Details of Drug

Drug General Information (ID: D0669)
Drug Name	Fludarabine
Drug Type	Small molecule
Drug Synonymous	FaraA; Fludarabina; Fludarabinum; Fluradosa; Fludarabina [Spanish]; Fludarabine [INN]; Fludarabinum [Latin]; SQ Fludarabine; Fludara, Fludarabine; Fludarabine (INN); Fluradosa (TN); F-Ara-A; (2R,3S,4S,5R)-2-(6-amino-2-fluoro-9H-purin-9-yl)-5-(hydroxymethyl)oxolane-3,4-diol; (2R,3S,4S,5R)-2-(6-amino-2-fluoropurin-9-yl)-5-(hydroxymethyl)oxolane-3,4-diol; 2-F-ara-A; 2-Fluoro Ara-A; 2-Fluoro-9-beta-D-arabinofuranosyladenine; 9-beta-D-Arabinofuranosyl-2-fluoroadenine; 9-beta-D-arabinofuranosyl-2-fluoro-9H-purin-6-amine; 9H-Purin-6-amine, 9-beta-D-arabinofuranosyl-2-fluoro-(9CI) Click to Show/Hide
Disease Class	2B33: Malignant haematopoietic neoplasm
Therapeutic Class	Antineoplastics
Structure
Structure	3D Structure		2D Structure
Formula	C10H12FN5O4
InChI	1S/C10H12FN5O4/c11-10-14-7(12)4-8(15-10)16(2-13-4)9-6(19)5(18)3(1-17)20-9/h2-3,5-6,9,17-19H,1H2,(H2,12,14,15)/t3-,5-,6+,9-/m1/s1
InChIKey	HBUBKKRHXORPQB-FJFJXFQQSA-N
Canonical SMILES	C1=NC2=C(N=C(N=C2N1C3C(C(C(O3)CO)O)O)F)N
External Link
	Pubchem ID	657237
	CAS Number	21679-14-1
	CHEBI ID	94701
	TTD ID	D0F2XQ
	VARIDT ID	DR00434

Drug-Drug Interaction Network
Sunburst Graph		Legend Information AM001 Affected gastrointestinal absorption AM003 Affected organization distribution AM006 Pharmacodynamic additive effects AM007 Pharmacodynamic antagonistic effects BM006 Altered intestinal mucosa BM014 Interference of cell/tissue uptake BM043 Additive immunosuppressive effects BM044 Additive myelosuppressive effects BM047 Additive thrombogenic effects BM072 Increased risk of nephrotoxicity BM074 Increased risk of peripheral neuropathy BM100 Antagonize the effect of vaccine/toxoid BM105 Antagonize the effect of probiotics BM106 Diminish the response to diagnostic skin test antigens BM107 Attenuated pharmacological effects (Unspecific) BM109 Increased risk of other adverse reactions (Unspecific)
Relation Graph

Full list of drugs interacting with Fludarabine
Affected gastrointestinal absorption
	Altered intestinal mucosa					Drug Num: 16
Drug ID		Drug Name	Formula	Pubchem ID	Severity Level		Interaction Detail	REF
D0491		Digoxin	C41H64O14	2724385	Moderate		Inter Info	[58], [59], [60], [61], [62]
D0340		Cinoxacin	C12H10N2O5	2762	Minor		Inter Info	[106]
D0341		Ciprofloxacin	C17H18FN3O3	2764	Minor		Inter Info	[106]
D0573		Enoxacin	C15H17FN4O3	3229	Minor		Inter Info	[106]
D0438		Delafloxacin	C18H12ClF3N4O4	487101	Minor		Inter Info	[106]
D0716		Gemifloxacin	C18H20FN5O4	9571107	Minor		Inter Info	[106]
D0919		Levofloxacin	C18H20FN3O4	149096	Minor		Inter Info	[106]
D1165		Ofloxacin	C18H20FN3O4	4583	Minor		Inter Info	[106]
D1499		Sparfloxacin	C19H22F2N4O3	60464	Minor		Inter Info	[106]
D0712		Gatifloxacin	C19H22FN3O4	5379	Minor		Inter Info	[106]
D0740		Grepafloxacin	C19H22FN3O3	72474	Minor		Inter Info	[106]
D0943		Lomefloxacin	C17H19F2N3O3	3948	Minor		Inter Info	[106]
D1092		Moxifloxacin	C21H24FN3O4	152946	Minor		Inter Info	[106]
D1102		Nalidixic acid	C12H12N2O3	4421	Minor		Inter Info	[106]
D1155		Norfloxacin	C16H18FN3O3	4539	Minor		Inter Info	[106]
D1657		Trovafloxacin	C20H15F3N4O3	62959	Minor		Inter Info	[106]
Affected organization distribution
	Interference of cell/tissue uptake					Drug Num: 1
Drug ID		Drug Name	Formula	Pubchem ID	Severity Level		Interaction Detail	REF
D0506		Dipyridamole	C24H40N8O4	3108	Moderate		Inter Info	[7], [63]
Pharmacodynamic additive effects
	Additive immunosuppressive effects					Drug Num: 62
Drug ID		Drug Name	Formula	Pubchem ID	Severity Level		Interaction Detail	REF
D0023		Adalimumab	NA	NA	Major		Inter Info	[1], [2], [3], [4], [5], [6]
D0348		Cladribine	C10H12ClN5O3	20279	Major		Inter Info	[7], [8]
D0614		Etanercept	NA	NA	Major		Inter Info	[1], [2], [3], [4], [5], [6]
D0146		Baricitinib	C16H17N7O2S	44205240	Major		Inter Info	[14], [7], [15]
D0304		Certolizumab pegol	NA	NA	Major		Inter Info	[1], [5], [6]
D0661		Fingolimod	C19H33NO2	107970	Major		Inter Info	[18]
D0736		Golimumab	NA	NA	Major		Inter Info	[1], [2], [3], [4], [5], [6]
D1211		Ozanimod	C23H24N4O3	52938427	Major		Inter Info	[7], [19]
D1474		Siponimod	C29H35F3N2O3	44599207	Major		Inter Info	[14], [21]
D1556		Teriflunomide	C12H9F3N2O2	54684141	Major		Inter Info	[25], [26]
D1600		Tofacitinib	C16H20N6O	9926791	Major		Inter Info	[27]
D1666		Upadacitinib	C17H19F3N6O	58557659	Major		Inter Info	[28]
D0802		Infliximab	NA	NA	Major		Inter Info	[1], [2], [3], [4], [5], [6]
D1111		Natalizumab	NA	NA	Major		Inter Info	[29]
D0030		Aldesleukin	NA	NA	Moderate		Inter Info	[7], [46], [47]
D0032		Alefacept	NA	NA	Moderate		Inter Info	[22], [48], [49]
D0033		Alemtuzumab	NA	NA	Moderate		Inter Info	[50]
D0085		Anakinra	C20H23N5O7S2	146171046	Moderate		Inter Info	[51], [52], [53]
D0136		Azathioprine	C9H7N7O2S	2265	Moderate		Inter Info	[14], [7]
D0190		Bleomycin	C55H84N17O21S3+	5360373	Moderate		Inter Info	[7], [46], [47]
D0223		Busulfan	C6H14O6S2	2478	Moderate		Inter Info	[7], [46], [47]
D0312		Chlorambucil	C14H19Cl2NO2	2708	Moderate		Inter Info	[7], [46], [47]
D0404		Cytarabine	C9H13N3O5	6253	Moderate		Inter Info	[56], [57]
D0405		Cytarabine (liposomal)	C9H13N3O5	6253	Moderate		Inter Info	[7], [46], [47]
D0407		Dacarbazine	C6H10N6O	135398738	Moderate		Inter Info	[7], [46], [47]
D0429		Daunorubicin	C27H29NO10	30323	Moderate		Inter Info	[7], [46], [47]
D0430		Daunorubicin (liposomal)	C27H29NO10	30323	Moderate		Inter Info	[7], [46], [47]
D0553		Efalizumab	NA	NA	Moderate		Inter Info	[64]
D0666		Floxuridine	C9H11FN2O5	5790	Moderate		Inter Info	[7], [46], [47]
D0157		Bendamustine	C16H21Cl2N3O2	65628	Moderate		Inter Info	[7], [46], [47]
D0246		Canakinumab	NA	NA	Moderate		Inter Info	[51], [52], [53]
D0443		Denosumab	NA	NA	Moderate		Inter Info	[78]
D0499		Dimethyl fumarate	C6H8O4	637568	Moderate		Inter Info	[79]
D0507		Diroximel fumarate	C11H13NO6	73330464	Moderate		Inter Info	[79]
D0788		Idarubicin	C26H27NO9	42890	Moderate		Inter Info	[7], [46], [47]
D0945		Lomustine	C9H16ClN3O2	3950	Moderate		Inter Info	[7], [46], [47]
D0962		Lurbinectedin	C41H44N4O10S	57327016	Moderate		Inter Info	[7], [46], [47]
D1079		Mitoxantrone	C22H28N4O6	4212	Moderate		Inter Info	[7], [46], [47]
D1085		Monomethyl fumarate	C5H6O4	5369209	Moderate		Inter Info	[79]
D1140		Niraparib	C19H20N4O	24958200	Moderate		Inter Info	[81]
D1162		Ocrelizumab	NA	NA	Moderate		Inter Info	[82]
D1167		Olaparib	C24H23FN4O3	23725625	Moderate		Inter Info	[7], [83]
D1174		Omacetaxine mepesuccinate	C29H39NO9	285033	Moderate		Inter Info	[84]
D1375		Radium Ra 223 dichloride	NA	NA	Moderate		Inter Info	[92]
D1403		Rilonacept	NA	NA	Moderate		Inter Info	[51], [52], [53]
D1422		Roflumilast	C17H14Cl2F2N2O3	449193	Moderate		Inter Info	[7], [93]
D1434		Ruxolitinib	C17H18N6	25126798	Moderate		Inter Info	[7], [46], [47]
D1487		Sodium phosphate, monobasic (p32)	NA	NA	Moderate		Inter Info	[94]
D1509		Strontium chloride Sr-89	Cl2Sr	5388879	Moderate		Inter Info	[14], [7], [63]
D1575		Thiotepa	C6H12N3PS	5453	Moderate		Inter Info	[7], [46], [47]
D1671		Ustekinumab	NA	NA	Moderate		Inter Info	[95]
D0675		Fluorouracil	C4H3FN2O2	3385	Moderate		Inter Info	[7], [46], [47]
D0714		Gemcitabine	C9H11F2N3O4	60750	Moderate		Inter Info	[7], [46], [47]
D0780		Hydroxyurea	CH4N2O2	3657	Moderate		Inter Info	[7], [46], [47]
D0793		Imatinib	C29H31N7O	5291	Moderate		Inter Info	[7], [46], [47]
D0996		Melphalan	C13H18Cl2N2O2	460612	Moderate		Inter Info	[7], [46], [47]
D1007		Mercaptopurine	C5H4N4S	667490	Moderate		Inter Info	[7], [46], [47]
D1077		Mitomycin	C15H18N4O5	5746	Moderate		Inter Info	[7], [46], [47]
D1855		Palifermin	NA	NA	Moderate		Inter Info	[99]
D1508		Streptozocin	C8H15N3O7	29327	Moderate		Inter Info	[7], [46], [47]
D1610		Topotecan	C23H23N3O5	60700	Moderate		Inter Info	[102]
D1720		Zidovudine	C10H13N5O4	35370	Moderate		Inter Info	[14], [7], [105]
	Additive myelosuppressive effects					Drug Num: 5
Drug ID		Drug Name	Formula	Pubchem ID	Severity Level		Interaction Detail	REF
D0370		Clozapine	C18H19ClN4	135398737	Major		Inter Info	[7], [9], [10]
D0433		Deferiprone	C7H9NO2	2972	Major		Inter Info	[14], [16], [17]
D1443		Samarium (153Sm) lexidronam	Sm	23951	Major		Inter Info	[20]
D1676		Valganciclovir	C14H22N6O5	135413535	Moderate		Inter Info	[14], [7], [96], [97]
D0710		Ganciclovir	C9H13N5O4	135398740	Moderate		Inter Info	[14], [7], [96], [97]
	Additive thrombogenic effects					Drug Num: 1
Drug ID		Drug Name	Formula	Pubchem ID	Severity Level		Interaction Detail	REF
D1569		Thalidomide	C13H10N2O4	5426	Major		Inter Info	[30], [31], [32], [33], [34], [35], [36], [37], [38], [39], [40], [41], [42], [43], [44], [45]
	Increased risk of peripheral neuropathy					Drug Num: 68
Drug ID		Drug Name	Formula	Pubchem ID	Severity Level		Interaction Detail	REF
D0126		Auranofin	C20H34AuO9PS	24199313	Moderate		Inter Info	[54], [46], [55]
D0260		Carboplatin	C6H12N2O4Pt	426756	Moderate		Inter Info	[54], [46], [55]
D0313		Chloramphenicol	C11H12Cl2N2O5	5959	Moderate		Inter Info	[54], [46], [55]
D0320		Chloroquine	C18H26ClN3	2719	Moderate		Inter Info	[54], [46], [55]
D0344		Cisplatin	Cl2H6N2Pt	5702198	Moderate		Inter Info	[54], [46], [55]
D0419		Dapsone	C12H12N2O2S	2955	Moderate		Inter Info	[54], [46], [55]
D0483		Didanosine	C10H12N4O3	135398739	Moderate		Inter Info	[54], [46], [55]
D0509		Disulfiram	C10H20N2S4	3117	Moderate		Inter Info	[54], [46], [55]
D0616		Ethambutol	C10H24N2O2	14052	Moderate		Inter Info	[54], [46], [55]
D1731		Ethionamide	C8H10N2S	2761171	Moderate		Inter Info	[54], [46], [55]
D0627		Etoposide	C29H32O13	36462	Moderate		Inter Info	[54], [46], [55]
D0066		Amiodarone	C25H29I2NO3	2157	Moderate		Inter Info	[54], [46], [55]
D0120		Atorvastatin	C33H35FN2O5	60823	Moderate		Inter Info	[54], [46], [55]
D0127		Aurothioglucose	C6H11AuO5S	454937	Moderate		Inter Info	[54], [46], [55]
D0162		Benznidazole	C12H12N4O3	31593	Moderate		Inter Info	[54], [46], [55]
D0199		Brentuximab vedotin	NA	NA	Moderate		Inter Info	[54], [73], [74]
D0227		Cabazitaxel	C45H57NO14	9854073	Moderate		Inter Info	[54], [46], [55]
D0261		Carfilzomib	C40H57N5O7	11556711	Moderate		Inter Info	[54], [46], [55]
D0380		Colchicine	C22H25NO6	6167	Moderate		Inter Info	[54], [46], [55]
D0393		Crizotinib	C21H22Cl2FN5O	11626560	Moderate		Inter Info	[54], [46], [55]
D0496		Diiodohydroxyquinoline	C9H5I2NO	3728	Moderate		Inter Info	[54], [46], [55]
D0501		Dinutuximab	NA	NA	Moderate		Inter Info	[54], [46], [55]
D0511		Docetaxel	C43H53NO14	148124	Moderate		Inter Info	[54], [46], [55]
D0560		Elotuzumab	NA	NA	Moderate		Inter Info	[54], [46], [55]
D0571		Enfortumab vedotin	NA	NA	Moderate		Inter Info	[54], [46], [55]
D0594		Eribulin	C40H59NO11	11354606	Moderate		Inter Info	[54], [46], [55]
D0628		Etravirine	C20H15BrN6O	193962	Moderate		Inter Info	[54], [46], [55]
D0686		Fluvastatin	C24H26FNO4	446155	Moderate		Inter Info	[54], [46], [55]
D0770		Hydralazine	C8H8N4	3637	Moderate		Inter Info	[54], [46], [55]
D0779		Hydroxychloroquine	C18H26ClN3O	3652	Moderate		Inter Info	[54], [46], [55]
D0841		Ipilimumab	NA	NA	Moderate		Inter Info	[54], [46], [55]
D0918		Levodopa	C9H11NO4	6047	Moderate		Inter Info	[54], [46], [55]
D1113		Naxitamab	NA	NA	Moderate		Inter Info	[54], [46], [55]
D1118		Nelarabine	C11H15N5O5	3011155	Moderate		Inter Info	[54], [46], [55]
D1212		Paclitaxel	C47H51NO14	36314	Moderate		Inter Info	[54], [46], [55]
D1213		Paclitaxel (protein-bound)	C47H51NO14	36314	Moderate		Inter Info	[54], [46], [55]
D1301		Pitavastatin	C25H24FNO4	5282452	Moderate		Inter Info	[54], [46], [55]
D1306		Polatuzumab vedotin	NA	NA	Moderate		Inter Info	[54], [46], [55]
D1312		Pomalidomide	C13H11N3O4	134780	Moderate		Inter Info	[54], [46], [55]
D1313		Ponatinib	C29H27F3N6O	24826799	Moderate		Inter Info	[54], [46], [55]
D1430		Rosuvastatin	C22H28FN3O6S	446157	Moderate		Inter Info	[54], [46], [55]
D1452		Secnidazole	C7H11N3O3	71815	Moderate		Inter Info	[54], [46], [55]
D1543		Telbivudine	C10H14N2O5	159269	Moderate		Inter Info	[54], [46], [55]
D1599		Tocilizumab	NA	NA	Moderate		Inter Info	[54], [46], [55]
D1615		Trabectedin	C39H43N3O11S	108150	Moderate		Inter Info	[54], [46], [55]
D1623		Trastuzumab emtansine	NA	NA	Moderate		Inter Info	[54], [46], [55]
D0821		Interferon alfa-2a, Recombinant	NA	NA	Moderate		Inter Info	[54], [46], [55]
D0822		Interferon alfa-2b	C16H17Cl3I2N3NaO5S	71306834	Moderate		Inter Info	[54], [46], [55]
D0824		Interferon alfa-n1	NA	NA	Moderate		Inter Info	[54], [46], [55]
D0823		Interferon alfacon-1	NA	NA	Moderate		Inter Info	[54], [46], [55]
D0858		Isoniazid	C6H7N3O	3767	Moderate		Inter Info	[54], [46], [55]
D0933		Linezolid	C16H20FN3O4	441401	Moderate		Inter Info	[54], [46], [55]
D0956		Lovastatin	C24H36O5	53232	Moderate		Inter Info	[54], [46], [55]
D1051		Metronidazole	C6H9N3O3	4173	Moderate		Inter Info	[54], [46], [55]
D1145		Nitrofurantoin	C8H6N4O5	6604200	Moderate		Inter Info	[54], [46], [55]
D1193		Oxaliplatin	C8H14N2O4Pt	9887053	Moderate		Inter Info	[54], [46], [55]
D1237		Peginterferon alfa-2a	NA	NA	Moderate		Inter Info	[54], [46], [55]
D1329		Pravastatin	C23H36O7	54687	Moderate		Inter Info	[54], [46], [55]
D1473		Simvastatin	C25H38O5	54454	Moderate		Inter Info	[54], [46], [55]
D1504		Stavudine	C10H12N2O4	18283	Moderate		Inter Info	[54], [46], [55]
D1551		Teniposide	C32H32O13S	452548	Moderate		Inter Info	[54], [46], [55]
D1587		Tinidazole	C8H13N3O4S	5479	Moderate		Inter Info	[54], [46], [55]
D1697		Vinblastine	C46H58N4O9	13342	Moderate		Inter Info	[54], [46], [55]
D1698		Vincristine	C46H56N4O10	5978	Moderate		Inter Info	[54], [46], [55]
D1699		Vincristine (liposome)	C46H56N4O10	5978	Moderate		Inter Info	[54], [46], [55]
D1700		Vinorelbine	C45H54N4O8	5311497	Moderate		Inter Info	[54], [46], [55]
D1714		Zafirlukast	C31H33N3O6S	5717	Moderate		Inter Info	[54], [46], [55]
D1715		Zalcitabine	C9H13N3O3	24066	Moderate		Inter Info	[103], [104]
	Increased risk of other adverse reactions (Unspecific)					Drug Num: 2
Drug ID		Drug Name	Formula	Pubchem ID	Severity Level		Interaction Detail	REF
D1250		Pentostatin	C11H16N4O4	439693	Major		Inter Info	[14], [7], [10]
D0789		Idelalisib	C22H18FN7O	11625818	Moderate		Inter Info	[80]
Pharmacodynamic antagonistic effects
	Antagonize the effect of vaccine/toxoid					Drug Num: 23
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	[11], [12], [13]
D1839		Measles virus vaccine live attenuated	NA	NA	Major		Inter Info	[11], [12], [13]
D1849		Mumps virus strain B level jeryl lynn live antigen	NA	NA	Major		Inter Info	[11], [12], [13]
D1881		Rotavirus vaccine	NA	NA	Major		Inter Info	[11], [12], [13]
D1882		Rubella virus vaccine	NA	NA	Major		Inter Info	[11], [12], [13]
D1890		Smallpox (Vaccinia) Vaccine, Live	NA	NA	Major		Inter Info	[22], [14], [23]
D1897		Talimogene laherparepvec	NA	NA	Major		Inter Info	[24]
D1914		Typhoid vaccine (live)	NA	NA	Major		Inter Info	[11], [12], [13]
D1920		Varicella Zoster Vaccine (Recombinant)	NA	NA	Major		Inter Info	[11], [12], [13]
D1922		Yellow Fever Vaccine	NA	NA	Major		Inter Info	[11], [12], [13]
D0089		Anthrax vaccine	NA	NA	Moderate		Inter Info	[22], [68], [69]
D0366		Clostridium tetani toxoid antigen (formaldehyde inactivated)	NA	NA	Moderate		Inter Info	[22], [68], [69]
D0755		Hepatitis A Vaccine	NA	NA	Moderate		Inter Info	[22], [68], [69]
D0756		Hepatitis B Vaccine (Recombinant)	NA	NA	Moderate		Inter Info	[22], [68], [69]
D0767		Human papillomavirus type 11 L1 capsid protein antigen	NA	NA	Moderate		Inter Info	[22], [68], [69]
D0803		Influenza A virus A/California/7/2009 (H1N1)-like antigen (propiolactone inactivated)	NA	NA	Moderate		Inter Info	[22], [68], [69]
D0804		Influenza A virus A/Vietnam/1194/2004 (H5N1) antigen (formaldehyde inactivated)	NA	NA	Moderate		Inter Info	[22], [68], [69]
D0999		Meningococcal polysaccharide vaccine group C	NA	NA	Moderate		Inter Info	[22], [68], [69]
D1259		Pfizer-BioNTech Covid-19 Vaccine	NA	NA	Moderate		Inter Info	[85], [22], [14], [86], [87], [88], [68], [89], [90], [91], [69]
D1307		Poliovirus type 1 antigen (formaldehyde inactivated)	NA	NA	Moderate		Inter Info	[22], [68], [69]
D1662		Typhoid vaccine (inactivated)	NA	NA	Moderate		Inter Info	[22], [68], [69]
D1692		Vibrio cholerae CVD 103-HgR strain live antigen	NA	NA	Moderate		Inter Info	[22], [68], [69]
D1838		Lyme disease vaccine (recombinant OspA)	NA	NA	Moderate		Inter Info	[98]
	Antagonize the effect of probiotics					Drug Num: 1
Drug ID		Drug Name	Formula	Pubchem ID	Severity Level		Interaction Detail	REF
D1749		Bifidobacterium longum infantis	NA	NA	Moderate		Inter Info	[70], [71], [72]
	Diminish the response to diagnostic skin test antigens					Drug Num: 3
Drug ID		Drug Name	Formula	Pubchem ID	Severity Level		Interaction Detail	REF
D1755		Candida albicans	C29H27N2O12P	118855431	Moderate		Inter Info	[75], [76], [77]
D1765		Coccidioides immitis spherule	NA	NA	Moderate		Inter Info	[75], [76], [77]
D1912		Trichophyton mentagrophytes	NA	NA	Moderate		Inter Info	[75], [76], [77]
	Attenuated pharmacological effects (Unspecific)					Drug Num: 3
Drug ID		Drug Name	Formula	Pubchem ID	Severity Level		Interaction Detail	REF
D0659		Filgrastim	NA	NA	Moderate		Inter Info	[65], [66], [67]
D1235		Pegfilgrastim	C27H46N4O19	70683024	Moderate		Inter Info	[100], [101]
D1446		Sargramostim	NA	NA	Moderate		Inter Info	[65], [66], [67]

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