Drug General Information (ID: D0564)
  Drug Name
Emapalumab
  Drug Type Monoclonal antibody
  Drug Synonymous
emapalumab; Emapalumab [INN]; Emapalumab [USAN:INN]; UNII-3S252O2Z4X; 3S252O2Z4X
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  Disease Class 4A01: Adaptive immunity immunodeficiency
  Therapeutic Class Selective Immunosuppressants
  External Link
TTD ID D0UI7K

Drug-Drug Interaction Network
  Sunburst Graph
AM004  Affected intra/extra-hepatic metabolism
AM006  Pharmacodynamic additive effects
AM007  Pharmacodynamic antagonistic effects
BM016  Altered formation of CYP450 enzymes
BM043  Additive immunosuppressive effects
BM100  Antagonize the effect of vaccine/toxoid
BM105  Antagonize the effect of probiotics
  Relation Graph
 Full list of drugs interacting with Emapalumab
      Affected intra/extra-hepatic metabolism
   Altered formation of CYP450 enzymes Drug Num:  59
Drug ID
 
Drug Name
Formula Pubchem ID Severity Level Interaction Detail REF
D0045
 
Alprazolam
 
C17H13ClN4
 
2118 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D0064
 
Aminophylline
 
C16H24N10O4
 
9433 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D0066
 
Amiodarone
 
C25H29I2NO3
 
2157 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D0069
 
Amlodipine
 
C20H25ClN2O5
 
2162 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D0096
 
Apixaban
 
C25H25N5O4
 
10182969 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D0120
 
Atorvastatin
 
C33H35FN2O5
 
60823 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D0219
 
Buprenorphine
 
C29H41NO4
 
644073 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D0255
 
Carbamazepine
 
C15H12N2O
 
2554 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D0356
 
Clobazam
 
C16H13ClN2O2
 
2789 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D0362
 
Clonazepam
 
C15H10ClN3O3
 
2802 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D0473
 
Diazepam
 
C16H13ClN2O
 
3016 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D0481
 
Dicoumarol
 
C19H12O6
 
54676038 
Moderate    Inter Info   
[7], [8], [13]
D0485
 
Dienogest
 
C20H25NO2
 
68861 
Moderate    Inter Info   
[7], [8], [13]
D0508
 
Disopyramide
 
C21H29N3O
 
3114 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D0536
 
Drospirenone
 
C24H30O3
 
68873 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D0161
 
Benzhydrocodone
 
C25H25NO4
 
49836084 
Moderate    Inter Info   
[7], [8], [13]
D1169
 
Oliceridine
 
C22H30N2O2S
 
66553195 
Moderate    Inter Info   
[7], [8], [13]
D0619
 
Ethinylestradiol
 
C20H24O2
 
5991 
Moderate    Inter Info   
[7], [8], [13]
D0620
 
Ethosuximide
 
C7H11NO2
 
3291 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D0626
 
Etonogestrel
 
C22H28O2
 
6917715 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D0640
 
Felodipine
 
C18H19Cl2NO4
 
3333 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D0646
 
Fentanyl
 
C22H28N2O
 
3345 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D0664
 
Flecainide
 
C17H20F6N2O3
 
3356 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D0697
 
Fosphenytoin
 
C16H15N2O6P
 
56339 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D0772
 
Hydrocodone
 
C18H21NO3
 
5284569 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D0865
 
Isradipine
 
C19H21N3O5
 
3784 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D0911
 
Levamlodipine
 
C20H25ClN2O5
 
9822750 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D0922
 
Levonorgestrel
 
C21H28O2
 
13109 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D0927
 
Lidocaine
 
C14H22N2O
 
3676 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D0956
 
Lovastatin
 
C24H36O5
 
53232 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D0990
 
Medroxyprogesterone acetate
 
C24H34O4
 
6279 
Moderate    Inter Info   
[7], [8], [13]
D1003
 
Mephenytoin
 
C12H14N2O2
 
4060 
Moderate    Inter Info   
[7], [8], [13]
D1011
 
Mestranol
 
C21H26O2
 
6291 
Moderate    Inter Info   
[7], [8], [13]
D1017
 
Methadone
 
C21H27NO
 
4095 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D1040
 
Methylphenobarbital
 
C13H14N2O3
 
8271 
Moderate    Inter Info   
[7], [8], [13]
D1054
 
Mexiletine
 
C11H17NO
 
4178 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D1060
 
Midazolam
 
C18H13ClFN3
 
4192 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D1130
 
Nicardipine
 
C26H29N3O6
 
4474 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D1134
 
Nifedipine
 
C17H18N2O6
 
4485 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D1138
 
Nimodipine
 
C21H26N2O7
 
4497 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D1141
 
Nisoldipine
 
C20H24N2O6
 
4499 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D1154
 
Norethisterone
 
C20H26O2
 
6230 
Moderate    Inter Info   
[7], [8], [13]
D1156
 
Norgestimate
 
C23H31NO3
 
6540478 
Moderate    Inter Info   
[7], [8], [13]
D1157
 
Norgestrel
 
C21H28O2
 
13109 
Moderate    Inter Info   
[7], [8], [13]
D1201
 
Oxtriphylline
 
C12H21N5O3
 
656652 
Moderate    Inter Info   
[7], [8], [13]
D1203
 
Oxycodone
 
C18H21NO4
 
5284603 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D1265
 
Phenobarbital
 
C12H12N2O3
 
4763 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D1283
 
Phenytoin
 
C15H12N2O2
 
1775 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D1340
 
Primidone
 
C12H14N2O2
 
4909 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D1343
 
Procainamide
 
C13H21N3O
 
4913 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D1353
 
Propafenone
 
C21H27NO3
 
4932 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D1371
 
Quinidine
 
C20H24N2O2
 
441074 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D1417
 
Rivaroxaban
 
C19H18ClN3O5S
 
9875401 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D1473
 
Simvastatin
 
C25H38O5
 
54454 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D1512
 
Sufentanil
 
C22H30N2O2S
 
41693 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D1570
 
Theophylline
 
C7H8N4O2
 
2153 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D1632
 
Triazolam
 
C17H12Cl2N4
 
5556 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D1688
 
Venetoclax
 
C45H50ClN7O7S
 
49846579 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
D1711
 
Warfarin
 
C19H16O4
 
54678486 
Moderate    Inter Info   
[3], [4], [5], [6], [7], [1], [8], [9], [10], [11], [12], [13], [14], [15], [16]
      Pharmacodynamic additive effects
   Additive immunosuppressive effects Drug Num:  3
Drug ID
 
Drug Name
Formula Pubchem ID Severity Level Interaction Detail REF
D0499
 
Dimethyl fumarate
 
C6H8O4
 
637568 
Moderate    Inter Info   
[20]
D0507
 
Diroximel fumarate
 
C11H13NO6
 
73330464 
Moderate    Inter Info   
[20]
D1085
 
Monomethyl fumarate
 
C5H6O4
 
5369209 
Moderate    Inter Info   
[20]
      Pharmacodynamic antagonistic effects
   Antagonize the effect of vaccine/toxoid Drug Num:  12
Drug ID
 
Drug Name
Formula Pubchem ID Severity Level Interaction Detail REF
D1744
 
Bacillus calmette-guerin substrain tice live antigen
 
NA
 
NA
Major    Inter Info   
[1]
D1808
 
Human adenovirus e serotype 4 strain cl-68578 antigen
 
NA
 
NA
Major    Inter Info   
[1]
D1839
 
Measles virus vaccine live attenuated
 
NA
 
NA
Major    Inter Info   
[1]
D1849
 
Mumps virus strain B level jeryl lynn live antigen
 
NA
 
NA
Major    Inter Info   
[1]
D1881
 
Rotavirus vaccine
 
NA
 
NA
Major    Inter Info   
[1]
D1882
 
Rubella virus vaccine
 
NA
 
NA
Major    Inter Info   
[1]
D1890
 
Smallpox (Vaccinia) Vaccine, Live
 
NA
 
NA
Major    Inter Info   
[1]
D1897
 
Talimogene laherparepvec
 
NA
 
NA
Major    Inter Info   
[2]
D1914
 
Typhoid vaccine (live)
 
NA
 
NA
Major    Inter Info   
[1]
D1920
 
Varicella Zoster Vaccine (Recombinant)
 
NA
 
NA
Major    Inter Info   
[1]
D1693
 
Vibrio cholerae CVD 103-HgR strain live antigen (live)
 
NA
 
NA
Major    Inter Info   
[1]
D1922
 
Yellow Fever Vaccine
 
NA
 
NA
Major    Inter Info   
[1]
   Antagonize the effect of probiotics Drug Num:  2
Drug ID
 
Drug Name
Formula Pubchem ID Severity Level Interaction Detail REF
D1749
 
Bifidobacterium longum infantis
 
NA
 
NA
Moderate    Inter Info   
[17], [18], [19]
D1827
 
Lactobacillus acidophilus
 
NA
 
NA
Moderate    Inter Info   
[17], [18], [19]
References
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2 Product Information. Imlygic (talimogene laherparepvec). Amgen USA, Thousand Oaks, CA.
3 Cerner Multum, Inc. "UK Summary of Product Characteristics.".
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12 Product Information. Simponi (golimumab). Centocor Inc, Malvern, PA.
13 Product Information. Skyrizi (risankizumab). AbbVie US LLC, North Chicago, IL.
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17 Borriello SP, Hammes WP, Holzapfel W, et.al "Safety of probiotics that contain lactobacilli or bifidobacteria." Clin Infect Dis 36 (2003): 775-80. [PMID: 12627362]
18 Schlegel L, Lemerle S, Geslin P "Lactobacillus species as opportunistic pathogens in immunocompromised patients." Eur J Clin Microbiol Infect Dis 17 (1998): 887-8. [PMID: 10052559]
19 Salminen MK, Tynkkynen S, Rautelin H, et al. "Lactobacillus bacteremia during a rapid increase in probiotic use of Lactobacillus rhamnosus GG in Finland." Clin Infect Dis 35 (2002): 1155-60. [PMID: 12410474]
20 Product Information. Vumerity (diroximel fumarate). Alkermes, Inc, Cambridge, MA.