Drugs interact with warfarin, adapted from MicroMedex. (Updating)
Level Generic Trade Name Mecha nism ClassDoc On set Cha nge Inc DecAAA AAAAAAAAAA AAAAAAAAAAAAAAA AAA AAAAAAAAA AA AA AA AA AA 1 Abciximab Reopro G . F R Y 2 Acarbose . U . P D Y 2 Acemetacin . E . P D Y CC117 Alkylated testostero . . Steroid, anabo lic . . YCC 6 Mercaptopurine . . Oncology, alkylate . . . Y 2Acetominaphen Tylenol, Panadol, Tem pra F Analgesic G D. Y2 Alclofenac . E . P D Y 2 Alcohol . F Alcohol F D Y Y 2Allopurinol Zyloprim, Purinol U Gout Rx P D Y1 Alteplase Activase G . F R Y 2Aminoglutethimide Cytraden F Steroid Rx F D Y CC2Aminoglycosides Amikacin(Amikin), Gentamycin (Geramycin) Kanamycin( Kantrex), Netimycin( Netromycin), Spectinomycin(Trobycin) Streptomycin, Tobramycin(Nebcin)
. Antibiotic . . . Y CCAminosalicylic acid Paser . . . . Y 2Amiodarone Cordarone, Pacerone F Antiarrhythmic E D Y2 Amitriptyline . A,F . F D Y 2Amobarbital . F Barbiturate E D . Y2 Amoxapine . A,F . F D Y 2 Amprenavir . F . P D Y 0 Antacid . . . . . 2 Apazone . D . P D Y 2 Aprobarbital . F . G D Y 2 Argatroban . M . P D Y 0 Ascorbic acid . . . . . 1 Aspirin, ASA Anacin, Ascriptin, Alka-Seltzer, Allerest, Aspergum, Bromo-Seltzer, Bufferin, Congestin, Coricidin, Cough/cold remedies, Darvon compound, Dristan E aspirin, Ecotrin, Empirin compound, Excedrin, Fiorinol, Fizrin, Nytol, Pepto-Bismol, Percodan, Sominex, Vanquish, Zactrin, Zorprin, others. D,F Analgesic E D Y0 Atorvastatin . . . . . 2 Azathioprine Imuran A,F Immunosuppres sion P D . Y2 Azithromycin Zithromax F Antibiotic F D Y. 0 Benazepril . . . . . 2 Benoxaprofen . E . F D Y 2 Benzbromarone . F . G D Y 2 Bicalutamide . D . P D Y 2 Bismuth subsalicy late . D . F D Y 2 Bivalirudin . U . P D Y 1 Boldo . U . P D Y 2 Bosentan . F . F R Y 2 Bromfenac . E . P D Y 2 Bufexamac . E . P D Y 2 Butabarbital Butisol F Barbiturate E D Y2 Butalbital Fiorinal, (more) F Barbiturate G D Y. Level of interaction: 1 = Strong, 2 = Moderate, 3 = Mild, CC = Need update, Mechanism of interaction: A = Absorbtion, B = Clearance, C = Induction, D = PB replacement, E = Platelet aggregation, F = Metabolism alteration, G = Additive, H = Decrease synthesis, M = Miscellaneous, U = Unknown. Documentation E= Exellent, G = Good, F = Fair, P = Poor. . Onset of interaction ( R = Rapid, D = Delay}, Change Warfarin dosage change. Increase INR. Decrease INR
Level Generic Trade Name Mecha- nism ClassDoc On set Cha nge Inc DecAAA AAAAAAAAAA AAAAAAAAAAAAAAA AAA AAAAAAAAA AA AA AA AA AA 2 Calcium channel blockers . G . P D Y 0 Candesartan . . . 1 Capecitabine Xeloda U . F D Y 2 Capsaicin E . F R Y 2Carbarmazepine Tegatrol FAnticonvulsant F D Y2 Carprofen . E . P D Y 2 Castor oil . A . P Y 2 Cefamandole Mandol E,H Antibiotic F D Y2 Cefazolin Ancef, Kefzol H Antibiotic F D Y2 Cefoperazone Cefobid E,H Antibiotic F D Y2 Cefoperazone/ sulbactam . E . F D Y 2 Cefotetan Cefotan E,H Antibiotic P D YCC Cefoxitin Mefoxin . Antibiotic . YCC Ceftriaxone Rocephin . Antibiotic . Y2 Celecoxib Celebrex F Cox 2 inhibitor E D Y0 Cerivastatin . . . CC2Cephalosporins . . Antibiotic . Y3 Chamomile . G . P D Y CC Chenodiol . . . . YCC Chlopropamide Diabenese . Diabetic . Y 2Chloral hydrate Noctec DHypnotic P R Y 2Chloramphenicol Chloromycetin FAntibiotic F D Y2 Chlordiazepoxide Libruim U Antianxiety P D Y2 Chlordiazepoxide / Amitriptyline . U . P D 0 Chlorothiazide . . . 2 Chloroguanide . U . P D Y 2 Chlorotrianisene . U . P D Y 2 Chlorpromazine . U . P D ? Chlorthalidone Hygroton . Diuretic P . Y 2Cholestyramine Questran ALipid Rx G D Y0 Cilostazol . . . 2Cimetidine Tagamet FUlcer, H2 blocker E D Y2 Ciprofloxacin Cipro U Antibiotic P D Y2 Cisapride . U . P D Y 2 Clarithromycin . F . F D 2Clofibrate .Astromid-S ULipid Rx E D Y2 Clomipramine . A,F . F D Y 2 Clopidogrel . G . P D Y 2 Cloxacillin . U . P D Y 1 Coenzyme Q10 . Vit K2 . P D Y 0 Colestipol Cholestid .Lipid Rx . 2 Cotrimoxazole . D,F . G D Y CC Contraceptives, oral . . Contraceptive . . YCC Corticotropin . . Steroid, adreno . YCC Cortisone . . Steroid, adreno . . Y2 Curcumin . E . P D Y CC Cyclophospha mide Cytoxan . Oncology . Y Y0 Cycloserine . . . 2 Cyclosporine Sandimmune, Neoral U Immunosup pression P D Y. Level of interaction: 1 = Strong, 2 = Moderate, 3 = Mild, CC = Need Update. Mechanism of interaction: A = Absorbtion, B = Clearance, C = Induction, D = PB replacement, E = Platelet aggregation, F = Metabolism alteration, G = Additive, H = Decrease synthesis, M = Miscellaneous, U = Unknown. Documentation E= Exellent, G = Good, F = Fair, P = Poor. . Onset of interaction ( R = Rapid, D = Delay}, Change Warfarin dosage change. Increase INR. Decrease INR
Level Generic