Details of Drug

Drug General Information (ID: D1000)
Drug Name	Mepenzolate
Drug Type	Small molecule
Drug Synonymous	Cantil; Cantilaque; Cantilon; Cantril; Colibantil; Colopiril; Colum; Delevil; Eftoron; Gastropidil; Glycophenylate; Mepenzolon; Tralanta; Trancolon; Trokonil; Bromure de mepenzolate; Bromuro de mepenzolato; MEPENZOLATE BROMIDE; Mepenzolate Methylbromide; Mepenzolati bromidum; Mepenzolic acid; Mepenzolone Bromide; JB 340; Bromure de mepenzolate [INN-French]; Bromuro de mepenzolato [INN-Spanish]; Cantil (TN); Mepenzolati bromidum [INN-Latin]; Mepenzolic acid, bromine salt; Mepenzolate bromide (JP15/INN); Mepenzolate bromide [INN:BAN:JAN]; N-Methyl-3-piperidyl benzilate methobromide; N-Methyl-3-piperidyl benzilate methyl bromide; N-Methyl-3-piperidyldiphenylglycolate methobromide; N-methyl-3-piperidylbenzilate methyl bromide; Benzilic acid, 1-methyl-3-piperidyl ester methobromide; Benzilic acid, ester with 3-hydroxy-1,1-dimethylpiperidinium bromide; Piperidinium, 3-[(hydroxydiphenylacetyl)oxy]-1,1-dimethyl-, bromide; Piperidinium, 3-hydroxy-1,1-dimethyl-, benzilate (ester); Piperidinium, 3-hydroxy-1,1-dimethyl-, bromide, benzilate; Piperidinium, 3-((hydroxydiphenylacetyl)oxy)-1,1-dimethyl-(VAN); Piperidinium, 3-((hydroxydiphenylacetyl)oxy)-1,1-dimethyl-, bromide; (1,1-dimethylpiperidin-1-ium-3-yl) 2-hydroxy-2,2-diphenylacetate; (1,1-dimethylpiperidin-1-ium-3-yl) 2-hydroxy-2,2-diphenylacetate bromide; 1-Methyl-3-piperidyl benzilate methyl bromide; 1-Methyl-3-piperidyl benzilate methylbromide; 2-(1,1-dimethylpiperidin-1-ium-3-yl)oxy-2-oxo-1,1-diphenylethanolate; 2-[(1,1-dimethylpiperidinium-3-yl)oxy]-2-oxo-1,1-diphenylethanolate; 3-((Hydroxydiphenylacetyl)oxy)-1,1-dimethylpiperidinium bromide; 3-Hydroxy-1,1-dimethylpiperidinium bromide benzilate; 3-{[hydroxy(diphenyl)acetyl]oxy}-1,1-dimethylpiperidinium bromide Click to Show/Hide
Disease Class	DE2Z: Digestive system disease; DA61: Peptic ulcer
Therapeutic Class	Parasympatholytics
Structure
Structure	3D Structure		2D Structure
Formula	C21H26NO3+
InChI	1S/C21H26NO3/c1-22(2)15-9-14-19(16-22)25-20(23)21(24,17-10-5-3-6-11-17)18-12-7-4-8-13-18/h3-8,10-13,19,24H,9,14-16H2,1-2H3/q+1
InChIKey	GKNPSSNBBWDAGH-UHFFFAOYSA-N
Canonical SMILES	C[N+]1(CCCC(C1)OC(=O)C(C2=CC=CC=C2)(C3=CC=CC=C3)O)C
External Link
	Pubchem ID	4057
	CAS Number	25990-43-6
	CHEBI ID	94411
	TTD ID	D0FV3V
	VARIDT ID	DR00973

Drug-Drug Interaction Network
Sunburst Graph		Legend Information AM001 Affected gastrointestinal absorption AM006 Pharmacodynamic additive effects AM007 Pharmacodynamic antagonistic effects BM001 Altered gastrointestinal dynamics BM005 Altered gastric pH BM007 Affecting drug dissolution BM033 Additive anticholinergic effects BM035 Additive antimotility effects BM038 Additive CNS depression effects BM041 Additive hypertensive effects BM054 Increased risk of GI mucosal injury/bleeding risk BM061 Increased risk of hyperpyrexia BM078 Increased risk of rapid heart rate BM091 Antagonize the effect of cholinergic agents BM097 Antagonize the effect of prokinetic agents BM101 Antagonize the effects of beta receptor blockers BM107 Attenuated pharmacological effects (Unspecific) BM109 Increased risk of other adverse reactions (Unspecific)
Relation Graph

Full list of drugs interacting with Mepenzolate
Affected gastrointestinal absorption
	Altered gastrointestinal dynamics					Drug Num: 16
Drug ID		Drug Name	Formula	Pubchem ID	Severity Level		Interaction Detail	REF
D0918		Levodopa	C9H11NO4	6047	Moderate		Inter Info	[87], [88], [89], [90], [91], [92]
D1114		Nebivolol	C22H25F2NO4	71301	Moderate		Inter Info	[15], [16], [17], [18], [19], [20]
D1326		Pramlintide	C171H267N51O53S2	70691388	Moderate		Inter Info	[102]
D0011		Acetaminophen	C8H9NO2	1983	Minor		Inter Info	[18], [103], [104]
D0158		Bendroflumethiazide	C15H14F3N3O4S2	2315	Minor		Inter Info	[105], [106]
D0166		Benzthiazide	C15H14ClN3O4S3	2343	Minor		Inter Info	[105], [106]
D0321		Chlorothiazide	C7H6ClN3O4S2	2720	Minor		Inter Info	[105], [106]
D0326		Chlorthalidone	C14H11ClN2O4S	2732	Minor		Inter Info	[105], [106]
D0491		Digoxin	C41H64O14	2724385	Minor		Inter Info	[107], [108], [109], [110], [111]
D0771		Hydrochlorothiazide	C7H8ClN3O4S2	3639	Minor		Inter Info	[105], [106]
D0775		Hydroflumethiazide	C8H8F3N3O4S2	3647	Minor		Inter Info	[105], [106]
D0798		Indapamide	C16H16ClN3O3S	3702	Minor		Inter Info	[105], [106]
D1048		Metolazone	C16H16ClN3O3S	4170	Minor		Inter Info	[105], [106]
D1145		Nitrofurantoin	C8H6N4O5	6604200	Minor		Inter Info	[116], [117]
D1311		Polythiazide	C11H13ClF3N3O4S3	4870	Minor		Inter Info	[105], [106]
D1633		Trichlormethiazide	C8H8Cl3N3O4S2	5560	Minor		Inter Info	[105], [106]
	Altered gastric pH					Drug Num: 1
Drug ID		Drug Name	Formula	Pubchem ID	Severity Level		Interaction Detail	REF
D0880		Ketoconazole	C26H28Cl2N4O4	456201	Moderate		Inter Info	[86]
	Affecting drug dissolution					Drug Num: 1
Drug ID		Drug Name	Formula	Pubchem ID	Severity Level		Interaction Detail	REF
D1146		Nitroglycerin	C3H5N3O9	4510	Minor		Inter Info	[118]
Pharmacodynamic additive effects
	Additive anticholinergic effects					Drug Num: 95
Drug ID		Drug Name	Formula	Pubchem ID	Severity Level		Interaction Detail	REF
D0037		Alimemazine	C18H22N2S	5574	Moderate		Inter Info	[41], [42], [43]
D0051		Amantadine	C10H17N	2130	Moderate		Inter Info	[44], [45]
D0068		Amitriptyline	C20H23N	2160	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D0072		Amoxapine	C17H16ClN3O	2170	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D0105		Aripiprazole	C23H27Cl2N3O2	60795	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D0123		Atropine	C17H23NO3	174174	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D0135		Azatadine	C20H22N2	19861	Moderate		Inter Info	[41], [42], [43]
D0160		Benzatropine	C21H25NO	1201549	Moderate		Inter Info	[41], [42], [43]
D0183		Biperiden	C21H29NO	2381	Moderate		Inter Info	[41], [42], [43]
D0196		Botulinum toxin type A	NA	NA	Moderate		Inter Info	[62], [63], [64]
D0197		Botulinum Toxin Type B	NA	NA	Moderate		Inter Info	[62], [63], [64]
D0214		Brompheniramine	C16H19BrN2	6834	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D0259		Carbinoxamine	C16H19ClN2O	2564	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D0323		Chlorpheniramine	C16H19ClN2	2725	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D0324		Chlorpromazine	C17H19ClN2S	2726	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D0351		Clemastine	C21H26ClNO	26987	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D0353		Clidinium	C22H26NO3+	2784	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D0361		Clomipramine	C19H23ClN2	2801	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D0370		Clozapine	C18H19ClN4	135398737	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D0397		Cyclizine	C18H22N2	6726	Moderate		Inter Info	[41], [42], [43]
D0398		Cyclobenzaprine	C20H21N	2895	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D0403		Cyproheptadine	C21H21N	2913	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D0424		Darifenacin	C28H30N2O2	444031	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D0446		Desipramine	C18H22N2	2995	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D0456		Dexbrompheniramine	C16H19BrN2	16960	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D0482		Dicyclomine	C19H35NO2	3042	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D0498		Dimenhydrinate	C24H28ClN5O3	10660	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D0502		Diphenhydramine	C17H21NO	3100	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D0508		Disopyramide	C21H29N3O	3114	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D0526		Doxepin (topical)	C19H21NO	667477	Moderate		Inter Info	[41], [42], [43]
D0532		Doxylamine	C17H22N2O	3162	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D0662		Flavoxate	C24H25NO4	3354	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D0678		Fluphenazine	C22H26F3N3OS	3372	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D0733		Glycopyrronium	C19H28NO3+	3494	Moderate		Inter Info	[41], [42], [43]
D0734		Glycopyrronium (topical)	C19H28NO3+	3494	Moderate		Inter Info	[78], [79], [80]
D0750		Haloperidol	C21H23ClFNO2	3559	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D0781		Hydroxyzine	C21H27ClN2O2	3658	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D0782		Hyoscyamine	C17H23NO3	154417	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D0795		Imipramine	C19H24N2	3696	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D0842		Ipratropium	C20H30NO3+	657309	Moderate		Inter Info	[81], [78], [82], [79], [80], [83], [84], [85]
D0957		Loxapine	C18H18ClN3O	3964	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D0979		Maprotiline	C20H23N	4011	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D0998		Memantine	C12H21N	4054	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D0019		Aclidinium	C26H30NO4S2+	11434515	Moderate		Inter Info	[81], [78], [82], [79], [80], [83], [84], [85]
D0020		Acrivastine	C22H24N2O2	5284514	Moderate		Inter Info	[41], [42], [43]
D0112		Asenapine	C17H16ClNO	3036780	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D0154		Belladonna	C34H42N2O4	265028	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D0202		Brexpiprazole	C25H27N3O2S	11978813	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D0262		Cariprazine	C21H32Cl2N4O	11154555	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D0316		Chlorcyclizine	C18H21ClN2	2710	Moderate		Inter Info	[41], [42], [43]
D0655		Fesoterodine	C26H37NO3	6918558	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D0759		Homatropine	C16H21NO3	5282593	Moderate		Inter Info	[41], [42], [43]
D0791		Iloperidone	C24H27FN2O4	71360	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D0959		Lumateperone	C24H28FN3O	21302490	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D0961		Lurasidone	C28H36N4O2S	213046	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D1006		Mepyramine	C17H23N3O	4992	Moderate		Inter Info	[41], [42], [43]
D1031		Methscopolamine	C18H24NO4+	71183	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D1282		Phenyltoloxamine	C17H21NO	7077	Moderate		Inter Info	[41], [42], [43]
D1396		Revefenacin	C35H43N5O4	11753673	Moderate		Inter Info	[81], [78], [82], [79], [80], [83], [84], [85]
D1665		Umeclidinium	C29H34NO2+	11519070	Moderate		Inter Info	[81], [78], [82], [79], [80], [83], [84], [85]
D1010		Mesoridazine	C21H26N2OS2	4078	Moderate		Inter Info	[41], [42], [43]
D1019		Methdilazine	C18H20N2S	14677	Moderate		Inter Info	[41], [42], [43]
D1026		Methotrimeprazine	C19H24N2OS	72287	Moderate		Inter Info	[41], [42], [43]
D1084		Molindone	C16H24N2O2	23897	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D1158		Nortriptyline	C19H21N	4543	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D1166		Olanzapine	C17H20N4S	135398745	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D1188		Orphenadrine	C18H23NO	4601	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D1202		Oxybutynin	C22H31NO3	4634	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D1215		Paliperidone	C23H27FN4O3	115237	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D1257		Perphenazine	C21H26ClN3OS	4748	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D1292		Pimozide	C28H29F2N3O	16362	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D1346		Prochlorperazine	C20H24ClN3S	4917	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D1347		Procyclidine	C19H29NO	4919	Moderate		Inter Info	[41], [42], [43]
D1351		Promazine	C17H20N2S	4926	Moderate		Inter Info	[41], [42], [43]
D1352		Promethazine	C17H20N2S	4927	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D1354		Propantheline	C23H30NO3+	4934	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D1355		Propiomazine	C20H24N2OS	4940	Moderate		Inter Info	[41], [42], [43]
D1361		Protriptyline	C19H21N	4976	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D1368		Quetiapine	C21H25N3O2S	5002	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D1413		Risperidone	C23H27FN4O2	5073	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D1450		Scopolamine	C17H21NO4	3000322	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D1491		Solifenacin	C23H26N2O2	154059	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D1572		Thiethylperazine	C22H29N3S2	5440	Moderate		Inter Info	[41], [42], [43]
D1574		Thioridazine	C21H26N2S2	5452	Moderate		Inter Info	[41], [42], [43]
D1576		Thiothixene	C23H29N3O2S2	941651	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D1590		Tiotropium	C19H22NO4S2+	5487427	Moderate		Inter Info	[81], [78], [82], [79], [80], [83], [84], [85]
D1607		Tolterodine	C22H31NO	443879	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D1637		Trifluoperazine	C21H24F3N3S	5566	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D1638		Triflupromazine	C18H19F3N2S	5568	Moderate		Inter Info	[41], [42], [43]
D1647		Trimipramine	C20H26N2	5584	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D1649		Tripelennamine	C16H21N3	5587	Moderate		Inter Info	[41], [42], [43]
D1650		Triprolidine	C19H22N2	5282443	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D1656		Trospium	C25H30NO3+	5284632	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D1726		Ziprasidone	C21H21ClN4OS	60854	Moderate		Inter Info	[47], [48], [49], [50], [51], [41], [52], [42], [53], [54], [55], [56], [57], [43], [58]
D0843		Ipratropium (nasal)	C20H30NO3+	657309	Minor		Inter Info	[19], [112], [113]
	Additive antimotility effects					Drug Num: 1
Drug ID		Drug Name	Formula	Pubchem ID	Severity Level		Interaction Detail	REF
D0947		Loperamide	C29H33ClN2O2	3955	Moderate		Inter Info	[93]
	Additive CNS depression effects					Drug Num: 44
Drug ID		Drug Name	Formula	Pubchem ID	Severity Level		Interaction Detail	REF
D1609		Topiramate	C12H21NO8S	5284627	Major		Inter Info	[13]
D1730		Zonisamide	C8H8N2O3S	5734	Major		Inter Info	[14]
D0010		Acebutolol	C18H28N2O4	1978	Moderate		Inter Info	[15], [16], [17], [18], [19], [20]
D0035		Alfentanil	C21H32N6O3	51263	Moderate		Inter Info	[23], [24], [25], [26], [27], [28], [29], [30], [31], [32], [33], [34], [35], [36], [37], [38], [39], [40], [15]
D0117		Atenolol	C14H22N2O3	2249	Moderate		Inter Info	[15], [16], [17], [18], [19], [20]
D0173		Betaxolol	C18H29NO3	2369	Moderate		Inter Info	[15], [16], [17], [18], [19], [20]
D0188		Bisoprolol	C18H31NO4	2405	Moderate		Inter Info	[15], [16], [17], [18], [19], [20]
D0219		Buprenorphine	C29H41NO4	644073	Moderate		Inter Info	[23], [24], [25], [26], [27], [28], [29], [30], [31], [32], [33], [34], [35], [36], [37], [38], [39], [40], [15]
D0226		Butorphanol	C21H29NO2	5361092	Moderate		Inter Info	[23], [24], [25], [26], [27], [28], [29], [30], [31], [32], [33], [34], [35], [36], [37], [38], [39], [40], [15]
D0265		Carteolol	C16H24N2O3	2583	Moderate		Inter Info	[19], [20], [17]
D0267		Carvedilol	C24H26N2O4	2585	Moderate		Inter Info	[15], [16], [17], [18], [19], [20]
D0379		Codeine	C18H21NO3	5284371	Moderate		Inter Info	[23], [24], [25], [26], [27], [28], [29], [30], [31], [32], [33], [34], [35], [36], [37], [38], [39], [40], [15]
D0467		Dextropropoxyphene	C22H29NO2	10100	Moderate		Inter Info	[25], [23], [24]
D0470		Dezocine	C16H23NO	3033053	Moderate		Inter Info	[25], [23], [24]
D0493		Dihydrocodeine	C18H23NO3	5284543	Moderate		Inter Info	[25], [23], [24]
D0617		Ethanol	C2H6O	702	Moderate		Inter Info	[77]
D0646		Fentanyl	C22H28N2O	3345	Moderate		Inter Info	[23], [24], [25], [26], [27], [28], [29], [30], [31], [32], [33], [34], [35], [36], [37], [38], [39], [40], [15]
D0772		Hydrocodone	C18H21NO3	5284569	Moderate		Inter Info	[34], [35], [25], [27], [29], [28], [31], [32], [39], [30], [33], [37], [23], [38], [40], [15], [36], [24], [26]
D0776		Hydromorphone	C17H19NO3	5284570	Moderate		Inter Info	[34], [35], [25], [27], [29], [28], [31], [32], [39], [30], [33], [37], [23], [38], [40], [15], [36], [24], [26]
D0884		Labetalol	C19H24N2O3	3869	Moderate		Inter Info	[15], [16], [17], [18], [19], [20]
D0909		Levacetylmethadol	C23H31NO2	15130	Moderate		Inter Info	[24], [23], [25]
D0923		Levorphanol	C17H23NO	5359272	Moderate		Inter Info	[23], [24], [25], [26], [27], [28], [29], [30], [31], [32], [33], [34], [35], [36], [37], [38], [39], [40], [15]
D0161		Benzhydrocodone	C25H25NO4	49836084	Moderate		Inter Info	[25], [23], [24]
D1169		Oliceridine	C22H30N2O2S	66553195	Moderate		Inter Info	[25], [23], [24]
D1183		Opium	NA	NA	Moderate		Inter Info	[23], [24], [25], [26], [27], [28], [29], [30], [31], [32], [33], [34], [35], [36], [37], [38], [39], [40], [15]
D1535		Tapentadol	C14H23NO	9838022	Moderate		Inter Info	[23], [24], [25], [26], [27], [28], [29], [30], [31], [32], [33], [34], [35], [36], [37], [38], [39], [40], [15]
D1001		Meperidine	C15H21NO2	4058	Moderate		Inter Info	[23], [24], [25], [26], [27], [28], [29], [30], [31], [32], [33], [34], [35], [36], [37], [38], [39], [40], [15]
D1017		Methadone	C21H27NO	4095	Moderate		Inter Info	[34], [35], [25], [27], [29], [28], [31], [32], [39], [30], [33], [37], [23], [38], [40], [15], [36], [24], [26]
D1049		Metoprolol	C15H25NO3	4171	Moderate		Inter Info	[15], [16], [17], [18], [19], [20]
D1089		Morphine	C17H19NO3	5288826	Moderate		Inter Info	[23], [24], [25], [26], [27], [28], [29], [30], [31], [32], [33], [34], [35], [36], [37], [38], [39], [40], [15]
D1090		Morphine (liposomal)	C17H19NO3	5288826	Moderate		Inter Info	[25], [23], [24]
D1098		Nadolol	C17H27NO4	39147	Moderate		Inter Info	[15], [16], [17], [18], [19], [20]
D1100		Nalbuphine	C21H27NO4	5311304	Moderate		Inter Info	[23], [24], [25], [26], [27], [28], [29], [30], [31], [32], [33], [34], [35], [36], [37], [38], [39], [40], [15]
D1203		Oxycodone	C18H21NO4	5284603	Moderate		Inter Info	[23], [24], [25], [26], [27], [28], [29], [30], [31], [32], [33], [34], [35], [36], [37], [38], [39], [40], [15]
D1208		Oxymorphone	C17H19NO4	5284604	Moderate		Inter Info	[23], [24], [25], [26], [27], [28], [29], [30], [31], [32], [33], [34], [35], [36], [37], [38], [39], [40], [15]
D1244		Penbutolol	C18H29NO2	37464	Moderate		Inter Info	[17], [19], [20]
D1247		Pentazocine	C19H27NO	441278	Moderate		Inter Info	[23], [24], [25], [26], [27], [28], [29], [30], [31], [32], [33], [34], [35], [36], [37], [38], [39], [40], [15]
D1293		Pindolol	C14H20N2O2	4828	Moderate		Inter Info	[15], [16], [17], [18], [19], [20]
D1357		Propranolol	C16H21NO2	4946	Moderate		Inter Info	[16], [15], [20], [18], [19], [17]
D1390		Remifentanil	C20H28N2O5	60815	Moderate		Inter Info	[34], [35], [25], [27], [29], [28], [31], [32], [39], [30], [33], [37], [23], [38], [40], [15], [36], [24], [26]
D1498		Sotalol	C12H20N2O3S	5253	Moderate		Inter Info	[15], [16], [17], [18], [19], [20]
D1512		Sufentanil	C22H30N2O2S	41693	Moderate		Inter Info	[23], [24], [25], [26], [27], [28], [29], [30], [31], [32], [33], [34], [35], [36], [37], [38], [39], [40], [15]
D1585		Timolol	C13H24N4O3S	33624	Moderate		Inter Info	[15], [16], [17], [18], [19], [20]
D1616		Tramadol	C16H25NO2	33741	Moderate		Inter Info	[23], [24], [25], [26], [27], [28], [29], [30], [31], [32], [33], [34], [35], [36], [37], [38], [39], [40], [15]
	Additive hypertensive effects					Drug Num: 2
Drug ID		Drug Name	Formula	Pubchem ID	Severity Level		Interaction Detail	REF
D1276		Phenylephrine	C9H13NO2	6041	Moderate		Inter Info	[99], [100], [101]
D1278		Phenylephrine (ophthalmic)	C9H13NO2	6041	Moderate		Inter Info	[99], [100], [101]
	Increased risk of GI mucosal injury/bleeding risk					Drug Num: 2
Drug ID		Drug Name	Formula	Pubchem ID	Severity Level		Interaction Detail	REF
D1319		Potassium citrate	C6H5K3O7	13344	Major		Inter Info	[1], [2], [3], [4], [5], [6], [7], [8], [9], [10], [11], [12]
D1318		Potassium chloride	ClK	4873	Major		Inter Info	[1], [3], [6]
	Increased risk of rapid heart rate					Drug Num: 1
Drug ID		Drug Name	Formula	Pubchem ID	Severity Level		Interaction Detail	REF
D0101		Arbutamine	C18H23NO4	60789	Moderate		Inter Info	[59]
	Increased risk of other adverse reactions (Unspecific)					Drug Num: 1
Drug ID		Drug Name	Formula	Pubchem ID	Severity Level		Interaction Detail	REF
D0562		Eluxadoline	C32H35N5O5	11250029	Moderate		Inter Info	[15], [94]
Pharmacodynamic antagonistic effects
	Antagonize the effect of cholinergic agents					Drug Num: 22
Drug ID		Drug Name	Formula	Pubchem ID	Severity Level		Interaction Detail	REF
D0015		Acetylcholine	C7H16NO2+	187	Moderate		Inter Info	[21], [22]
D0052		Ambenonium	C28H42Cl2N4O2+2	2131	Moderate		Inter Info	[46]
D0175		Bethanechol	C7H17N2O2+	2370	Moderate		Inter Info	[60], [61]
D0256		Carbamoylcholine (ophthalmic)	C6H15N2O2+	2551	Moderate		Inter Info	[21], [22]
D0308		Cevimeline	C10H17NOS	83898	Moderate		Inter Info	[60], [61]
D0440		Demecarium (ophthalmic)	C32H52N4O4+2	5966	Moderate		Inter Info	[21], [22]
D0516		Donepezil	C24H29NO3	3152	Moderate		Inter Info	[68], [69], [70], [71], [72], [73], [74], [75], [76]
D0546		Echothiophate (ophthalmic)	C9H23NO3PS+	10548	Moderate		Inter Info	[21], [22]
D0552		Edrophonium	C10H16NO+	3202	Moderate		Inter Info	[46]
D0707		Galantamine	C17H21NO3	9651	Moderate		Inter Info	[68], [69], [70], [71], [72], [73], [74], [75], [76]
D0746		Guanidine	CH5N3	3520	Moderate		Inter Info	[46]
D0856		Isoflurophate (ophthalmic)	C6H14FO3P	5936	Moderate		Inter Info	[21], [22]
D1362		Prucalopride	C18H26ClN3O3	3052762	Moderate		Inter Info	[95], [96]
D1046		Metoclopramide	C14H22ClN3O2	4168	Moderate		Inter Info	[97], [98]
D1122		Neostigmine	C12H19N2O2+	4456	Moderate		Inter Info	[46]
D1285		Physostigmine	C15H21N3O2	5983	Moderate		Inter Info	[68], [69], [70], [71], [72], [73], [74], [75], [76]
D1286		Physostigmine (ophthalmic)	C15H21N3O2	5983	Moderate		Inter Info	[21], [22]
D1288		Pilocarpine	C11H16N2O2	5910	Moderate		Inter Info	[60], [61]
D1289		Pilocarpine (ophthalmic)	C11H16N2O2	5910	Moderate		Inter Info	[21], [22]
D1365		Pyridostigmine	C9H13N2O2+	4991	Moderate		Inter Info	[46]
D1418		Rivastigmine	C14H22N2O2	77991	Moderate		Inter Info	[68], [69], [70], [71], [72], [73], [74], [75], [76]
D1525		Tacrine	C13H14N2	1935	Moderate		Inter Info	[72], [73], [76]
	Antagonize the effect of prokinetic agents					Drug Num: 1
Drug ID		Drug Name	Formula	Pubchem ID	Severity Level		Interaction Detail	REF
D0342		Cisapride	C23H29ClFN3O4	6917698	Moderate		Inter Info	[65], [66], [67]
	Attenuated pharmacological effects (Unspecific)					Drug Num: 1
Drug ID		Drug Name	Formula	Pubchem ID	Severity Level		Interaction Detail	REF
D1886		Secretin human	C130H220N44O40	16158474	Minor		Inter Info	[114], [115]

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