Drug General Information (ID: D1609)
  Drug Name
Topiramate
  Drug Type Small molecule
  Drug Synonymous
Epitoma; Epitomax; TOR; Tipiramate; Tipiramato; Topamac; Topamax; Topimax; Topina; Topiramato; Topiramatum; Topomax; Cilag brandof topiramate; Janssen brand of topiramate; Ortho brand of topiramate; Tipiramate [French]; Tipiramato [Spanish]; Topamax Sprinkle; Topiramate tablet; Topiramatum [Latin]; Topiramic acid; McN 4853; RWJ 17021; KS-1122; KW-6485; McN-4853; RWJ-17021; Topamax (TN); Topamax, Topiramate; Topiramate (TPM); Topiramate / Placebo; Topiramato [INN-Spanish]; Topiramatum [INN-Latin]; USL-255; RWJ-17021-000; Topiramate [USAN:BAN:INN]; Topiramate (JAN/USAN/INN); Beta-D-Fructopyranose, 2,3:4,5-bis-O-(1-methylethylidene)-, sulfamate; Beta-D-Fructopyranose, 2,3:4,5-bis-O-(1-methylethylidene)-, sulfamate (9CI);Beta.-D-Fructopyranose, 2,3:4,5-bis-O-(1-methylethylidene)-, 1-sulfamate; [(3aS,5aR,8aR,8bS)-2,2,7,7-tetramethyltetrahydro-3aH-bis[1,3]dioxolo[4,5-b:4',5'-d]pyran-3a-yl]methyl sulfamate; 2,3-4,5-bis-O-(1-methylethylidene)-beta-D-fructopyranose sulfamate; 2,3:4,5-Bis-O-(1-methylethylidene) .beta.-D-fructopyranose sulfamate; 2,3:4,5-Bis-O-(1-methylethylidene)-36-D-fructo-pyranose sulfamate; 2,3:4,5-Bis-O-(1-methylethylidene)-beta-D-fructopyranose sulfamate; 2,3:4,5-Di-O-isopropylidene-(beta)-D-fructopyranose sulfamate; 2,3:4,5-Di-O-isopropylidene-beta-D-fructopyranose sulfamate; 5H-Bis[1,3]dioxolo[4,5-b:4',5'-d]pyran, beta
    Click to Show/Hide
  Disease Class 6C40: Substance abuse; 8A61-8A6Z: Epilepsy/seizure
  Therapeutic Class Anticonvulsants
  Structure Could Not Find 2D Structure
3D Structure 2D Structure
  Formula C12H21NO8S
  InChI 1S/C12H21NO8S/c1-10(2)18-7-5-16-12(6-17-22(13,14)15)9(8(7)19-10)20-11(3,4)21-12/h7-9H,5-6H2,1-4H3,(H2,13,14,15)/t7-,8-,9+,12+/m1/s1
  InChIKey KJADKKWYZYXHBB-XBWDGYHZSA-N
  Canonical SMILES CC1(OC2COC3(C(C2O1)OC(O3)(C)C)COS(=O)(=O)N)C
  External Link
Pubchem ID 5284627
CAS Number 97240-79-4
CHEBI ID 63631
TTD ID D07VDZ
INTEDE ID DR1618
VARIDT ID DR01372

Drug-Drug Interaction Network
  Sunburst Graph
AM002  Affected cellular transport
AM004  Affected intra/extra-hepatic metabolism
AM006  Pharmacodynamic additive effects
AM007  Pharmacodynamic antagonistic effects
BM011  Transporter induction
BM017  CYP450 enzyme inhibition
BM022  CYP450 enzyme induction
BM025  Decreased metabolism (Unspecific)
BM038  Additive CNS depression effects
BM056  Increased risk of hyperammonemia
BM061  Increased risk of hyperpyrexia
BM070  Increased risk of metabolic acidosis
BM085  Antagonize the effect of antithrombotic agents
BM087  Antagonize the effect of antiepileptic agents
BM089  Antagonize the effect of antihypertensive agents
  Relation Graph
 Full list of drugs interacting with Topiramate
      Affected cellular transport
      Affected intra/extra-hepatic metabolism
   CYP450 enzyme induction Drug Num:  6
Drug ID
 
Drug Name
Formula Pubchem ID Severity Level Interaction Detail REF
D0095
 
Apalutamide
 
C21H15F4N5O2S
 
24872560 
Moderate    Inter Info   
[40], [54]
D0255
 
Carbamazepine
 
C15H12N2O
 
2554 
Moderate    Inter Info   
[60], [52], [40], [61], [2], [62]
D0619
 
Ethinylestradiol
 
C20H24O2
 
5991 
Moderate    Inter Info   
[2], [69], [70]
D1011
 
Mestranol
 
C21H26O2
 
6291 
Moderate    Inter Info   
[2], [69], [70]
D1253
 
Perampanel
 
C23H15N3O
 
9924495 
Moderate    Inter Info   
[40], [85]
D1664
 
Ulipristal
 
C28H35NO3
 
13559281 
Moderate    Inter Info   
[40], [89]
   Decreased metabolism (Unspecific) Drug Num:  3
Drug ID
 
Drug Name
Formula Pubchem ID Severity Level Interaction Detail REF
D0621
 
Ethotoin
 
C11H12N2O2
 
3292 
Moderate    Inter Info   
[60], [2]
D0697
 
Fosphenytoin
 
C16H15N2O6P
 
56339 
Moderate    Inter Info   
[60], [2]
D1003
 
Mephenytoin
 
C12H14N2O2
 
4060 
Moderate    Inter Info   
[60], [2]
      Pharmacodynamic additive effects
   Additive CNS depression effects Drug Num:  194
Drug ID
 
Drug Name
Formula Pubchem ID Severity Level Interaction Detail REF
D0160
 
Benzatropine
 
C21H25NO
 
1201549 
Major    Inter Info   
[1], [2], [3]
D0020
 
Acrivastine
 
C22H24N2O2
 
5284514 
Major    Inter Info   
[2]
D0037
 
Alimemazine
 
C18H22N2S
 
5574 
Major    Inter Info   
[1], [2], [3]
D0068
 
Amitriptyline
 
C20H23N
 
2160 
Major    Inter Info   
[2]
D0072
 
Amoxapine
 
C17H16ClN3O
 
2170 
Major    Inter Info   
[2]
D0105
 
Aripiprazole
 
C23H27Cl2N3O2
 
60795 
Major    Inter Info   
[2]
D0112
 
Asenapine
 
C17H16ClNO
 
3036780 
Major    Inter Info   
[2]
D0123
 
Atropine
 
C17H23NO3
 
174174 
Major    Inter Info   
[2]
D0135
 
Azatadine
 
C20H22N2
 
19861 
Major    Inter Info   
[2]
D0154
 
Belladonna
 
C34H42N2O4
 
265028 
Major    Inter Info   
[2]
D0183
 
Biperiden
 
C21H29NO
 
2381 
Major    Inter Info   
[2]
D0202
 
Brexpiprazole
 
C25H27N3O2S
 
11978813 
Major    Inter Info   
[2]
D0214
 
Brompheniramine
 
C16H19BrN2
 
6834 
Major    Inter Info   
[2]
D0219
 
Buprenorphine
 
C29H41NO4
 
644073 
Major    Inter Info   
[6], [7], [8], [9], [10], [11], [12], [13], [14], [15], [16], [17], [18], [19], [20], [21]
D0259
 
Carbinoxamine
 
C16H19ClN2O
 
2564 
Major    Inter Info   
[2]
D0262
 
Cariprazine
 
C21H32Cl2N4O
 
11154555 
Major    Inter Info   
[2]
D0316
 
Chlorcyclizine
 
C18H21ClN2
 
2710 
Major    Inter Info   
[2]
D0323
 
Chlorpheniramine
 
C16H19ClN2
 
2725 
Major    Inter Info   
[2]
D0324
 
Chlorpromazine
 
C17H19ClN2S
 
2726 
Major    Inter Info   
[2]
D0351
 
Clemastine
 
C21H26ClNO
 
26987 
Major    Inter Info   
[2]
D0353
 
Clidinium
 
C22H26NO3+
 
2784 
Major    Inter Info   
[2]
D0361
 
Clomipramine
 
C19H23ClN2
 
2801 
Major    Inter Info   
[2]
D0370
 
Clozapine
 
C18H19ClN4
 
135398737 
Major    Inter Info   
[2]
D0397
 
Cyclizine
 
C18H22N2
 
6726 
Major    Inter Info   
[2]
D0398
 
Cyclobenzaprine
 
C20H21N
 
2895 
Major    Inter Info   
[2]
D0403
 
Cyproheptadine
 
C21H21N
 
2913 
Major    Inter Info   
[2]
D0424
 
Darifenacin
 
C28H30N2O2
 
444031 
Major    Inter Info   
[2]
D0446
 
Desipramine
 
C18H22N2
 
2995 
Major    Inter Info   
[2]
D0456
 
Dexbrompheniramine
 
C16H19BrN2
 
16960 
Major    Inter Info   
[2]
D0467
 
Dextropropoxyphene
 
C22H29NO2
 
10100 
Major    Inter Info   
[22], [23], [24]
D0482
 
Dicyclomine
 
C19H35NO2
 
3042 
Major    Inter Info   
[2]
D0498
 
Dimenhydrinate
 
C24H28ClN5O3
 
10660 
Major    Inter Info   
[2]
D0502
 
Diphenhydramine
 
C17H21NO
 
3100 
Major    Inter Info   
[2]
D0508
 
Disopyramide
 
C21H29N3O
 
3114 
Major    Inter Info   
[2]
D0526
 
Doxepin (topical)
 
C19H21NO
 
667477 
Major    Inter Info   
[1], [2], [3]
D0532
 
Doxylamine
 
C17H22N2O
 
3162 
Major    Inter Info   
[2]
D0662
 
Flavoxate
 
C24H25NO4
 
3354 
Major    Inter Info   
[2]
D0678
 
Fluphenazine
 
C22H26F3N3OS
 
3372 
Major    Inter Info   
[2]
D0733
 
Glycopyrronium
 
C19H28NO3+
 
3494 
Major    Inter Info   
[1], [2], [3]
D0759
 
Homatropine
 
C16H21NO3
 
5282593 
Major    Inter Info   
[1], [2], [3]
D0781
 
Hydroxyzine
 
C21H27ClN2O2
 
3658 
Major    Inter Info   
[2]
D0782
 
Hyoscyamine
 
C17H23NO3
 
154417 
Major    Inter Info   
[2]
D0791
 
Iloperidone
 
C24H27FN2O4
 
71360 
Major    Inter Info   
[2]
D0795
 
Imipramine
 
C19H24N2
 
3696 
Major    Inter Info   
[2]
D0957
 
Loxapine
 
C18H18ClN3O
 
3964 
Major    Inter Info   
[2]
D0959
 
Lumateperone
 
C24H28FN3O
 
21302490 
Major    Inter Info   
[2]
D0961
 
Lurasidone
 
C28H36N4O2S
 
213046 
Major    Inter Info   
[2]
D0979
 
Maprotiline
 
C20H23N
 
4011 
Major    Inter Info   
[2]
D0987
 
Meclizine
 
C25H27ClN2
 
4034 
Major    Inter Info   
[2]
D1000
 
Mepenzolate
 
C21H26NO3+
 
4057 
Major    Inter Info   
[2]
D1006
 
Mepyramine
 
C17H23N3O
 
4992 
Major    Inter Info   
[1], [2], [3]
D1010
 
Mesoridazine
 
C21H26N2OS2
 
4078 
Major    Inter Info   
[2]
D1019
 
Methdilazine
 
C18H20N2S
 
14677 
Major    Inter Info   
[2]
D1026
 
Methotrimeprazine
 
C19H24N2OS
 
72287 
Major    Inter Info   
[2]
D1031
 
Methscopolamine
 
C18H24NO4+
 
71183 
Major    Inter Info   
[2]
D1084
 
Molindone
 
C16H24N2O2
 
23897 
Major    Inter Info   
[2]
D1158
 
Nortriptyline
 
C19H21N
 
4543 
Major    Inter Info   
[2]
D1188
 
Orphenadrine
 
C18H23NO
 
4601 
Major    Inter Info   
[2]
D1202
 
Oxybutynin
 
C22H31NO3
 
4634 
Major    Inter Info   
[2]
D1215
 
Paliperidone
 
C23H27FN4O3
 
115237 
Major    Inter Info   
[2]
D1257
 
Perphenazine
 
C21H26ClN3OS
 
4748 
Major    Inter Info   
[2]
D1264
 
Phenindamine
 
C19H19N
 
11291 
Major    Inter Info   
[2]
D1282
 
Phenyltoloxamine
 
C17H21NO
 
7077 
Major    Inter Info   
[1], [2], [3]
D1292
 
Pimozide
 
C28H29F2N3O
 
16362 
Major    Inter Info   
[2]
D1346
 
Prochlorperazine
 
C20H24ClN3S
 
4917 
Major    Inter Info   
[2]
D1347
 
Procyclidine
 
C19H29NO
 
4919 
Major    Inter Info   
[2]
D1351
 
Promazine
 
C17H20N2S
 
4926 
Major    Inter Info   
[2]
D1352
 
Promethazine
 
C17H20N2S
 
4927 
Major    Inter Info   
[2]
D1354
 
Propantheline
 
C23H30NO3+
 
4934 
Major    Inter Info   
[2]
D1355
 
Propiomazine
 
C20H24N2OS
 
4940 
Major    Inter Info   
[2]
D1361
 
Protriptyline
 
C19H21N
 
4976 
Major    Inter Info   
[2]
D1368
 
Quetiapine
 
C21H25N3O2S
 
5002 
Major    Inter Info   
[2]
D1413
 
Risperidone
 
C23H27FN4O2
 
5073 
Major    Inter Info   
[2]
D1450
 
Scopolamine
 
C17H21NO4
 
3000322 
Major    Inter Info   
[2]
D1485
 
Sodium oxybate
 
C4H7NaO3
 
23663870 
Major    Inter Info   
[27], [28]
D1491
 
Solifenacin
 
C23H26N2O2
 
154059 
Major    Inter Info   
[2]
D1572
 
Thiethylperazine
 
C22H29N3S2
 
5440 
Major    Inter Info   
[2]
D1574
 
Thioridazine
 
C21H26N2S2
 
5452 
Major    Inter Info   
[2]
D1576
 
Thiothixene
 
C23H29N3O2S2
 
941651 
Major    Inter Info   
[2]
D1607
 
Tolterodine
 
C22H31NO
 
443879 
Major    Inter Info   
[2]
D1637
 
Trifluoperazine
 
C21H24F3N3S
 
5566 
Major    Inter Info   
[2]
D1638
 
Triflupromazine
 
C18H19F3N2S
 
5568 
Major    Inter Info   
[2]
D1641
 
Trihexyphenidyl
 
C20H31NO
 
5572 
Major    Inter Info   
[2]
D1647
 
Trimipramine
 
C20H26N2
 
5584 
Major    Inter Info   
[2]
D1649
 
Tripelennamine
 
C16H21N3
 
5587 
Major    Inter Info   
[2]
D1650
 
Triprolidine
 
C19H22N2
 
5282443 
Major    Inter Info   
[2]
D1656
 
Trospium
 
C25H30NO3+
 
5284632 
Major    Inter Info   
[2]
D0143
 
Baclofen
 
C10H12ClNO2
 
2284 
Moderate    Inter Info   
[29], [30], [31]
D0224
 
Butabarbital
 
C10H16N2O3
 
2479 
Moderate    Inter Info   
[29], [30], [31]
D0225
 
Butalbital
 
C11H16N2O3
 
2481 
Moderate    Inter Info   
[29], [30], [31]
D1335
 
Pregabalin
 
C8H17NO2
 
5486971 
Moderate    Inter Info   
[29], [30], [31]
D1547
 
Temazepam
 
C16H13ClN2O2
 
5391 
Moderate    Inter Info   
[29], [30], [31]
D0035
 
Alfentanil
 
C21H32N6O3
 
51263 
Moderate    Inter Info   
[29], [30], [31]
D0045
 
Alprazolam
 
C17H13ClN4
 
2118 
Moderate    Inter Info   
[29], [30], [31]
D0071
 
Amobarbital
 
C11H18N2O3
 
2164 
Moderate    Inter Info   
[29], [30], [31]
D0097
 
Apomorphine
 
C17H17NO2
 
6005 
Moderate    Inter Info   
[55], [56]
D0098
 
Apraclonidine
 
C9H10Cl2N4
 
2216 
Moderate    Inter Info   
[57], [40], [58]
D0161
 
Benzhydrocodone
 
C25H25NO4
 
49836084 
Moderate    Inter Info   
[29], [30], [31]
D0201
 
Brexanolone
 
C21H34O2
 
92786 
Moderate    Inter Info   
[59]
D0205
 
Brimonidine (ophthalmic)
 
C11H10BrN5
 
2435 
Moderate    Inter Info   
[57], [40], [58]
D0206
 
Brimonidine (topical)
 
C11H10BrN5
 
2435 
Moderate    Inter Info   
[57], [40], [58]
D0208
 
Brivaracetam
 
C11H20N2O2
 
9837243 
Moderate    Inter Info   
[29], [30], [31]
D0212
 
Bromocriptine
 
C32H40BrN5O5
 
31101 
Moderate    Inter Info   
[29], [30], [31]
D0222
 
Buspirone
 
C21H31N5O2
 
2477 
Moderate    Inter Info   
[29], [30], [31]
D0226
 
Butorphanol
 
C21H29NO2
 
5361092 
Moderate    Inter Info   
[29], [30], [31]
D0248
 
Cannabidiol
 
C21H30O2
 
644019 
Moderate    Inter Info   
[29], [30], [31]
D0263
 
Carisoprodol
 
C12H24N2O4
 
2576 
Moderate    Inter Info   
[29], [30], [31]
D0300
 
Cenobamate
 
C10H10ClN5O2
 
11962412 
Moderate    Inter Info   
[29], [30], [31]
D0305
 
Cetirizine
 
C21H25ClN2O3
 
2678 
Moderate    Inter Info   
[63], [64]
D0311
 
Chloral hydrate
 
C2H3Cl3O2
 
2707 
Moderate    Inter Info   
[29], [30], [31]
D0317
 
Chlordiazepoxide
 
C16H14ClN3O
 
2712 
Moderate    Inter Info   
[29], [30], [31]
D0318
 
Chlormezanone
 
C11H12ClNO3S
 
2717 
Moderate    Inter Info   
[29], [30], [31]
D0322
 
Chlorphenesin
 
C9H11ClO3
 
7697 
Moderate    Inter Info   
[29], [30], [31]
D0327
 
Chlorzoxazone
 
C7H4ClNO2
 
2733 
Moderate    Inter Info   
[29], [30], [31]
D0356
 
Clobazam
 
C16H13ClN2O2
 
2789 
Moderate    Inter Info   
[29], [30], [31]
D0359
 
Clofedanol
 
C17H20ClNO
 
2795 
Moderate    Inter Info   
[29], [30], [31]
D0379
 
Codeine
 
C18H21NO3
 
5284371 
Moderate    Inter Info   
[29], [30], [31]
D0417
 
Dantrolene
 
C14H10N4O5
 
6914273 
Moderate    Inter Info   
[29], [30], [31]
D0452
 
Deutetrabenazine
 
C19H27NO3
 
73437646 
Moderate    Inter Info   
[29], [30], [31]
D0459
 
Dexmedetomidine
 
C13H16N2
 
5311068 
Moderate    Inter Info   
[29], [30], [31]
D0466
 
Dextromethorphan
 
C18H25NO
 
5360696 
Moderate    Inter Info   
[29], [30], [31]
D0470
 
Dezocine
 
C16H23NO
 
3033053 
Moderate    Inter Info   
[29], [30], [31]
D0471
 
Diamorphine
 
C21H23NO5
 
5462328 
Moderate    Inter Info   
[29], [30], [31]
D0493
 
Dihydrocodeine
 
C18H23NO3
 
5284543 
Moderate    Inter Info   
[29], [30], [31]
D0533
 
Dronabinol
 
C21H30O2
 
16078 
Moderate    Inter Info   
[29], [30], [31]
D0535
 
Droperidol
 
C22H22FN3O2
 
3168 
Moderate    Inter Info   
[29], [30], [31]
D0600
 
Esketamine
 
C13H16ClNO
 
182137 
Moderate    Inter Info   
[52], [68]
D0601
 
Eslicarbazepine
 
C15H14N2O2
 
9881504 
Moderate    Inter Info   
[29], [30], [31]
D0604
 
Estazolam
 
C16H11ClN4
 
3261 
Moderate    Inter Info   
[29], [30], [31]
D0612
 
Eszopiclone
 
C17H17ClN6O3
 
969472 
Moderate    Inter Info   
[29], [30], [31]
D0617
 
Ethanol
 
C2H6O
 
702 
Moderate    Inter Info   
[2]
D0632
 
Ezogabine
 
C16H18FN3O2
 
121892 
Moderate    Inter Info   
[29], [30], [31]
D0665
 
Flibanserin
 
C20H21F3N4O
 
6918248 
Moderate    Inter Info   
[71]
D0679
 
Flurazepam
 
C21H23ClFN3O
 
3393 
Moderate    Inter Info   
[29], [30], [31]
D0748
 
Halazepam
 
C17H12ClF3N2O
 
31640 
Moderate    Inter Info   
[29], [30], [31]
D0772
 
Hydrocodone
 
C18H21NO3
 
5284569 
Moderate    Inter Info   
[29], [30], [31]
D0776
 
Hydromorphone
 
C17H19NO3
 
5284570 
Moderate    Inter Info   
[29], [30], [31]
D0853
 
Isocarboxazid
 
C12H13N3O2
 
3759 
Moderate    Inter Info   
[29], [30], [31]
D0878
 
Kava
 
C14H16O3
 
5281052 
Moderate    Inter Info   
[29], [30], [31]
D0879
 
Ketamine
 
C13H16ClNO
 
3821 
Moderate    Inter Info   
[29], [30], [31]
D0897
 
Lasmiditan
 
C19H18F3N3O2
 
11610526 
Moderate    Inter Info   
[77]
D0901
 
Lemborexant
 
C22H20F2N4O2
 
56944144 
Moderate    Inter Info   
[29], [30], [31]
D0909
 
Levacetylmethadol
 
C23H31NO2
 
15130 
Moderate    Inter Info   
[29], [30], [31]
D0917
 
Levocetirizine
 
C21H25ClN2O3
 
1549000 
Moderate    Inter Info   
[63], [64]
D0923
 
Levorphanol
 
C17H23NO
 
5359272 
Moderate    Inter Info   
[29], [30], [31]
D1001
 
Meperidine
 
C15H21NO2
 
4058 
Moderate    Inter Info   
[78], [79], [80], [81], [82]
D1005
 
Meprobamate
 
C9H18N2O4
 
4064 
Moderate    Inter Info   
[29], [30], [31]
D1014
 
Metaxalone
 
C12H15NO3
 
15459 
Moderate    Inter Info   
[29], [30], [31]
D1017
 
Methadone
 
C21H27NO
 
4095 
Moderate    Inter Info   
[29], [30], [31]
D1023
 
Methocarbamol
 
C11H15NO5
 
4107 
Moderate    Inter Info   
[29], [30], [31]
D1046
 
Metoclopramide
 
C14H22ClN3O2
 
4168 
Moderate    Inter Info   
[29], [30], [31]
D1053
 
Metyrosine
 
C10H13NO3
 
441350 
Moderate    Inter Info   
[29], [30], [31]
D1060
 
Midazolam
 
C18H13ClFN3
 
4192 
Moderate    Inter Info   
[29], [30], [31]
D1089
 
Morphine
 
C17H19NO3
 
5288826 
Moderate    Inter Info   
[29], [30], [31]
D1090
 
Morphine (liposomal)
 
C17H19NO3
 
5288826 
Moderate    Inter Info   
[29], [30], [31]
D1096
 
Nabilone
 
C24H36O3
 
5284592 
Moderate    Inter Info   
[29], [30], [31]
D1100
 
Nalbuphine
 
C21H27NO4
 
5311304 
Moderate    Inter Info   
[29], [30], [31]
D1169
 
Oliceridine
 
C22H30N2O2S
 
66553195 
Moderate    Inter Info   
[29], [30], [31]
D1172
 
Olopatadine (nasal)
 
C21H23NO3
 
5281071 
Moderate    Inter Info   
[83], [84], [85]
D1182
 
Opicapone
 
C15H10Cl2N4O6
 
135565903 
Moderate    Inter Info   
[29], [30], [31]
D1183
 
Opium
 
NA
 
NA
Moderate    Inter Info   
[29], [30], [31]
D1197
 
Oxazepam
 
C15H11ClN2O2
 
4616 
Moderate    Inter Info   
[29], [30], [31]
D1198
 
Oxcarbazepine
 
C15H12N2O2
 
34312 
Moderate    Inter Info   
[29], [30], [31]
D1203
 
Oxycodone
 
C18H21NO4
 
5284603 
Moderate    Inter Info   
[29], [30], [31]
D1208
 
Oxymorphone
 
C17H19NO4
 
5284604 
Moderate    Inter Info   
[29], [30], [31]
D1224
 
Paraldehyde
 
C6H12O3
 
31264 
Moderate    Inter Info   
[29], [30], [31]
D1247
 
Pentazocine
 
C19H27NO
 
441278 
Moderate    Inter Info   
[29], [30], [31]
D1248
 
Pentobarbital
 
C11H18N2O3
 
4737 
Moderate    Inter Info   
[29], [30], [31]
D1252
 
Pentoxyverine
 
C20H31NO3
 
2562 
Moderate    Inter Info   
[29], [30], [31]
D1255
 
Pergolide
 
C19H26N2S
 
47811 
Moderate    Inter Info   
[29], [30], [31]
D1263
 
Phenelzine
 
C8H12N2
 
3675 
Moderate    Inter Info   
[29], [30], [31]
D1340
 
Primidone
 
C12H14N2O2
 
4909 
Moderate    Inter Info   
[29], [30], [31]
D1367
 
Quazepam
 
C17H11ClF4N2S
 
4999 
Moderate    Inter Info   
[29], [30], [31]
D1378
 
Ramelteon
 
C16H21NO2
 
208902 
Moderate    Inter Info   
[29], [30], [31]
D1385
 
Rasagiline
 
C12H13N
 
3052776 
Moderate    Inter Info   
[29], [30], [31]
D1390
 
Remifentanil
 
C20H28N2O5
 
60815 
Moderate    Inter Info   
[29], [30], [31]
D1431
 
Rotigotine
 
C19H25NOS
 
59227 
Moderate    Inter Info   
[29], [30], [31]
D1433
 
Rufinamide
 
C10H8F2N4O
 
129228 
Moderate    Inter Info   
[29], [30], [31]
D1453
 
Secobarbital
 
C12H18N2O3
 
5193 
Moderate    Inter Info   
[29], [30], [31]
D1524
 
Suvorexant
 
C23H23ClN6O2
 
24965990 
Moderate    Inter Info   
[29], [30], [31]
D1536
 
Tasimelteon
 
C15H19NO2
 
10220503 
Moderate    Inter Info   
[29], [30], [31]
D1560
 
Tetrabenazine
 
C19H27NO3
 
6018 
Moderate    Inter Info   
[29], [30], [31]
D1569
 
Thalidomide
 
C13H10N2O4
 
5426 
Moderate    Inter Info   
[87]
D1596
 
Tizanidine
 
C9H8ClN5S
 
5487 
Moderate    Inter Info   
[88]
D1620
 
Tranylcypromine
 
C9H11N
 
19493 
Moderate    Inter Info   
[29], [30], [31]
D1624
 
Trazodone
 
C19H22ClN5O
 
5533 
Moderate    Inter Info   
[29], [30], [31]
D1632
 
Triazolam
 
C17H12Cl2N4
 
5556 
Moderate    Inter Info   
[29], [30], [31]
D1644
 
Trimethobenzamide
 
C21H28N2O5
 
5577 
Moderate    Inter Info   
[29], [30], [31]
D1673
 
Valbenazine
 
C24H38N2O4
 
24795069 
Moderate    Inter Info   
[29], [30], [31]
D1675
 
Valerian
 
NA
 
NA
Moderate    Inter Info   
[29], [30], [31]
D1694
 
Vigabatrin
 
C6H11NO2
 
5665 
Moderate    Inter Info   
[29], [30], [31]
D1719
 
Ziconotide
 
C102H172N36O32S7
 
16135415 
Moderate    Inter Info   
[29], [30], [31]
D1729
 
Zolpidem
 
C19H21N3O
 
5732 
Moderate    Inter Info   
[29], [30], [31]
D1616
 
Tramadol
 
C16H25NO2
 
33741 
Moderate    Inter Info   
[29], [30], [31]
   Increased risk of hyperammonemia Drug Num:  3
Drug ID
 
Drug Name
Formula Pubchem ID Severity Level Interaction Detail REF
D0732
 
Glycerol phenylbutyrate
 
C33H38O6
 
10482134 
Moderate    Inter Info   
[52], [75], [76]
D1275
 
Phenylbutyric acid
 
C10H12O2
 
4775 
Moderate    Inter Info   
[52], [75], [76]
D1677
 
Valproic acid
 
C8H16O2
 
3121 
Moderate    Inter Info   
[60], [90], [2], [91]
   Increased risk of metabolic acidosis Drug Num:  5
Drug ID
 
Drug Name
Formula Pubchem ID Severity Level Interaction Detail REF
D0012
 
Acetazolamide
 
C4H6N4O3S2
 
1986 
Major    Inter Info   
[4], [2], [5]
D0479
 
Diclofenamide
 
C6H6Cl2N2O4S2
 
3038 
Major    Inter Info   
[4], [2], [5]
D1015
 
Metformin
 
C4H11N5
 
4091 
Major    Inter Info   
[2], [25], [26]
D1018
 
Methazolamide
 
C5H8N4O3S2
 
4100 
Major    Inter Info   
[4], [2], [5]
D1730
 
Zonisamide
 
C8H8N2O3S
 
5734 
Major    Inter Info   
[4], [2], [5]
      Pharmacodynamic antagonistic effects
   Antagonize the effect of antithrombotic agents Drug Num:  3
Drug ID
 
Drug Name
Formula Pubchem ID Severity Level Interaction Detail REF
D0481
 
Dicoumarol
 
C19H12O6
 
54676038 
Moderate    Inter Info   
[52], [40], [53]
D0087
 
Anisindione
 
C16H12O3
 
2197 
Moderate    Inter Info   
[52], [40], [53]
D1711
 
Warfarin
 
C19H16O4
 
54678486 
Moderate    Inter Info   
[52], [40], [53]
   Antagonize the effect of antiepileptic agents Drug Num:  15
Drug ID
 
Drug Name
Formula Pubchem ID Severity Level Interaction Detail REF
D0345
 
Citalopram
 
C20H21FN2O
 
2771 
Moderate    Inter Info   
[32], [33], [34], [35], [36], [37], [38], [39], [40], [41], [42], [43], [44], [45], [46], [47], [48], [49], [50], [51]
D0687
 
Fluvoxamine
 
C15H21F3N2O2
 
5324346 
Moderate    Inter Info   
[32], [33], [34], [35], [36], [37], [38], [39], [40], [41], [42], [43], [44], [45], [46], [47], [48], [49], [50], [51]
D0320
 
Chloroquine
 
C18H26ClN3
 
2719 
Moderate    Inter Info   
[52], [40], [65], [66], [67]
D0451
 
Desvenlafaxine
 
C16H25NO2
 
125017 
Moderate    Inter Info   
[32], [33], [34], [35], [36], [37], [38], [39], [40], [41], [42], [43], [44], [45], [46], [47], [48], [49], [50], [51]
D0539
 
Duloxetine
 
C18H19NOS
 
60835 
Moderate    Inter Info   
[32], [33], [34], [35], [36], [37], [38], [39], [40], [41], [42], [43], [44], [45], [46], [47], [48], [49], [50], [51]
D0599
 
Escitalopram
 
C20H21FN2O
 
146570 
Moderate    Inter Info   
[32], [33], [34], [35], [36], [37], [38], [39], [40], [41], [42], [43], [44], [45], [46], [47], [48], [49], [50], [51]
D0676
 
Fluoxetine
 
C17H18F3NO
 
3386 
Moderate    Inter Info   
[32], [33], [34], [35], [36], [37], [38], [39], [40], [41], [42], [43], [44], [45], [46], [47], [48], [49], [50], [51]
D0779
 
Hydroxychloroquine
 
C18H26ClN3O
 
3652 
Moderate    Inter Info   
[52], [40], [65], [66], [67]
D0920
 
Levomilnacipran
 
C15H22N2O
 
6917779 
Moderate    Inter Info   
[32], [33], [34], [35], [36], [37], [38], [39], [40], [41], [42], [43], [44], [45], [46], [47], [48], [49], [50], [51]
D1066
 
Milnacipran
 
C15H22N2O
 
65833 
Moderate    Inter Info   
[32], [33], [34], [35], [36], [37], [38], [39], [40], [41], [42], [43], [44], [45], [46], [47], [48], [49], [50], [51]
D1229
 
Paroxetine
 
C19H20FNO3
 
43815 
Moderate    Inter Info   
[32], [33], [34], [35], [36], [37], [38], [39], [40], [41], [42], [43], [44], [45], [46], [47], [48], [49], [50], [51]
D1243
 
Pemoline
 
C9H8N2O2
 
4723 
Moderate    Inter Info   
[52], [40], [86]
D1689
 
Venlafaxine
 
C17H27NO2
 
5656 
Moderate    Inter Info   
[32], [33], [34], [35], [36], [37], [38], [39], [40], [41], [42], [43], [44], [45], [46], [47], [48], [49], [50], [51]
D1696
 
Vilazodone
 
C26H27N5O2
 
6918314 
Moderate    Inter Info   
[32], [33], [34], [35], [36], [37], [38], [39], [40], [41], [42], [43], [44], [45], [46], [47], [48], [49], [50], [51]
D1708
 
Vortioxetine
 
C18H22N2S
 
9966051 
Moderate    Inter Info   
[32], [33], [34], [35], [36], [37], [38], [39], [40], [41], [42], [43], [44], [45], [46], [47], [48], [49], [50], [51]
   Antagonize the effect of antihypertensive agents Drug Num:  1
Drug ID
 
Drug Name
Formula Pubchem ID Severity Level Interaction Detail REF
D0722
 
Ginkgo biloba
 
NA
 
NA
Moderate    Inter Info   
[72], [73], [74]
References
1 Mendelson J, Jones RT, Upton R, Jacob P 3rd "Methamphetamine and ethanol interactions in humans." Clin Pharmacol Ther 57 (1995): 559-68. [PMID: 7768079]
2 Product Information. Topamax (topiramate). Ortho Pharmaceutical Corporation, Raritan, NJ.
3 Product Information. Ionamin (phentermine). Rhone-Poulenc Rorer, Collegeville, PA.
4 Product Information. Diamox (acetazolamide). Lederle Laboratories, Wayne, NJ.
5 Product Information. Zonegran (zonisamide) Elan Pharmaceuticals, S. San Francisco, CA.
6 Sekar M, Mimpriss TJ "Buprenorphine, benzodiazepines and prolonged respiratory depression." Anaesthesia 42 (1987): 567-8. [PMID: 3592200]
7 Pirnay S, Borron SW, Giudicelli CP, Tourneau J, Baud FJ, Ricordel I "A critical review of the causes of death among post-morten toxicological investigations: analysis of 34 buprenorphine-associated and 35 methadone-associated deaths." Addiction 99 (2004): 978-88. [PMID: 15265095]
8 Schuman-Olivier Z, Hoeppner BB, Weiss RD, Borodovsky J, Shaffer HJ, Albanese MJ "Benzodiazepine use during buprenorphine treatment for opioid dependence: clinical and safety outcomes." Drug Alcohol Depend 132 (2013): 580-6. [PMID: 23688843]
9 Reynaud M, Petit G, Potard D, Courty P "Six deaths linked to concomitant use of buprenorphine and benzodiazepines." Addiction 93 (1998): 1385-92. [PMID: 9926544]
10 Kintz P "A new series of 13 buprenorphine-related deaths." Clin Biochem 35 (2002): 513-6. [PMID: 12493578]
11 Kilicarslan T, Sellers EM "Lack of interaction of buprenorphine with flunitrazepam metabolism." Am J Psychiatry 157 (2000): 1164-6. [PMID: 10873929]
12 Product Information. Suboxone (buprenorphine-naloxone). Reckitt and Colman Pharmaceuticals Inc, Richmond, VA.
13 Reynaud M, Tracqui A, Petit G, Potard D, Courty P "Six deaths linked to misuse of buprenorphine-benzodiazepine combinations." Am J Psychiatry 155 (1998): 448-9. [PMID: 9501765]
14 US Food and Drug Administration "FDA warns about serious risks and death when combining opioid pain or cough medicines with benzodiazepines requires its strongest warning.".
15 Hakkinen M, Launiainen T, Vuori E, Ojanpera I "Benzodiazepines and alcohol are associated with cases of fatal buprenorphine poisoning." Eur J Clin Pharmacol 68 (2012): 301-9. [PMID: 21927835]
16 Gueye PN, Borron SW, Risede P, et al "Buprenorphine and midazolalm act in combination to depress respiration in rats." Toxicol Sci 65 (2002): 107-14. [PMID: 11752690]
17 Tracqui A, Kintz P, Ludes B "Buprenorphine-related deaths among drug addicts in France: a report on 20 fatalities." J Anal Toxicol 22 (1998): 430-4. [PMID: 9788517]
18 Martin HA "The possible consequences of combining lorazepam and buprenorphine/naloxone: a case review." J Emerg Nurs 37 (2011): 200-2. [PMID: 21397143]
19 Center for Substance Abuse Treatment.?Clinical Guidelines for the Use of Buprenorphine in the Treatment of Opioid Addiction. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 2004. [PMID: 22514846]
20 Ferrant O, Papin F, Clin B, et al "Fatal poisoning due to snorting buprenorphine and alcohol consumption." Forensic Sci Int 204 (2011): e8-11. [PMID: 20554411]
21 Kintz P "Deaths involving buprenorphine: a compendium of French cases." Forensic Sci Int 121 (2001): 65-9. [PMID: 11516889]
22 Hansen BS, Dam M, Brandt J, et al "Influence of dextropropoxyphene on steady state serum levels and protein binding of three anti-epileptic drugs in man." Acta Neurol Scand 61 (1980): 357-67. [PMID: 6998251]
23 Peterson GR, Covault HP, Hostetler RM "Acute inhibition of microsomal drug metabolism by propoxphene in narcotic tolerant/dependent mice." Life Sci 22 (1978): 2087-96. [PMID: 566834]
24 Abernethy DR, Greenblatt DJ, Morse DS, Shader RI "Interaction of propoxyphene with diazepam, alprazolam and lorazepam." Br J Clin Pharmacol 19 (1985): 51-7. [PMID: 2858217]
25 Product Information. Janumet XR (metFORMIN-sitaGLIPtin). Merck &amp Company Inc, Whitehouse Station, NJ.
26 Toplak H, Hamann A, Moore T, et al "Efficacy and safety of topiramate in combination with metformin in the treatment of obese subjects with type 2 diabetes: a randomized, double-blind, placebo-controlled study." Int J Obes (Lond) 31 (2007): 138-46.[PMID: 16703004]
27 Product Information. Xywav (calcium/magnesium/potass/sodium oxybates). Jazz Pharmaceuticals, Palo Alto, CA.
28 Product Information. Xyrem (sodium oxybate). Orphan Medical, Minnetonka, MN.
29 Divoll M, Greenblatt DJ, Lacasse Y, Shader RI "Benzodiazepine overdosage: plasma concentrations and clinical outcome." Psychopharmacology (Berl) 73 (1981): 381-3. [PMID: 6789361]
30 Grabowski BS, Cady WJ, Young WW, Emery JF "Effects of acute alcohol administration on propranolol absorption." Int J Clin Pharmacol Ther Toxicol 18 (1980): 317-9. [PMID: 7429677]
31 Product Information. Belsomra (suvorexant). Merck &amp Company Inc, Whitehouse Station, NJ.
32 Belcastro V, Costa C, Striano P "Levetiracetam-associated hyponatremia." Seizure 17 (2008): 389-90. [PMID: 18584781]
33 Gandhi S, McArthur E, Mamdani MM, et.al "Antiepileptic drugs and hyponatremia in older adults: Two population-based cohort studies." Epilepsia 57 (2016): 2067-79. [PMID: 27896804]
34 Product Information. Savella (milnacipran). Forest Pharmaceuticals, St. Louis, MO.
35 Product Information. Aptiom (eslicarbazepine). Sunovion Pharmaceuticals Inc, Marlborough, MA.
36 Product Information. Cymbalta (duloxetine). Lilly, Eli and Company, Indianapolis, IN.
37 Product Information. Pristiq (desvenlafaxine). Wyeth Laboratories, Philadelphia, PA.
38 Product Information. Tegretol (carbamazepine). Novartis Pharmaceuticals, East Hanover, NJ.
39 Product Information. Celexa (citalopram). Forest Pharmaceuticals, St. Louis, MO.
40 Cerner Multum, Inc. "UK Summary of Product Characteristics.".
41 Product Information. Paxil (paroxetine). GlaxoSmithKline, Research Triangle Park, NC.
42 Product Information. Prozac (fluoxetine). Dista Products Company, Indianapolis, IN.
43 Product Information. Luvox (fluvoxamine). Solvay Pharmaceuticals Inc, Marietta, GA.
44 Product Information. Effexor (venlafaxine). Wyeth-Ayerst Laboratories, Philadelphia, PA.
45 Product Information. Fetzima (levomilnacipran). Forest Pharmaceuticals, St. Louis, MO.
46 Product Information. Zoloft (sertraline). Roerig Division, New York, NY.
47 Patel KR, Meesala A, Stanilla JK "Sodium valproate-induced hyponatremia: a case report." Prim Care Companion J Clin Psychiatry 12 (2010): epub. [PMID: 21274365]
48 Product Information. Lexapro (escitalopram). Forest Pharmaceuticals, St. Louis, MO.
49 Falhammar H, Lindh JD, Calissendorff J, et.al "Differences in associations of antiepileptic drugs and hospitalization due to hyponatremia: A population-based case-control study." Seizure 59 (2018): 28-33. [PMID: 29730273]
50 Bavbek N, Alkan R, Uz E, Kaftan O, Akcay A "Hyponatremia associated with sodium valproate in a 22-year-old male." Nephrol Dial Transplant 23 (2008): epub. [PMID: 17913733]
51 Product Information. Trileptal (oxcarbazepine) Novartis Pharmaceuticals, East Hanover, NJ.
52 Cerner Multum, Inc. "Australian Product Information.".
53 Guo LQ, Yamazoe Y "Inhibition of cytochrome P450 by furanocoumarins in grapefruit juice and herbal medicines." Acta Pharmacol Sin 25 (2004): 129-36. [PMID: 14769198]
54 Product Information. Erleada (apalutamide). Janssen Biotech, Inc., Horsham, PA, PA.
55 Product Information. Apokyn (apomorphine). Mylan Pharmaceuticals Inc, Morgantown, WV.
56 Product Information. Zohydro ER (HYDROcodone). Zogenix, Inc, San Diego, CA.
57 Product Information. Alphagan (brimonidine ophthalmic). Allergan Inc, Irvine, CA.
58 Product Information. Mirvaso (brimonidine topical). Galderma Laboratories Inc, Cranbury, NJ.
59 Product Information. Zulresso (brexanolone). Sage Therapeutics, Inc., Cambridge, MA.
60 Bourgeois BF "Drug interaction profile of topiramate." Epilepsia 37(suppl 2 (1996): s14-7. [PMID: 8641241]
61 Mack CJ, Kuc S, Mulcrone SA, Pilley A, Grunewald RA "Interaction of topiramate with carbamazepine: two case reports and a review of clinical experience." Seizure 11 (2002): 464-7. [PMID: 12237076]
62 Sachdeo RC, Sachdeo SK, Walker SA, Kramer LD, Nayak RK, Doose DR "Steady-state pharmacokinetics of topiramate and carbamazepine in patients with epilepsy during monotherapy and concomitant therapy." Epilepsia 37 (1996): 774-80. [PMID: 8764818]
63 Product Information. Zyrtec (cetirizine). Pfizer US Pharmaceuticals, New York, NY.
64 Product Information. Xyzal (levocetirizine). UCB Pharma Inc, Smyrna, GA.
65 Product Information. Aralen (chloroquine). Sanofi Winthrop Pharmaceuticals, New York, NY.
66 Product Information. Hydroxychloroquine Sulfate (hydroxychloroquine). Prasco Laboratories, Cincinnati, OH.
67 Product Information. Plaquenil (R). (hydroxychloroquine). Sanofi Winthrop Pharmaceuticals, New York, NY.
68 Product Information. Spravato (esketamine). Janssen Pharmaceuticals, Titusville, NJ.
69 Rosenfeld WE, Doose DR, Walker SA, Nayak RK "Effect of topiramate on the pharmacokinetics of an oral contraceptive containing norethindrone and ethinyl estradiol in patients wit epilepsy." Epilepsia 38 (1997): 317-23. [PMID: 9070594]
70 Wilbur K, Ensom MHH "Pharmacokinetic drug interactions between oral contraceptives and second-generation anticonvulsants." Clin Pharmacokinet 38 (2000): 355-65. [PMID: 10803456]
71 Product Information. Addyi (flibanserin). Sprout Pharmaceuticals, Raleigh, NC.
72 Miller LG "Herbal medicinals: selected clinical considerations focusing on known or potential drug-herb interactions." Arch Intern Med 158 (1998): 2200-11. [PMID: 9818800]
73 Harms SL, Garrard J, Schwinghammer P, Eberly LE, Chang Y, Leppik IE "Ginkgo biloba use in nursing home elderly with epilepsy or seizure disorder." Epilepsia 47 (2006): 323-9. [PMID: 16499756]
74 Kupiec T, Raj V "Fatal seizures due to potential herb-drug interactions with Ginkgo biloba." J Anal Toxicol 29 (2005): 755-8. [PMID: 16419414]
75 Product Information. Buphenyl (sodium phenylbutyrate). Horizon Pharma USA Inc, Northbrook, IL.
76 Product Information. Ravicti (glycerol phenylbutyrate). Hyperion Therapeutics Inc, South San Francisco, CA.
77 Product Information. Reyvow (lasmiditan). Lilly, Eli and Company, Indianapolis, IN.
78 Lambertsen CJ, Wendel H, Longenhagen JB "The separate and combined respiratory effects of chlorpromazine and meperidine in normal men controlled at 46 mm Hg alveolar pCO2." J Pharmacol Exp Ther 131 (1961): 381-93. [PMID: 13758472]
79 Hoffman JC, Smith TC "The respiratory effects of meperidine and propiomazine in man." Anesthesiology 32 (1970): 325-31. [PMID: 4392394]
80 Stambaugh JE, Wainer IW "Drug interaction: meperidine and chlorpromazine, a toxic combination." J Clin Pharmacol 21 (1981): 140-6. [PMID: 7240435]
81 Product Information. Meperidine Hydrochloride Injection, USP (meperidine) Astra-Zeneca Pharmaceuticals, Wilmington, DE.
82 Product Information. Demerol (meperidine). Sanofi Winthrop Pharmaceuticals, New York, NY.
83 Warrington SJ, Ankier SI, Turner P "Evaluation of possible interactions between ethanol and trazodone or amitriptyline." Neuropsychobiology 15 (1986): 31-7. [PMID: 3725002]
84 Product Information. Patanase (olopatadine nasal). Alcon Laboratories Inc, Fort Worth, TX.
85 Product Information. Fycompa (perampanel). Eisai Inc, Teaneck, NJ.
86 Product Information. Cylert (pemoline). Abbott Pharmaceutical, Abbott Park, IL.
87 Product Information. Thalomid (thalidomide). Celgene Corporation, Warren, NJ.
88 Product Information. Zanaflex (tizanidine). Acorda Therapeutics, Hawthorne, NY.
89 Product Information. ella (ulipristal). Afaxys Inc., Charleston, SC.
90 May TW, Rambeck B, Jurgens U "Serum concentrations of topiramate in patients with epilepsy: influence of dose, age, and comedication." Ther Drug Monit 24 (2002): 366-74. [PMID: 12021627]
91 Rosenfeld WE, Liao S, Kramer LD, et al "Comparison of the steady-state pharmacokinetics of topiramate and valproate in patients with epilepsy during monotherapy and concomitant therapy." Epilepsia 38 (1997): 324-33. [PMID: 9070595]