure that information is accurate and consistent with current knowledge and practice. However, the University of Liverpool and its servants or agents shall not be responsible or in any way liable for the continued currency of information in this publication whether arising from negligence or otherwise howsoever or for any consequences arising therefrom. The University of Liverpool expressly exclude liability for errors, omissions or inaccuracies to the fullest extent permitted by law. Interactions with Experimental COVID-19 Therapies DRV/c LPV/r RDV FAVI CLQ NITA RBV Anxiolytics/Hypnotics/Sedatives Alprazolam Bromazepam Buspirone Chlordiazepoxide Clobazam Clorazepate Diazepam Estazolam Flunitrazepam Flurazepam Hydroxyzine Lorazepam Lormetazepam Midazolam (oral) Midazolam (parenteral) Oxazepam Temazepam Triazolam Zaleplon Zolpidem Zopiclone Beta Blockers Atenolol Bisoprolol Carvedilol Metoprolol Nebivolol Oxprenolol Pindolol Propranolol Timolol Bronchodilators Aclidinium bromide Aminophylline Formoterol Glycopyrronium bromide Indacaterol Ipratropium bromide Montelukast Olodaterol Roflumilast Salbutamol Salmeterol Theophylline Tiotropium bromide Umeclidinium bromide Vilanterol Calcium Channel Blockers Amlodipine Diltiazem Felodipine Nicardipine Nifedipine Nisoldipine Nitrendipine Verapamil DRV/c LPV/r RDV FAVI CLQ NITA RBV Contraceptives/HRT Desogestrel (COC) Desogestrel (POP) Drospirenone (COC) Drospirenone (HRT) Dydrogesterone (HRT) Estradiol Ethinylestradiol Etonogestrel (implant) Etonogestrel (vaginal ring) Gestodene (COC) Levonorgestrel (COC) Levonorgestrel (emergencycontrac.) Levonorgestrel (HRT) Levonorgestrel (implant) Levonorgestrel (IUD) Levonorgestrel (POP) Medroxyprogesterone (depot inj.) Medroxyprogesterone (oral) Norelgestromin (patch) Norethisterone (COC) Norethisterone (HRT) Norethisterone (IM depot) Norethisterone(POP) Norgestimate (COC) Norgestrel (COC) Norgestrel (HRT) Ulipristal Gastrointestinal Agents Alosetron Antacids Bisacodyl Cimetidine Cisapride Esomeprazole Famotidine Lactulose Lansoprazole Loperamide Mesalazine Omeprazole Pantoprazole Prucalopride Rabeprazole Ranitidine Senna Gastrointestinal Agents (anti-emetics) Aprepitant Dolasetron Domperidone Dronabinol Granisetron Metoclopramide Ondansetron Prochlorperazine
4.
Liverpool Drug Interactions
Group Charts updated 12 March 2020 Page 4 of 4 Please check www.covid19-druginteractions.org for updates. Please note that if a drug is not listed it cannot automatically be assumed it is safe to coadminister. No recommendation to use experimental therapy for COVID-19 is made. Drug interaction data for many agents are limited or absent; therefore, risk-benefit assessment for any individual patient rests with prescribers. Key to abbreviations DRV/c Darunavir/cobicistat CLQ Chloroquine LPV/r Lopinavir/ritonavir NITA Nitazoxanide RDV Remdesivir RBV Ribavirin FAVI Favipiravir Key to symbols These drugs should not be coadministered Potential interaction - may require close monitoring, alteration of drug dosage or timing of administration Potential interaction likely to be of weak intensity. Additional action/monitoring or dosage adjustment is unlikely to be required No clinically significant interaction expected © Liverpool Drug Interaction Group, University of Liverpool, Pharmacology Research Labs, 1st Floor Block H, 70 Pembroke Place, LIVERPOOL, L69 3GF We aim to ensure that information is accurate and consistent with current knowledge and practice. However, the University of Liverpool and its servants or agents shall not be responsible or in any way liable for the continued currency of information in this publication whether arising from negligence or otherwise howsoever or for any consequences arising therefrom. The University of Liverpool expressly exclude liability for errors, omissions or inaccuracies to the fullest extent permitted by law. Interactions with Experimental COVID-19 Therapies DRV/c LPV/r RDV FAVI CLQ NITA RBV Hypertension / Heart Failure Agents Aliskiren Ambrisentan Amiloride Benazepril Bendroflumethiazide Bosentan Candesartan Captopril Chlortalidone Cilazapril Clonidine Digoxin Dopamine Doxazosin Enalapril Eplerenone Epoprostenol Eprosartan Fosinopril Furosemide Hydralazine Hydrochlorothiazide Iloprost Indapamide Irbesartan Isosorbide dinitrate Ivabradine Labetalol Lacidipine Lercanidipine Lisinopril Losartan Macitentan Methyldopa Metolazone Moxonidine Olmesartan Perindopril Prazosin Quinapril Ramipril Ranolazine Riociguat Sacubitril Selexipag Sildenafil (PAH) Sodium nitroprusside Spironolactone Tadalafil (PAH) Telmisartan Terazosin Torasemide Trandolapril Treprostinil Valsartan Xipamide DRV/c LPV/r RDV FAVI CLQ NITA RBV Immunosuppressants Adalimumab Anti-thymocyte globulin Azathioprine Basiliximab Belatacept Ciclosporin Mycophenolate Sirolimus Tacrolimus Inotropes & Vasopressors Adrenaline (Epinephrine) Dobutamine Noradrenaline Vasopressin Lipid Lowering Agents Atorvastatin Bezafibrate Clofibrate Evolocumab Ezetimibe Fenofibrate Fish oils Fluvastatin Gemfibrozil Lovastatin Pitavastatin Pravastatin Rosuvastatin Simvastatin Steroids Beclometasone Betamethasone Budesonide Ciclesonide Clobetasol Dexamethasone Fludrocortisone Flunisolide Fluocinolone Fluticasone Hydrocortisone (oral) Hydrocortisone (topical) Megestrol acetate Methylprednisolone Mometasone Nandrolone Oxandrolone Prednisolone Prednisone Stanazolol Testosterone Triamcinolone
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