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. 2020 May 29;6(8):FSO590. doi: 10.2144/fsoa-2020-0039

Table 3. . The ten most common moderate and major drug–drug interactions identified in the Danish and the FDA drug interaction databases. The potential clinical effects and the severity based on clinical significance are from the databases. The minor drug–drug interactions were not included.

Rank DDI Number of cases Potential clinical effect Severity
1 Furosemide + Metoprolol 13 Hyperglycemia and hypertriglyceridemia Moderate
2 Furosemide + Pantoprazole 11 Hypomagnesemia Moderate
3 Furosemide + Sodium picosulfate 9 Fluid and electrolyte disturbances Moderate
4 Metoprolol + Amlodipine 9 Further reductions in heart rate, cardiac conduction and cardiac contractility Moderate
5 Clopidogrel + Pantoprazole 8 Reduced bioactivation of clopidogrel and the therapeutic efficacy Moderate
6 Metformin + Insulin 7 Hypoglycemia Moderate
7 Mirtazapine + Metoprolol 7 Hypotension Moderate
8 Furosemide + Insulin 7 Hyperglycemia, glucose intolerance, new-onset diabetes mellitus and/or exacerbation of pre-existing diabetes Moderate
9 Furosemide + Metformin 7 Increased metformin levels potentially leading to lactic acidosis Moderate
10 Atorvastatin + Clopidogrel 6 Reduced bioactivation of clopidogrel and its antiplatelet effect Moderate