Medicines that interfere with Hormonals - Tamoxifen
I signed up for "up-to-date" which is a doctor and med student subscription program that offers all the up to date medical advice as well as drug interactions. I wanted to share the list for anyone who didn't want to spend the money but was curious about the major players in drug interactions. This list is far more extensive than what Drugs.com gives you. This is a the current list for Tamoxifen. Rated A-X (A= no known interaction; B= no action needed). I'm not a doctor, so if you have any questions, it's best to ask your PCP about this list and what it means for you. and here's the disclaimer on the site:
Lexi-Comp's Comprehensive Drug-to-Drug, Drug-to-Herb and Herb-to-Herb Interaction Analysis Program
NOTE: Lexi-Interact does not address chemical compatibility related to I.V. drug preparation or administration.
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Risk Rating X: Avoid combination CYP2D6 Inhibitors (Strong) Interacting Members BuPROPion; Cinacalcet; Cocaine; Delavirdine; FLUoxetine; Lopinavir; Methotrimeprazine; PARoxetine; QuiNIDine; Ritonavir; Stiripentol; Terbinafine (Systemic); Thioridazine; Tipranavir
Risk Rating Consider therapy modification CYP2D6 Inhibitors (Moderate) Interacting Members Abiraterone Acetate; Amiodarone; Asunaprevir; Celecoxib; Chloroquine; ChlorproMAZINE; Cimetidine; CloBAZam; ClomiPRAMINE; CloZAPine; Darifenacin; Desipramine; DiphenhydrAMINE (Systemic); Dronedarone; DULoxetine; Eliglustat; Haloperidol; Imipramine; Isoniazid; Ketoconazole (Systemic); Lorcaserin; Lumefantrine; Methadone; Mirabegron; NiCARdipine; Nilotinib; Panobinostat; Perhexiline; QuiNINE; Rolapitant; Sertraline; Ticlopidine; Tranylcypromine
Risk Rating Consider therapy modification CYP3A4 Substrates Interacting Members Abiraterone Acetate; Alfuzosin; ALPRAZolam; Amiodarone; AmLODIPine; Apixaban; Apremilast; Aprepitant; ARIPiprazole; ARIPiprazole Lauroxil; Armodafinil; Artemether; Asunaprevir; Atazanavir; AtorvaSTATin; Avanafil; Axitinib; Barnidipine; Bedaquiline; Benzphetamine; Bisoprolol; Blonanserin; Boceprevir; Bortezomib; Bosutinib; Brexpiprazole; BusPIRone; Cabazitaxel; Cabozantinib; Calcitriol (Systemic); CarBAMazepine; Cariprazine; Ceritinib; ChlordiazePOXIDE; Chloroquine; Cilnidipine; Cilostazol; Citalopram; Clarithromycin; ClonazePAM; Clorazepate; Cobicistat; Cobimetinib; Conivaptan; Crizotinib; CycloSPORINE (Systemic); Cyproterone; Daclatasvir; Dantrolene; Dapsone (Systemic); Darifenacin; Darunavir; Dasatinib; Delavirdine; Dexamethasone (Systemic); DiazePAM; Dienogest; Digitoxin; DiltiaZEM; Disopyramide; DOCEtaxel; Doxazosin; DOXOrubicin (Conventional); DOXOrubicin (Liposomal); Dronedarone; Dydrogesterone; Ebastine; Efavirenz; Elbasvir; Eliglustat; Elvitegravir; Enzalutamide; Eplerenone; Erlotinib; Erythromycin (Systemic); Escitalopram; Estradiol (Systemic); Estradiol (Topical); Estrogens (Conjugated A/Synthetic); Estrogens (Conjugated B/Synthetic); Estrogens (Conjugated/Equine, Systemic); Estrogens (Conjugated/Equine, Topical); Estrogens (Esterified); Estrone; Estropipate; Eszopiclone; Ethinyl Estradiol; Ethosuximide; Etoposide; Etoposide Phosphate; Etoricoxib; Etravirine; Everolimus; Exemestane; Felbamate; Felodipine; Fesoterodine; Flibanserin; Flurazepam; Fosamprenavir; Fosaprepitant; Gefitinib; Grazoprevir; GuanFACINE; Halofantrine; Haloperidol; HYDROXYprogesterone Caproate; Ibrutinib; Idelalisib; Imatinib; Indinavir; Irinotecan (Conventional); Irinotecan (Liposomal); Isavuconazonium Sulfate; Isosorbide Dinitrate; Isosorbide Mononitrate; Isradipine; Itraconazole; Ivabradine; Ivacaftor; Ixabepilone; Ixazomib; Ketoconazole (Systemic); Lacidipine; Lansoprazole; Lapatinib; Lercanidipine; Levonorgestrel (Systemic); Lidocaine (Systemic); Linagliptin; Lomitapide; Losartan; Lovastatin; Lumefantrine; Lurasidone; Lynestrenol; Macitentan; Maraviroc; MedroxyPROGESTERone; Mefloquine; Mestranol; Methadone; Mianserin; Midazolam; MiFEPRIStone; Mirodenafil; Mirtazapine; Modafinil; Naloxegol; Nefazodone; Nelfinavir; Netupitant; Nevirapine; NiCARdipine; NIFEdipine; Nilotinib; Nilvadipine; NiMODipine; Nisoldipine; Nitrendipine; Norethindrone; Norgestrel; Olaparib; Ombitasvir, Paritaprevir, and Ritonavir; Ombitasvir, Paritaprevir, Ritonavir, and Dasabuvir; Ondansetron; Ospemifene; OxyCODONE; PACLitaxel (Conventional); PACLitaxel (Protein Bound); Palbociclib; Panobinostat; PAZOPanib; Perampanel; Pimozide; Pipotiazine; Praziquantel; Primaquine; Progesterone; QUEtiapine; QuiNIDine; QuiNINE; RABEprazole; Ranolazine; Regorafenib; Repaglinide; Rifabutin; Rilpivirine; Riociguat; Ritonavir; Rivaroxaban; Roflumilast; Rolapitant; RomiDEPsin; Ruxolitinib; Saquinavir; Sildenafil; Silodosin; Simeprevir; Simvastatin; Sirolimus; Solifenacin; Sonidegib; Spiramycin; Stiripentol; SUNItinib; Suvorexant; Tacrolimus (Systemic); Tamoxifen; Tamsulosin; Tasimelteon; Telaprevir; Telithromycin; Temsirolimus; Teniposide; Tetracycline; TiaGABine; Tibolone; Ticagrelor; Ticlopidine; Tipranavir; Tofacitinib; Tolterodine; Tolvaptan; Toremifene; Trabectedin; TraMADol; TraZODone; Triazolam; Trimethoprim; Trimipramine; Ulipristal; Vandetanib; Velpatasvir; Vemurafenib; Venetoclax; Venlafaxine; Verapamil; Vilazodone; VinBLAStine; VinCRIStine; VinCRIStine (Liposomal); Vortioxetine; Zolpidem; Zonisamide; Zopiclone Exceptions Buprenorphine; Etizolam; HYDROcodone
Risk Rating Consider therapy modification CYP3A4 Inducers (Strong) Interacting Members CarBAMazepine; Enzalutamide; Fosphenytoin; Lumacaftor; Mitotane; PHENobarbital; Phenytoin; Primidone; Rifabutin; RifAMPin; Rifapentine
Risk Rating C: Monitor therapy CYP3A4 Substrates Interacting Members Abiraterone Acetate; Alfuzosin; ALPRAZolam; Amiodarone; AmLODIPine; Apixaban; Apremilast; Aprepitant; ARIPiprazole; ARIPiprazole Lauroxil; Armodafinil; Artemether; Asunaprevir; Atazanavir; AtorvaSTATin; Avanafil; Axitinib; Barnidipine; Bedaquiline; Benzphetamine; Bisoprolol; Blonanserin; Boceprevir; Bortezomib; Bosutinib; Brexpiprazole; Buprenorphine; BusPIRone; Cabazitaxel; Cabozantinib; Calcitriol (Systemic); CarBAMazepine; Cariprazine; Ceritinib; ChlordiazePOXIDE; Chloroquine; Cilnidipine; Cilostazol; Citalopram; Clarithromycin; ClonazePAM; Clorazepate; Cobicistat; Cobimetinib; Conivaptan; Crizotinib; CycloSPORINE (Systemic); Cyproterone; Daclatasvir; Dantrolene; Dapsone (Systemic); Darifenacin; Darunavir; Dasatinib; Delavirdine; Dexamethasone (Systemic); DiazePAM; Dienogest; Digitoxin; DiltiaZEM; Disopyramide; DOCEtaxel; Doxazosin; DOXOrubicin (Conventional); DOXOrubicin (Liposomal); Dronedarone; Dydrogesterone; Ebastine; Efavirenz; Elbasvir; Eliglustat; Elvitegravir; Enzalutamide; Eplerenone; Erlotinib; Erythromycin (Systemic); Escitalopram; Estradiol (Systemic); Estradiol (Topical); Estrogens (Conjugated A/Synthetic); Estrogens (Conjugated B/Synthetic); Estrogens (Conjugated/Equine, Systemic); Estrogens (Conjugated/Equine, Topical); Estrogens (Esterified); Estrone; Estropipate; Eszopiclone; Ethinyl Estradiol; Ethosuximide; Etizolam; Etoposide; Etoposide Phosphate; Etoricoxib; Etravirine; Everolimus; Exemestane; Felbamate; Felodipine; Fesoterodine; Flibanserin; Flurazepam; Fosamprenavir; Fosaprepitant; Gefitinib; Grazoprevir; GuanFACINE; Halofantrine; Haloperidol; HYDROcodone; HYDROXYprogesterone Caproate; Ibrutinib; Idelalisib; Imatinib; Indinavir; Irinotecan (Conventional); Irinotecan (Liposomal); Isavuconazonium Sulfate; Isosorbide Dinitrate; Isosorbide Mononitrate; Isradipine; Itraconazole; Ivabradine; Ivacaftor; Ixabepilone; Ixazomib; Ketoconazole (Systemic); Lacidipine; Lansoprazole; Lapatinib; Lercanidipine; Levonorgestrel (Systemic); Lidocaine (Systemic); Linagliptin; Lomitapide; Losartan; Lovastatin; Lumefantrine; Lurasidone; Lynestrenol; Macitentan; Maraviroc; MedroxyPROGESTERone; Mefloquine; Mestranol; Methadone; Mianserin; Midazolam; MiFEPRIStone; Mirodenafil; Mirtazapine; Modafinil; Naloxegol; Nefazodone; Nelfinavir; Netupitant; Nevirapine; NiCARdipine; NIFEdipine; Nilotinib; Nilvadipine; NiMODipine; Nisoldipine; Nitrendipine; Norethindrone; Norgestrel; Olaparib; Ombitasvir, Paritaprevir, and Ritonavir; Ombitasvir, Paritaprevir, Ritonavir, and Dasabuvir; Ondansetron; Ospemifene; OxyCODONE; PACLitaxel (Conventional); PACLitaxel (Protein Bound); Palbociclib; Panobinostat; PAZOPanib; Perampanel; Pimozide; Pipotiazine; Praziquantel; Primaquine; Progesterone; QUEtiapine; QuiNIDine; QuiNINE; RABEprazole; Ranolazine; Regorafenib; Repaglinide; Rifabutin; Rilpivirine; Riociguat; Ritonavir; Rivaroxaban; Roflumilast; Rolapitant; RomiDEPsin; Ruxolitinib; Saquinavir; Sildenafil; Silodosin; Simeprevir; Simvastatin; Sirolimus; Solifenacin; Sonidegib; Spiramycin; Stiripentol; SUNItinib; Suvorexant; Tacrolimus (Systemic); Tamoxifen; Tamsulosin; Tasimelteon; Telaprevir; Telithromycin; Temsirolimus; Teniposide; Tetracycline; TiaGABine; Tibolone; Ticagrelor; Ticlopidine; Tipranavir; Tofacitinib; Tolterodine; Tolvaptan; Toremifene; Trabectedin; TraMADol; TraZODone; Triazolam; Trimethoprim; Trimipramine; Ulipristal; Vandetanib; Velpatasvir; Vemurafenib; Venetoclax; Venlafaxine; Verapamil; Vilazodone; VinBLAStine; VinCRIStine; VinCRIStine (Liposomal); Vortioxetine; Zolpidem; Zonisamide; Zopiclone
Risk Rating C: Monitor therapy CYP3A4 Inducers (Moderate) Interacting Members Bexarotene (Systemic); Bosentan; Dabrafenib; Efavirenz; Eslicarbazepine; Etravirine; Modafinil; Nafcillin; St John's Wort
Risk Rating C: Monitor therapy CYP3A4 Substrates Interacting Members Ado-Trastuzumab Emtansine; Alfentanil; Alfuzosin; ALPRAZolam; Amiodarone; AmLODIPine; Aprepitant; ARIPiprazole; ARIPiprazole Lauroxil; Asunaprevir; Atazanavir; AtorvaSTATin; Avanafil; Axitinib; Barnidipine; Blonanserin; Bosutinib; Brexpiprazole; Bromocriptine; Budesonide (Systemic); Buprenorphine; BusPIRone; Cabazitaxel; Cabozantinib; Calcitriol (Systemic); CarBAMazepine; Cariprazine; Ceritinib; ChlordiazePOXIDE; Chloroquine; Cilnidipine; Cilostazol; Cinacalcet; Cisapride; Citalopram; Clarithromycin; ClonazePAM; Cobimetinib; Colchicine; Conivaptan; Crizotinib; CycloSPORINE (Systemic); Cyproterone; Dabrafenib; Daclatasvir; Dapoxetine; Darifenacin; Darunavir; Dasatinib; Dexamethasone (Systemic); DiazePAM; Digitoxin; Dihydroergotamine; DiltiaZEM; Disopyramide; DOCEtaxel; Domperidone; Doxazosin; DOXOrubicin (Conventional); DOXOrubicin (Liposomal); Dronedarone; Dydrogesterone; Ebastine; Elbasvir; Eletriptan; Eliglustat; Eplerenone; Ergoloid Mesylates; Ergonovine; Ergotamine; Erlotinib; Erythromycin (Systemic); Escitalopram; Eszopiclone; Ethosuximide; Etizolam; Etoposide; Etoposide Phosphate; Everolimus; Felbamate; Felodipine; FentaNYL; Fesoterodine; Flibanserin; Flurazepam; Fluticasone (Oral Inhalation); Fosaprepitant; Gefitinib; Grazoprevir; GuanFACINE; Halofantrine; Haloperidol; HYDROcodone; HYDROXYprogesterone Caproate; Ibrutinib; Irinotecan (Conventional); Irinotecan (Liposomal); Isavuconazonium Sulfate; Isosorbide Dinitrate; Isosorbide Mononitrate; Isradipine; Itraconazole; Ivabradine; Ivacaftor; Ixabepilone; Ketamine; Lacidipine; Lapatinib; Lercanidipine; Levomilnacipran; Lidocaine (Systemic); Lidocaine (Topical); Lomitapide; Lovastatin; Lurasidone; Macitentan; Maraviroc; Mefloquine; Methadone; Methylergonovine; Midazolam; MiFEPRIStone; Mirodenafil; Mirtazapine; Naloxegol; Nefazodone; NiCARdipine; NIFEdipine; Nilotinib; Nilvadipine; NiMODipine; Nisoldipine; Nitrendipine; Olaparib; Ombitasvir, Paritaprevir, and Ritonavir; Ombitasvir, Paritaprevir, Ritonavir, and Dasabuvir; OxyCODONE; PACLitaxel (Conventional); PACLitaxel (Protein Bound); Palbociclib; Panobinostat; PAZOPanib; Pimavanserin; Pimozide; QUEtiapine; QuiNIDine; QuiNINE; Ranolazine; Reboxetine; Regorafenib; Ruxolitinib; Salmeterol; SAXagliptin; Sildenafil; Silodosin; Simeprevir; Simvastatin; Sirolimus; Solifenacin; Sonidegib; Spiramycin; Stiripentol; SUFentanil; SUNItinib; Suvorexant; Tacrolimus (Systemic); Tadalafil; Tamoxifen; Tamsulosin; Telaprevir; Telithromycin; Temsirolimus; Teniposide; TiaGABine; Tofacitinib; Tolterodine; Tolvaptan; Trabectedin; TraZODone; Triazolam; Trimipramine; Udenafil; Vardenafil; Vemurafenib; Venetoclax; Venlafaxine; Verapamil; VinBLAStine; VinCRIStine; VinCRIStine (Liposomal); Zopiclone ExceptionsAlitretinoin (Systemic); Praziquantel; Vinorelbine
Risk Rating C: Monitor therapy CYP3A4 Inhibitors (Moderate) Interacting Members Aprepitant; Conivaptan; Crizotinib; DiltiaZEM; Dronedarone; Erythromycin (Systemic); Fluconazole; Fosamprenavir; Grapefruit Juice; Imatinib; Isavuconazonium Sulfate; Netupitant; Nilotinib; Schisandra; Verapamil
Risk Rating Consider therapy modification CYP3A4 Substrates Interacting Members Ado-Trastuzumab Emtansine; Alfentanil; Alfuzosin; ALPRAZolam; Amiodarone; AmLODIPine; Aprepitant; ARIPiprazole; ARIPiprazole Lauroxil; Asunaprevir; Atazanavir; AtorvaSTATin; Avanafil; Axitinib; Barnidipine; Blonanserin; Bosutinib; Brexpiprazole; Bromocriptine; Budesonide (Systemic); BusPIRone; Cabazitaxel; Cabozantinib; Calcitriol (Systemic); CarBAMazepine; Cariprazine; Ceritinib; ChlordiazePOXIDE; Chloroquine; Cilnidipine; Cilostazol; Cinacalcet; Cisapride; Citalopram; Clarithromycin; ClonazePAM; Cobimetinib; Colchicine; Conivaptan; Crizotinib; CycloSPORINE (Systemic); Cyproterone; Dabrafenib; Daclatasvir; Dapoxetine; Darifenacin; Darunavir; Dasatinib; Dexamethasone (Systemic); DiazePAM; Digitoxin; Dihydroergotamine; DiltiaZEM; Disopyramide; DOCEtaxel; Domperidone; Doxazosin; DOXOrubicin (Conventional); DOXOrubicin (Liposomal); Dronedarone; Dydrogesterone; Ebastine; Elbasvir; Eletriptan; Eliglustat; Eplerenone; Ergoloid Mesylates; Ergonovine; Ergotamine; Erlotinib; Erythromycin (Systemic); Escitalopram; Eszopiclone; Ethosuximide; Etizolam; Etoposide; Etoposide Phosphate; Everolimus; Felbamate; Felodipine; FentaNYL; Fesoterodine; Flibanserin; Flurazepam; Fluticasone (Oral Inhalation); Fosaprepitant; Grazoprevir; GuanFACINE; Halofantrine; Haloperidol; HYDROXYprogesterone Caproate; Ibrutinib; Irinotecan (Conventional); Irinotecan (Liposomal); Isavuconazonium Sulfate; Isosorbide Dinitrate; Isosorbide Mononitrate; Isradipine; Itraconazole; Ivabradine; Ivacaftor; Ixabepilone; Ketamine; Lacidipine; Lapatinib; Lercanidipine; Levomilnacipran; Lidocaine (Systemic); Lidocaine (Topical); Lomitapide; Lovastatin; Lurasidone; Macitentan; Maraviroc; Mefloquine; Methadone; Methylergonovine; Midazolam; MiFEPRIStone; Mirodenafil; Mirtazapine; Naloxegol; Nefazodone; NiCARdipine; NIFEdipine; Nilotinib; Nilvadipine; NiMODipine; Nisoldipine; Nitrendipine; Olaparib; Ombitasvir, Paritaprevir, and Ritonavir; Ombitasvir, Paritaprevir, Ritonavir, and Dasabuvir; OxyCODONE; PACLitaxel (Conventional); PACLitaxel (Protein Bound); Palbociclib; Panobinostat; PAZOPanib; Pimavanserin; Pimozide; QUEtiapine; QuiNIDine; QuiNINE; Ranolazine; Reboxetine; Regorafenib; Ruxolitinib; Salmeterol; SAXagliptin; Sildenafil; Silodosin; Simeprevir; Simvastatin; Sirolimus; Solifenacin; Sonidegib; Spiramycin; Stiripentol; SUFentanil; SUNItinib; Suvorexant; Tacrolimus (Systemic); Tadalafil; Tamoxifen; Tamsulosin; Telaprevir; Temsirolimus; Teniposide; TiaGABine; Tofacitinib; Tolterodine; Tolvaptan; Trabectedin; TraZODone; Triazolam; Trimipramine; Udenafil; Vardenafil; Vemurafenib; Venetoclax; Venlafaxine; Verapamil; VinBLAStine; VinCRIStine; VinCRIStine (Liposomal); Zopiclone Exceptions Alitretinoin (Systemic); Buprenorphine; Gefitinib; HYDROcodone; Praziquantel; Telithromycin; Vinorelbine
Risk Rating Consider therapy modification CYP3A4 Inhibitors (Strong) Interacting Members Atazanavir; Boceprevir; Ceritinib; Clarithromycin; Cobicistat; Darunavir; Idelalisib; Indinavir; Itraconazole; Ketoconazole (Systemic); Lopinavir; MiFEPRIStone; Nefazodone; Nelfinavir; Ombitasvir, Paritaprevir, and Ritonavir; Ombitasvir, Paritaprevir, Ritonavir, and Dasabuvir; Posaconazole; Ritonavir; Saquinavir; Telaprevir; Telithromycin; Voriconazole
Risk Rating C: Monitor therapy CYP2C8 Substrates Interacting Members Amiodarone; Amodiaquine; Dabrafenib; Enzalutamide; Ombitasvir, Paritaprevir, Ritonavir, and Dasabuvir; PACLitaxel (Conventional); PACLitaxel (Protein Bound); Pioglitazone; Repaglinide; Rosiglitazone; Selexipag; Tretinoin (Systemic)
Risk Rating C: Monitor therapy CYP2C8 Inhibitors (Moderate) Interacting Members Celecoxib; Clopidogrel; Deferasirox; Efavirenz; Felodipine; Irbesartan; Lapatinib; Losartan; Nilotinib; Pioglitazone; QuiNINE; RABEprazole; Rosiglitazone; Tamoxifen; Teriflunomide; Trimethoprim
Risk Rating Consider therapy modification CYP2C9 Substrates Interacting Members Acenocoumarol; Benzbromarone; Celecoxib; ChlorproPAMIDE; Dapsone (Systemic); Etravirine; FLUoxetine; Fosphenytoin; Gliclazide; Glimepiride; GlipiZIDE; GlyBURIDE; Ketamine; Lesinurad; Losartan; Meloxicam; Mestranol; Nateglinide; Ospemifene; Phenytoin; Piroxicam; SulfADIAZINE; Sulfamethoxazole; Sulfinpyrazone; SulfiSOXAZOLE; Tamoxifen; TOLBUTamide; Torsemide; Trimethoprim; Voriconazole; Warfarin; Zafirlukast
Risk Rating Consider therapy modification CYP2C9 Inducers (Strong) Interacting Members Aprepitant; CarBAMazepine; Fosphenytoin; PHENobarbital; Phenytoin; Primidone; RifAMPin; Rifapentine; Secobarbital
Risk Rating Consider therapy modification CYP2C9 Substrates Interacting Members Acenocoumarol; Benzbromarone; Celecoxib; ChlorproPAMIDE; Dapsone (Systemic); FLUoxetine; Fosphenytoin; Gliclazide; Glimepiride; GlipiZIDE; GlyBURIDE; Ketamine; Lesinurad; Losartan; Meloxicam; Mestranol; Nateglinide; Phenytoin; Piroxicam; SulfADIAZINE; Sulfamethoxazole; Sulfinpyrazone; SulfiSOXAZOLE; Tamoxifen; TOLBUTamide; Torsemide; Trimethoprim; Voriconazole; Warfarin; Zafirlukast
Risk Rating Consider therapy modification CYP2C9 Inhibitors (Strong) Interacting Members Capecitabine; Delavirdine; Floxuridine; Fluorouracil (Systemic); Gemfibrozil; NiCARdipine; SulfADIAZINE; SulfiSOXAZOLE; Tegafur; TOLBUTamide
Risk Rating C: Monitor therapy CYP2C9 Substrates Interacting Members Acenocoumarol; Benzbromarone; Celecoxib; ChlorproPAMIDE; Dapsone (Systemic); FLUoxetine; Fosphenytoin; Gliclazide; Glimepiride; GlipiZIDE; GlyBURIDE; Ketamine; Lesinurad; Losartan; Meloxicam; Mestranol; Nateglinide; Phenytoin; Piroxicam; SulfADIAZINE; Sulfamethoxazole; Sulfinpyrazone; SulfiSOXAZOLE; Tamoxifen; TOLBUTamide; Torsemide; Trimethoprim; Voriconazole; Warfarin; Zafirlukast
Risk Rating C: Monitor therapy CYP2C9 Inhibitors (Moderate) Interacting Members Abiraterone Acetate; Amiodarone; Benzbromarone; Ceritinib; Efavirenz; Etravirine; Fluconazole; Fluvastatin; Irbesartan; Ketoconazole (Systemic); Leflunomide; Losartan; Milk Thistle; Omeprazole; Pyrimethamine; QuiNINE; SORAfenib; Sulfamethoxazole; Sulfinpyrazone; Trimethoprim; Voriconazole; Zafirlukast
[D] Abiraterone Acetate
[D] Afatinib
[X] Amodiaquine
[D] Anastrozole
[B] Apixaban
[D] Asunaprevir
[C] Bexarotene (Systemic)
[C] Bosentan
[X] Bosutinib
[C] Brentuximab Vedotin
[D] Colchicine
[X] Conivaptan
[D] Dabigatran Etexilate
[D] Dabrafenib
[C] Dasatinib
[C] Deferasirox
[B] Desvenlafaxine
[D] DOXOrubicin (conventional)
[D] Edoxaban
[D] Enzalutamide
[D] Everolimus
[C) Fosaprepitant
[X] Fusidic Acid (systemic)
[D] Highest Risk QTc-Prolonging Agents Interacting Members Ajmaline; Amiodarone; Anagrelide; Arsenic Trioxide; Artemether; Asenapine; Astemizole; Bepridil; Buprenorphine; Cisapride; Citalopram; Disopyramide; Dofetilide; Domperidone; Dosulepin; Dronedarone; Eliglustat; Escitalopram; FLUoxetine; Flupentixol; Halofantrine; Ibutilide; Iloperidone; Lopinavir; Lumefantrine; MiFEPRIStone; Nilotinib; Paliperidone; Pimavanserin; Pimozide; Pipamperone [INT]; Procainamide; QUEtiapine; QuiNIDine; QuiNINE; Sotalol; Sparfloxacin; Sulpiride; Terfenadine; Tetrabenazine; Thioridazine; Toremifene; Vandetanib; Vemurafenib; Vernakalant; Ziprasidone; Zuclopenthixol
[X] Idelalisib
[C] Ivacaftor
[C] Letrozole
[C] Luliconazole
[D] MiFEPRIStone
[C] Mipomersen
[D] Mitotane
[C] Moderate Risk QTc-Prolonging Agents Interacting Members Azithromycin (Systemic); Bedaquiline; Ceritinib; Chloroquine; ChlorproMAZINE; Ciprofloxacin (Systemic); Clarithromycin; CloZAPine; Crizotinib; Dolasetron; Droperidol; Erythromycin (Systemic); Flecainide; Gadobenate Dimeglumine; Gemifloxacin; Goserelin; Granisetron; Haloperidol; Lenvatinib; Leuprolide; LevoFLOXacin (Oral Inhalation); LevoFLOXacin (Systemic); Mequitazine; Methadone; Moxifloxacin (Systemic); Ofloxacin (Systemic); Ondansetron; Osimertinib; Panobinostat; PAZOPanib; Pentamidine (Systemic); Perflutren Lipid Microspheres; Primaquine; Propafenone; Roxithromycin; Saquinavir; Sodium Stibogluconate [INT]; Telavancin; Telithromycin; Terlipressin
[C] Nalozegol
[C] Netupitant
[C] Osimertinib
[X] Ospemifene
[C] P-glycoprotein/ABCB1 Substrates
[C] Palbociclib
[D] Panobinostat
[X] PAZOPanib
[C] Peginterferon Alfa-2b
[B] Pranlukast
[C] Prucalopride
[B] QTc-Prolonging Agents (Indeterminate Risk and Risk Modifying) Interacting Members Albuterol; Alfuzosin; Amantadine; Amisulpride; Amitriptyline; Amoxapine; Apomorphine; Arformoterol; ARIPiprazole; ARIPiprazole Lauroxil; Atazanavir; AtoMOXetine; Bortezomib; Bosutinib; Buserelin; Capecitabine; Chloral Hydrate; ClomiPRAMINE; Dabrafenib; Dasatinib; Degarelix; Desflurane; Desipramine; DiphenhydrAMINE (Systemic); Donepezil; Doxepin (Systemic); Doxepin (Topical); Ebastine; Eperisone; EriBULin; Ezogabine; Famotidine; Felbamate; Fingolimod; Fluconazole; Fluorouracil (Systemic); Formoterol; Foscarnet; Fosphenytoin; Gadofosveset; Galantamine; Halothane; Histrelin; HydrOXYzine; Ibandronate; Imipramine; Indacaterol; Indapamide; Isoflurane; Isoproterenol; Isradipine; Itraconazole; Ivabradine; Ketoconazole (Systemic); Lacidipine; Lapatinib; Levalbuterol; Levosimendan; Levosulpiride; Lithium; Loperamide; Maprotiline; Mefloquine; Methotrimeprazine; Metoclopramide; MetroNIDAZOLE (Systemic); Mianserin; Mirabegron; Mirtazapine; Moexipril; Nelfinavir; NiCARdipine; Norfloxacin; Nortriptyline; Octreotide; OLANZapine; Olodaterol; Oteracil; Oxaliplatin; Oxytocin; PARoxetine; Pasireotide; Pentamidine (Oral Inhalation); Periciazine; Posaconazole; Promethazine; Propofol; Protriptyline; Ranolazine; Rilpivirine; RisperiDONE; Ritonavir; RomiDEPsin; Salmeterol; Sertraline; Sevoflurane; Solifenacin; SORAfenib; Sulfamethoxazole; SUNItinib; Tacrolimus (Systemic); Tamoxifen; Tegafur; Terbutaline; Thiothixene; TiZANidine; Tolterodine; TraZODone; Treprostinil; Trifluridine and Tipiracil; Trimethoprim; Trimipramine; Triptorelin; Tropisetron; Vardenafil; Venlafaxine; Vilanterol; Voriconazole; Vorinostat
[C] Ranolazine
[D] Rifamycin Derivatives
[C] RifAXIMin
[B] Rivaroxaban
[X] Silodosin
[C] Siltuximab
[C] Simeprevir
[D] St. John's Wort
[B] Suvorexant
[C] Tocilizumab
[X] Topotecan
[D] Venetoclax
[X] VinCRIStine (Liposomal)
[X] Vitamin K antagonists: Acenocoumarol; Warfarin
Comments
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Thank you for this list. It seems that every drug under the sun interacts with tamoxifen.
I would not sleep at all if it were not for a couple of drugs listed. Another reason for me to switch to an AI as soon as possible.
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Thanks for the list!! I warned friend of mine that is also taking tamoxifen - she takes benadryl every night and doctor at MD Anderson told her it doesn't increase her risk any morethan if she was taking or had taken hormones, but to me that's TOO much risk. What's sad is that my oncologist never even mentioned anything to me about any drug interactions. Most people take OTC supplements and sleep aids and don't report them to doctor. I only toldthem of my prescription meds. If not for this site, i would have never known!!!
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Me too Loving.. this site gave me all my weapons to fight this beast.
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Lisey, Thank you for providing the list. There sure are a lot of common medications on the list. I don't take Venlafaxine but I see it on the list. Isn't that the same as Effexor which many oncologists prescribe for hot flashes? I'm going to discuss this list with my oncologist next time I see her.
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Yes, Alirena, Venlafaxine is a Try to Modify and find replacement drug. It's not an X, but a D rating is one you want to consider not using.
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Yet my MO told me that effexor was one of the few SSRIs that doesn't interfere with Tamoxifen, and other less comprehensive sites claim the same thing. Well, I'm on aromasin now, and don't use any benadryl for sleep (I use something else), but trying to figure out what we can take to make sure we maximize effectiveness is a full-time job. I remember calling my pharmacist once to ask him about grapefruit and Tamoxifen, and he looked it up and confirmed you shouldn't take both together, and he was surprised himself!
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I'm planning on listing what is on the Aromasin list next... Want to get these all done before my subscription disappears
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I was previously on Zoloft but switched to Effexor because it would interact with Tamoxifen better. As well my MO said if I need the anti-depressant that is more important.
Oh and thankfully I am not a fan of grapefruit
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My clinic has a specialist you meet with after you send them a list of all the supplements and medications you are taking. I will pas on anything I learn.
I think this list has some helpful information, but we all respond to drugs, supplements, and the environment differently. You really need to consult your doctor. If you don't trust him/her, you gotta find another one.
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I thought it was just the CYP2D6 pathway we needed to worry about with Tamoxifen? It looks like Effexor is not on that list, but the other enzyme.
Lisey, have you had any side effects from Tamoxifen yet? I am on it for 5 months now and barely have any.
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Kathy, 5 weeks in, NO S.E.s at all... feels like a sugar pill to me. I'm an Ultra-rapid Metabolizer of the CYP2D6 (I took the Kailos Genetics test)... so I should be having more severe SEs... not sure what is going on.
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lisey...I am an Ultra-rapid metabolizer and never had a side effect while taking Tamoxifen. I read a lot about the CYP2D6 because the DH took Plavix and was also a UR metabolizer and he didn't have any issues either. I think there is still much to be learned when it comes to biology. I keep thinking about how researchers came to the idea and label of "junk" DNA which we are now realizing isn't "junk" after all.....
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