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.