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1510.e4 Drug Interactions



                                                                                                       Target Drug
                                                               Concurrent                              Plasma
  VetBooks.ir             Primary    Other Drugs   Other Drugs   With Target   Administration  Target Drug   Binding
                                                               Administration  Concurrent
                                                                                                       Protein
                                                               Drug
                                     That Increase
                                                  That Decrease
                                                                           With Target
                                                                                        Worsens the
                                                                                                       (Higher %
                          Metabolism
                                                                                                       Drugs With
                                     Blood Levels
                                                  Blood Levels
                                                               the Effect of
                                                                           the Effect of
                                                                                        Associated With
                          Enzymes/   Target Drug   Target Drug   Enhances   Drug Inhibits   Adverse Effects   Displaces
            Target Drug   Elimination  or Effects  or Effects  These Drugs  These Drugs  These Drugs   Lower %)
            Phenylpropanolamine  Renal excretion                           Aspirin      Isoflurane, desflurane,   Not reported
                                                                                        sevoflurane, amitraz,
                                                                                        selegiline, aspirin,
                                                                                        carprofen, deracoxib,
                                                                                        firocoxib, robenacoxib,
                                                                                        meloxicam,
                                                                                        reserpine, ephedrine,
                                                                                        clomipramine,
                                                                                        amitriptyline,
                                                                                        imipramine
            Pimobendan    Extensive hepatic  Verapamil,                                                90%-95%
                          metabolism/fecal  propranolol,
                          excretion  diltiazem
            Potassium bromide  Renal excretion    Chloride, xylazine,                   Opioids, CNS   0%
                                                  furosemide,                           depressants
                                                  hydrochlorothiazide,
                                                  torsemide
            Pradofloxacin  Hepatic/renal   Flunixin,   Antacids, dairy,   Doxorubicin,   Levothyroxine,   Cyclosporine,   37% (dogs),
                          excretion  probenecid   aluminum,    methotrexate,   mycophenolate,   enrofloxacin,   31% (cats)
                                                  magnesium,   sildenafil,   nitrofurantoin  ciprofloxacin,
                                                  calcium, iron, zinc,   theophylline,   marbofloxacin,
                                                  sucralfate   warfarin                 orbifloxacin,
                                                                                        procainamide,
                                                                                        quinidine, sotalol,
                                                                                        amitriptyline,
                                                                                        imipramine,
                                                                                        clomipramine,
                                                                                        corticosteroids
            Robenacoxib   Phase II   Fluconazole               Warfarin, heparin,   Benazepril,   Aspirin, deracoxib,   >99%
                          dealkylation and                     clopidogrel,   enalapril,   firocoxib, robenacoxib,
                          glucuronidation                      digoxin, insulins,   captopril, lisinopril,   meloxicam, prednisone,
                          with biliary and                     glipizide   desmopressin,   prednisolone,
                          hepatic excretion                                furosemide,   dexamethasone,
                                                                           torsemide, atenolol,  triamcinolone,
                                                                           telmisartan,   methylprednisolone,
                                                                           candesartan  cyclosporine,
                                                                                        dacarbazine,
                                                                                        methotrexate
            Selamectin    Hepatic    Amiodarone,   Sarmazenil,   Benzodiazepines,       Spinosad       Not reported
                          metabolism,   ketoconazole,   flumazenil  cetirizine
                          P-gp transporter   itraconazole,
                          substrate, biliary/  fluconazole,
                          fecal excretion  chloramphenicol,
                                     cimetidine,
                                     fluvoxamine,
                                     clarithromycin,
                                     erythromycin,
                                     cyclosporine,
                                     diltiazem,
                                     quinidine,
                                     verapamil
            Spinosad      Phase II   Cyclosporine,             Ivermectin,              Ivermectin, selamectin,   99%
                          glutathione   verapamil,             moxidectin,              moxidectin, milbemycin
                          conjugation/  ketoconazole,          milbemycin,
                          renal and fecal   loperamide         selamectin
                          excretion
            Toceranib     Hepatic    Calcitriol                                         Aspirin, carprofen,   92%
                          metabolism/fecal                                              deracoxib, firocoxib,
                          excretion                                                     meloxicam,
                                                                                        robenacoxib,
                                                                                        antineoplastic drugs




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