Drug General Information (ID: DDIAFN5CG4)
  Drug Name Timolol Drug Info Zileuton Drug Info
  Drug Type Small molecule Small molecule
  Therapeutic Class Antiarrhythmic Agents Antiinflammatory Agents
  Structure

 Mechanism of Timolol-Zileuton Interaction (Severity Level: Moderate)
     Decreased metabolism (Unspecific) Click to Show/Hide Mechanism Graph
      Drug Name Timolol Zileuton
      Mechanism Propranolol Inhibit the hepatic metabolism of propranolol
      Key Mechanism Factor 1
Factor Name Pharmacokinetics
Factor Description Alters the metabolism of the drug, leading to changes in the plasma concentration of the drug and affecting the pharmacological effects.
      Mechanism Description
  • Decreased metabolism of Timolol caused by Zileuton 

Recommended Action
      Management It is unknown if this interaction will occur with other beta-blockers however, if zileuton and a beta-blocker must be given concomitantly, the patient should be monitored for orthostatic hypotension, cardiac arrhythmias, bradycardia, and heart failure, and beta-blocker dosage should be decreased if necessary.

References
1 Product Information. Zylo Filmtab (zileuton). Abbott Pharmaceutical, Abbott Park, IL.