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. 2016 Apr 15;9:31–45. doi: 10.2147/PGPM.S101474

Table S3.

Drug–drug interactions in Case #3

Impact Action Mechanism
Drug–gene interactions
None N/A N/A N/A
Drug–drug interactions based on CYP450 metabolism
Amiodarone HCl and losartan potassium Moderate Monitor therapy CYP2C8 inhibitors (moderate) may decrease the metabolism of CYP2C8 substrates (amiodarone)
Diltiazem HCl and fluticasone/vilanterol Moderate Monitor therapy CYP3A4 inhibitors (diltiazem) may decrease the metabolism of CYP3A4 substrates (fluticazone)
Diltiazem HCl and lidocaine Moderate Monitor therapy CYP3A4 inhibitors (diltiazem) may decrease the metabolism of CYP3A4 substrates
Non-CYP450 drug–drug interactions
Albuterol sulfate and amiodarone HCl Major Consider modification QTc-prolonging agents may enhance the QTc-prolonging effect of highest risk QTc-prolonging agents
Amiodarone HCl and dabigatran etexilate mesylate Major Consider modification Amiodarone may increase the serum concentration of dabigatran etexilate
Amiodarone HCl and digoxin Major Consider modification Amiodarone may increase the serum concentration of cardiac glycosides
Amiodarone HCl and diltiazem HCl Major Consider modification Calcium channel blockers may enhance the bradycardic effect of amiodarone. Sinus arrest has been reported
Amiodarone HCl and fluticasone/vilanterol Major Consider modification QTc-prolonging agents may enhance the QTc-prolonging effect of highest risk QTc-prolonging agents

Abbreviations: N/A, not available; QTc, corrected QT.