Bergamo 2011/2012 - IF per Interazione Assititi: tutti Periodo : 01.10.2011 - 30.09.2012. Interaz. su 30 gg: Contr., Magg Severità: Insorgenza: Documentazione: Descrizione: Maggiore Nelle 24 ore Buona Maggiore Ritardato Buona Maggiore Non specificato Eccellente Maggiore Nelle 24 ore Buona Maggiore Nelle 24 ore Eccellente Maggiore Non specificato Discreta Maggiore Nelle 24 ore Eccellente Maggiore Non specificato Discreta Maggiore Non specificato Buona Maggiore Non specificato Buona Maggiore Non specificato Buona Maggiore Non specificato Buona Maggiore Nelle 24 ore Buona Maggiore Non specificato Buona Maggiore Ritardato Eccellente Maggiore Non specificato Buona Concurrent use of AMLODIPINE and SIMVASTATIN may result in increased simvastatin exposure and increased risk of myopathy, including rhabdomyolysis. Concurrent use of POTASSIUM-SPARING DIURETICS and ANGIOTENSIN CONVERTING ENZYME INHIBITORS may result in hyperkalemia. Concurrent use of ANGIOTENSIN CONVERTING ENZYME INHIBITORS and ANGIOTENSIN II RECEPTOR BLOCKERS may result in increased risk of adverse events (ie, hypotension, syncope, hyperkalemia, changes in renal function, acute renal failure). Concurrent use of OPIOID ANALGESICS and OPIOID ANALGESICS may result in additive respiratory depression. Concurrent use of AMIODARONE and BETA-ADRENERGIC BLOCKERS may result in hypotension, bradycardia, or cardiac arrest. Concurrent use of ASPIRIN and CLOPIDOGREL HYDROGEN SULFATE may result in an increased risk of bleeding. Concurrent use of FLUOROQUINOLONES and ANTIDIABETIC AGENTS may result in changes in blood glucose and increased risk of hypoglycemia or hyperglycemia. Concurrent use of BETA-ADRENERGIC BLOCKERS and BETA-2 AGONISTS may result in decreased effectiveness of either the beta-adrenergic blocker and/or the beta-2 agonist. Concurrent use of PAROXETINE and ANTIPLATELET AGENTS may result in an increased risk of bleeding. Concurrent use of SELECTIVE SEROTONIN REUPTAKE INHIBITORS and NONSTEROIDAL ANTIINFLAMMATORY AGENTS may result in an increased risk of bleeding. Concurrent use of SERTRALINE and ANTIPLATELET AGENTS may result in an increased risk of bleeding. Concurrent use of CITALOPRAM and ANTIPLATELET AGENTS may result in an increased risk of bleeding. Concurrent use of AMIODARONE and CALCIUM CHANNEL BLOCKERS may result in bradycardia, atrioventricular block and/or sinus arrest. Concurrent use of SOTALOL and DIURETICS may result in an increased risk of cardiotoxicity (QT prolongation, torsades de pointes, cardiac arrest). Concurrent use of AMIODARONE and WARFARIN may result in an increased risk of bleeding. Concurrent use of LOW MOLECULAR WEIGHT HEPARINS and NONSTEROIDAL ANTIINFLAMMATORY AGENTS may result in an increased risk of bleeding. Numero: Assistiti: 22.084 4.519 16.960 3.290 16.693 3.716 16.523 2.541 12.409 2.402 11.573 3.575 9.662 4.285 9.039 3.060 8.895 2.388 8.539 4.106 8.095 2.015 7.415 1.783 7.326 1.306 6.948 1.312 6.838 2.007 6.525 3.063 Pag. 1 di 55 Le interazioni segnalate sono ottenute interrogando la banca dati MICROMEDEX DRUG-REAX® della THOMSON REUTERS. Bergamo 2011/2012 - IF per Interazione Assititi: tutti Periodo : 01.10.2011 - 30.09.2012. Interaz. su 30 gg: Contr., Magg Severità: Insorgenza: Documentazione: Descrizione: Maggiore Maggiore Maggiore Non specificato Ritardato Ritardato Discreta Eccellente Eccellente Maggiore Non specificato Buona Maggiore Non specificato Discreta Maggiore Non specificato Buona Maggiore Ritardato Eccellente Maggiore Nelle 24 ore Discreta Maggiore Non specificato Discreta Maggiore Non specificato Discreta Maggiore Non specificato Buona Maggiore Maggiore Non specificato Non specificato Buona Discreta Maggiore Nelle 24 ore Eccellente Maggiore Ritardato Discreta Maggiore Non specificato Discreta Maggiore Non specificato Eccellente Maggiore Non specificato Discreta Concurrent use of ENOXAPARIN and WARFARIN may result in increased risk of bleeding. Concurrent use of ASPIRIN and WARFARIN may result in an increased risk of bleeding. Concurrent use of SIMVASTATIN and WARFARIN may result in increased risk of bleeding and an increased risk of rhabdomyolysis. Concurrent use of VENLAFAXINE and ANTIPLATELET AGENTS may result in an increased risk of bleeding. Concurrent use of FORMOTEROL and QT PROLONGING DRUGS may result in increased risk of ventricular arrhythmias. Concurrent use of ESCITALOPRAM and ANTIPLATELET AGENTS may result in an increased risk of bleeding. Concurrent use of DIGITALIS GLYCOSIDES and THIAZIDE DIURETICS may result in digitalis toxicity (nausea, vomiting, arrhythmias). Concurrent use of ALLOPURINOL and ENALAPRIL may result in hypersensitivity reactions (Stevens-Johnson syndrome, skin eruptions, anaphylactic coronary spasm). Concurrent use of LEVOFLOXACIN and SALMETEROL may result in an increased risk of QT interval prolongation. Concurrent use of CITALOPRAM and LANSOPRAZOLE may result in increased citalopram exposure and risk of QT interval prolongation. Concurrent use of DULOXETINE and ANTIPLATELET AGENTS may result in an increased risk of bleeding. Concurrent use of ASPIRIN and TICLOPIDINE may result in an increased risk of bleeding. Concurrent use of CITALOPRAM and PANTOPRAZOLE may result in increased citalopram exposure and risk of QT interval prolongation. Concurrent use of AMIODARONE and SIMVASTATIN may result in increased exposure to simvastatin and an increased risk of myopathy or rhabdomyolysis. Concurrent use of FLECAINIDE and HYDROCHLOROTHIAZIDE may result in increased risk of electrolyte imbalance and subsequent cardiotoxicity. Concurrent use of TICLOPIDINE and NONSTEROIDAL ANTIINFLAMMATORY AGENTS may result in increased risk of gastrointestinal bleeding. Concurrent use of AMLODIPINE and CLOPIDOGREL may result in decreased antiplatelet effect and increased risk of thrombotic events. Concurrent use of ASPIRIN and KETOPROFEN may result in increased risk of serious gastrointestinal adverse effects (ulceration, bleeding, perforation). Numero: Assistiti: 6.309 6.248 5.932 2.825 2.049 1.703 5.826 821 5.634 3.001 5.610 1.436 5.227 1.173 5.220 1.326 5.049 2.861 4.529 824 4.470 890 4.305 4.152 1.062 831 4.074 868 3.610 467 3.312 1.323 3.142 896 3.136 1.868 Pag. 2 di 55 Le interazioni segnalate sono ottenute interrogando la banca dati MICROMEDEX DRUG-REAX® della THOMSON REUTERS. Bergamo 2011/2012 - IF per Interazione Assititi: tutti Periodo : 01.10.2011 - 30.09.2012. Interaz. su 30 gg: Contr., Magg Severità: Insorgenza: Documentazione: Descrizione: Maggiore Nelle 24 ore Eccellente Maggiore Ritardato Buona Maggiore Non specificato Discreta Maggiore Ritardato Buona Maggiore Non specificato Discreta Maggiore Non specificato Discreta Maggiore Ritardato Buona Maggiore Non specificato Discreta Maggiore Non specificato Discreta Maggiore Ritardato Eccellente Maggiore Maggiore Ritardato Non specificato Buona Discreta Maggiore Non specificato Discreta Maggiore Non specificato Buona Maggiore Non specificato Discreta Maggiore Non specificato Discreta Concurrent use of SIMVASTATIN and VERAPAMIL may result in increased exposure to simvastatin and an increased risk of myopathy or rhabdomyolysis. Concurrent use of PAROXETINE and ANTICOAGULANTS may result in an increased risk of bleeding. Concurrent use of QUETIAPINE and TRAZODONE may result in an increased risk of QT interval prolongation. Concurrent use of DIGOXIN and SPIRONOLACTONE may result in digoxin toxicity (nausea, vomiting, cardiac arrhythmias). Concurrent use of TICLOPIDINE and ANTICOAGULANTS may result in an increased risk of bleeding. Concurrent use of CITALOPRAM and OMEPRAZOLE may result in increased citalopram exposure and risk of QT interval prolongation. Concurrent use of SERTRALINE and ANTICOAGULANTS may result in an increased risk of bleeding. Concurrent use of ATORVASTATIN and VERAPAMIL may result in increased exposure to atorvastatin and an increased risk of myopathy or rhabdomyolysis. Concurrent use of CLARITHROMYCIN and LEVOFLOXACIN may result in an increased risk of QT interval prolongation. Concurrent use of LAMOTRIGINE and VALPROIC ACID may result in increased elimination half-life of lamotrigine leading to lamotrigine toxicity (fatigue, drowsiness, ataxia) and an increased risk of life-threatening rashes. Concurrent use of POTASSIUM and RAMIPRIL may result in hyperkalemia. Concurrent use of CLARITHROMYCIN and FLUTICASONE may result in increased fluticasone plasma concentration and reduced plasma cortisol concentration. Concurrent use of AZITHROMYCIN and LEVOFLOXACIN may result in an increased risk of QT interval prolongation. Concurrent use of CITALOPRAM and ANTICOAGULANTS may result in an increased risk of bleeding. Concurrent use of CITALOPRAM and ESOMEPRAZOLE may result in increased citalopram exposure and increased risk of QT interval prolongation. Concurrent use of LEVOFLOXACIN and CLASS III ANTIARRHYTHMIC AGENTS may result in an increased risk of cardiotoxicity (QT prolongation, torsades de pointes, cardiac arrest). Numero: Assistiti: 2.983 556 2.676 909 2.494 493 2.491 493 2.475 906 2.449 485 2.441 760 2.339 414 2.330 1.825 2.263 180 2.248 2.187 658 1.617 2.144 1.673 2.130 641 2.117 490 2.105 1.100 Pag. 3 di 55 Le interazioni segnalate sono ottenute interrogando la banca dati MICROMEDEX DRUG-REAX® della THOMSON REUTERS. Bergamo 2011/2012 - IF per Interazione Assititi: tutti Periodo : 01.10.2011 - 30.09.2012. Interaz. su 30 gg: Contr., Magg Severità: Insorgenza: Documentazione: Descrizione: Maggiore Ritardato Eccellente Maggiore Ritardato Buona Maggiore Non specificato Discreta Maggiore Non specificato Discreta Concurrent use of LEVOFLOXACIN and WARFARIN may result in an increased risk of bleeding. Concurrent use of FLUCONAZOLE and LEVOFLOXACIN may result in an increased risk of QTc prolongation and torsades de pointes. Concurrent use of BISOPROLOL and CLONIDINE may result in increased risk of sinus bradycardia; exaggerated clonidine withdrawal response (acute hypertension). Concurrent use of AZITHROMYCIN and SALMETEROL may result in an increased risk of QT interval prolongation. Concurrent use of KETOROLAC and NONSTEROIDAL ANTIINFLAMMATORY AGENTS may result in enhanced gastrointestinal adverse effects (peptic ulcers, gastrointestinal bleeding and/or perforation). Concurrent use of OPIOID ANALGESICS and OPIOID AGONISTS/ANTAGONISTS may result in precipitation of withdrawal symptoms (abdominal cramps, nausea, vomiting, lacrimation, rhinorrhea, anxiety, restlessness, elevation of temperature or piloerection). Concurrent use of CLARITHROMYCIN and SALMETEROL may result in increased plasma concentration of salmeterol. Concurrent use of CITALOPRAM and QUETIAPINE may result in increased risk of QT interval prolongation. Concurrent use of OPIOID ANALGESICS and BENZODIAZEPINES may result in additive respiratory depression. Concurrent use of DIGOXIN and VERAPAMIL may result in increased serum digoxin concentrations and risk of digitalis toxicity. Concurrent use of CLOPIDOGREL and OMEPRAZOLE may result in reduction in clinical efficacy of clopidogrel and increased risk for thrombosis. Concurrent use of ESCITALOPRAM and ANTICOAGULANTS may result in an increased risk of bleeding. Concurrent use of AZITHROMYCIN and SIMVASTATIN may result in an increased risk of rhabdomyolysis. Concurrent use of AZITHROMYCIN and CLARITHROMYCIN may result in an increased risk of QT interval prolongation. Concurrent use of HEPARIN and NONSTEROIDAL ANTIINFLAMMATORY AGENTS may result in increased risk of gastrointestinal bleeding. Concurrent use of VERAPAMIL and BETA-ADRENERGIC BLOCKERS may result in hypotension, bradycardia. ControindicatoNelle 24 ore Discreta Maggiore Ritardato Buona Maggiore Non specificato Discreta Maggiore Non specificato Discreta Maggiore Non specificato Buona Maggiore Ritardato Eccellente Maggiore Nelle 24 ore Eccellente Maggiore Non specificato Buona Maggiore Non specificato Buona Maggiore Non specificato Discreta Maggiore Non specificato Discreta Maggiore Nelle 24 ore Buona Numero: Assistiti: 1.948 1.277 1.888 930 1.783 266 1.778 1.157 1.643 934 1.603 337 1.547 1.110 1.488 319 1.483 228 1.481 264 1.423 329 1.385 490 1.336 987 1.336 1.184 1.336 686 1.328 371 Pag. 4 di 55 Le interazioni segnalate sono ottenute interrogando la banca dati MICROMEDEX DRUG-REAX® della THOMSON REUTERS. Bergamo 2011/2012 - IF per Interazione Assititi: tutti Periodo : 01.10.2011 - 30.09.2012. Interaz. su 30 gg: Contr., Magg Severità: Insorgenza: Documentazione: Descrizione: Maggiore Non specificato Discreta Concurrent use of AMIODARONE and SALMETEROL may result in an increased risk of QT interval prolongation. Concurrent use of CLARITHROMYCIN and SIMVASTATIN may result in an increased risk of myopathy or rhabdomyolysis. Concurrent use of CLOPIDOGREL and ESOMEPRAZOLE may result in reduction in clinical efficacy of clopidogrel and increased risk for thrombosis. Concurrent use of CLONIDINE and NEBIVOLOL may result in increased risk of sinus bradycardia; exaggerated clonidine withdrawal response (acute hypertension). Concurrent use of ASPIRIN and HEPARIN may result in an increased risk of bleeding. Concurrent use of SELECTIVE SEROTONIN REUPTAKE INHIBITORS and SELECTIVE SEROTONIN REUPTAKE INHIBITORS may result in increased risk of serotonin syndrome (hypertension, hyperthermia, myoclonus, mental status changes). Concurrent use of LITHIUM and DOPAMINE-2 ANTAGONISTS may result in weakness, dyskinesias, increased extrapyramidal symptoms, encephalopathy, and brain damage. Concurrent use of CLOPIDOGREL and ANTICOAGULANTS may result in an increased risk of bleeding. Concurrent use of ALFUZOSIN and LEVOFLOXACIN may result in an increased risk of QT interval prolongation. Concurrent use of DIGOXIN and AMIODARONE may result in digoxin toxicity (nausea, vomiting, cardiac arrhythmias). Concurrent use of PAROXETINE and TRAMADOL may result in an increased risk of seizures and serotonin syndrome (hypertension, hyperthermia, myoclonus, mental status changes); a decrease in the analgesic effect of tramadol. Concurrent use of TORSEMIDE and WARFARIN may result in increased warfarin plasma concentrations, decreased warfarin clearance, and elevated INR. Concurrent use of PRIMIDONE and CYP3A4 SUBSTRATES may result in decreased exposure of CYP3A4 substrates. Concurrent use of ENALAPRIL and POTASSIUM may result in hyperkalemia. Concurrent use of ATENOLOL and CLONIDINE may result in increased risk of sinus bradycardia; exaggerated clonidine withdrawal response (acute hypertension). Concurrent use of CITALOPRAM and TRAMADOL may result in an increased risk of seizures and serotonin syndrome (hypertension, hyperthermia, myoclonus, mental status changes). ControindicatoNon specificato Buona Maggiore Ritardato Eccellente Maggiore Non specificato Discreta Maggiore Maggiore Nelle 24 ore Non specificato Eccellente Discreta Maggiore Ritardato Buona Maggiore Non specificato Discreta Maggiore Non specificato Discreta Maggiore Ritardato Eccellente Maggiore Nelle 24 ore Discreta Maggiore Ritardato Buona Maggiore Non specificato Discreta Maggiore Maggiore Ritardato Non specificato Buona Discreta Maggiore Nelle 24 ore Discreta Numero: Assistiti: 1.279 329 1.275 971 1.268 305 1.251 212 1.225 1.217 641 764 1.170 222 1.135 454 1.132 664 1.131 298 1.131 384 1.074 232 1.073 86 1.061 1.056 290 217 1.037 282 Pag. 5 di 55 Le interazioni segnalate sono ottenute interrogando la banca dati MICROMEDEX DRUG-REAX® della THOMSON REUTERS. Bergamo 2011/2012 - IF per Interazione Assititi: tutti Periodo : 01.10.2011 - 30.09.2012. Interaz. su 30 gg: Contr., Magg Severità: Insorgenza: Documentazione: Descrizione: Maggiore Non specificato Buona Maggiore Non specificato Discreta Maggiore Nelle 24 ore Discreta Maggiore Ritardato Buona Maggiore Non specificato Buona Concurrent use of ATORVASTATIN and CLARITHROMYCIN may result in increased atorvastatin exposure and an increased risk of myopathy or rhabdomyolysis. Concurrent use of CLASS I ANTIARRHYTHMIC AGENTS and CLASS III ANTIARRHYTHMIC AGENTS may result in an increased risk of cardiotoxicity (QT prolongation, torsades de pointes, cardiac arrest). Concurrent use of AMITRIPTYLINE and TRAMADOL may result in an increased risk of seizures; increased concentrations of tramadol and decreased concentrations of tramadol active metabolite, M1. Concurrent use of TRAMADOL and VENLAFAXINE may result in an increased risk of serotonin syndrome. Concurrent use of MIRTAZAPINE and VENLAFAXINE may result in an increased risk of serotonin syndrome. Concurrent use of METOCLOPRAMIDE and ANTIPSYCHOTICS may result in an increased risk of extrapyramidal reactions or neuroleptic malignant syndrome. Concurrent use of TAMSULOSIN and STRONG CYP3A4 INHIBITORS may result in increased tamsulosin exposure. Concurrent use of KETOROLAC and ANTICONVULSANTS may result in reduced anticonvulsant effectiveness. Concurrent use of DICUMAROL and ASPIRIN may result in an increased risk of bleeding. Concurrent use of SERTRALINE and TRAMADOL may result in an increased risk of seizures and serotonin syndrome (hypertension, hyperthermia, myoclonus, mental status changes). Concurrent use of LEVOFLOXACIN and QUETIAPINE may result in an increased risk of QT prolongation. Concurrent use of TRAMADOL and TRAZODONE may result in increased risk of serotonin syndrome (hypertension, hyperthermia, myoclonus, mental status changes). Concurrent use of ASPIRIN and KETOROLAC may result in enhanced gastrointestinal adverse effects (peptic ulcers, gastrointestinal bleeding, and/or perforation) and possible increase in serum ketorolac levels. Concurrent use of VENLAFAXINE and ANTICOAGULANTS may result in an increased risk of bleeding. Concurrent use of DULOXETINE and TRAMADOL may result in an increased risk of serotonin syndrome. ControindicatoNon specificato Discreta Maggiore Non specificato Discreta Maggiore Non specificato Discreta Maggiore Maggiore Ritardato Nelle 24 ore Buona Discreta Maggiore Non specificato Discreta Maggiore Non specificato Discreta ControindicatoNon specificato Discreta Maggiore Non specificato Buona Maggiore Non specificato Discreta Numero: Assistiti: 1.024 762 1.009 278 991 373 983 178 972 174 950 257 937 554 925 402 907 904 250 291 884 432 879 199 862 546 859 161 859 190 Pag. 6 di 55 Le interazioni segnalate sono ottenute interrogando la banca dati MICROMEDEX DRUG-REAX® della THOMSON REUTERS. Bergamo 2011/2012 - IF per Interazione Assititi: tutti Periodo : 01.10.2011 - 30.09.2012. Interaz. su 30 gg: Contr., Magg Severità: Insorgenza: Documentazione: Descrizione: Maggiore Non specificato Discreta Maggiore Non specificato Buona Maggiore Non specificato Discreta Maggiore Nelle 24 ore Eccellente Maggiore Non specificato Buona Maggiore Non specificato Discreta Maggiore Ritardato Buona Maggiore Nelle 24 ore Discreta Maggiore Non specificato Buona Maggiore Maggiore Ritardato Ritardato Eccellente Buona Maggiore Ritardato Discreta Maggiore Non specificato Discreta Maggiore Non specificato Discreta Maggiore Non specificato Discreta Maggiore Ritardato Discreta Concurrent use of CITALOPRAM and TRAZODONE may result in an increased risk of QT interval prolongation and serotonin syndrome (hypertension, hyperthermia, myoclonus, mental status changes). Concurrent use of BARBITURATES and BENZODIAZEPINES may result in additive respiratory depression. Concurrent use of CITALOPRAM and LEVOFLOXACIN may result in increased risk of QT interval prolongation. Concurrent use of FENTANYL and FLUCONAZOLE may result in increased or prolonged opioid effects (CNS depression, respiratory depression). Concurrent use of CLARITHROMYCIN and ROSUVASTATIN may result in increased risk of rhabdomyolysis. Concurrent use of COTRIMOXAZOLE and FLUCONAZOLE may result in an increased risk of cardiotoxicity (QT prolongation, torsades de pointes, cardiac arrest). Concurrent use of AMOXICILLIN and WARFARIN may result in an increased risk of bleeding. Concurrent use of TRAMADOL and ESCITALOPRAM may result in an increased risk of seizures and serotonin syndrome (hypertension, hyperthermia, myoclonus, mental status changes). Concurrent use of CLOPIDOGREL and NONSTEROIDAL ANTIINFLAMMATORY AGENTS may result in an increased risk of bleeding. Concurrent use of LISINOPRIL and POTASSIUM may result in hyperkalemia. Concurrent use of OXYCODONE and SERTRALINE may result in an increased risk of serotonin syndrome (tachycardia, hyperthermia, myoclonus, mental status changes). Concurrent use of THEOPHYLLINE and LEVOFLOXACIN may result in theophylline toxicity (nausea, vomiting, palpitations, seizures). Concurrent use of LEVOFLOXACIN and TRAZODONE may result in an increased risk of QT interval prolongation. Concurrent use of ALFUZOSIN and SALMETEROL may result in an increased risk of QT interval prolongation. Concurrent use of FENOFIBRATE and SIMVASTATIN may result in an increased risk of myopathy or rhabdomyolysis. Concurrent use of FENOFIBRATE and ROSUVASTATIN may result in an increased risk of myopathy or rhabdomyolysis. Numero: Assistiti: 858 207 846 63 843 520 814 203 810 588 809 299 793 570 776 232 755 397 738 729 208 142 728 335 722 376 698 190 697 215 682 181 Pag. 7 di 55 Le interazioni segnalate sono ottenute interrogando la banca dati MICROMEDEX DRUG-REAX® della THOMSON REUTERS. Bergamo 2011/2012 - IF per Interazione Assititi: tutti Periodo : 01.10.2011 - 30.09.2012. Interaz. su 30 gg: Contr., Magg Severità: Insorgenza: Documentazione: Descrizione: Maggiore Non specificato Discreta Maggiore Non specificato Discreta Maggiore Non specificato Buona Maggiore Ritardato Buona Maggiore Non specificato Discreta Maggiore Maggiore Non specificato Non specificato Discreta Buona Maggiore Non specificato Buona Maggiore Nelle 24 ore Discreta Maggiore Non specificato Discreta Maggiore Non specificato Discreta Maggiore Non specificato Discreta Maggiore Nelle 24 ore Buona Maggiore Nelle 24 ore Discreta Maggiore Non specificato Buona Maggiore Non specificato Discreta Maggiore Non specificato Discreta Concurrent use of HEPARIN and NITROGLYCERIN may result in a decrease in partial thromboplastin time. Concurrent use of AZITHROMYCIN and FLUCONAZOLE may result in an increased risk of QT interval prolongation. Concurrent use of QUETIAPINE and GLUCOCORTICOIDS may result in decreased serum quetiapine concentrations. Concurrent use of RIZATRIPTAN and SELECTIVE SEROTONIN REUPTAKE INHIBITORS may result in an increased risk of serotonin syndrome. Concurrent use of LEVOFLOXACIN and PROPAFENONE may result in increased risk of QT interval prolongation. Concurrent use of ENOXAPARIN and HEPARIN may result in increased risk of bleeding. Concurrent use of FENTANYL and PAROXETINE may result in increased risk of serotonin syndrome or neuroleptic malignant syndrome-like reactions. Concurrent use of OPIOID ANALGESICS and BARBITURATES may result in additive respiratory depression. Concurrent use of VENLAFAXINE and TRICYCLIC ANTIDEPRESSANTS may result in an increased risk of cardiotoxicity (QT prolongation, torsades de pointes, cardiac arrest) and adverse effects of both drugs. Concurrent use of FENTANYL and SERTRALINE may result in increased risk of serotonin syndrome or neuroleptic malignant syndrome-like reactions. Concurrent use of ANTIPSYCHOTICS and PHENOTHIAZINES may result in an increased risk of cardiotoxicity (QT prolongation, torsades de pointes, cardiac arrest). Concurrent use of FENTANYL and TRAZODONE may result in increased risk of serotonin syndrome (hypertension, hyperthermia, myoclonus, mental status changes). Concurrent use of CITALOPRAM and FENTANYL may result in increased risk of serotonin syndrome. Concurrent use of ACARBOSE and GLYBURIDE may result in an increased risk of hypoglycemia. Concurrent use of CLONIDINE and VERAPAMIL may result in increased incidence of sinus bradycardia. Concurrent use of CITALOPRAM and SALMETEROL may result in an increased risk of QT interval prolongation. Concurrent use of ASPIRIN and NAPROXEN may result in increased risk of serious gastrointestinal adverse effects (ulceration, bleeding, perforation). Numero: Assistiti: 678 168 673 490 670 233 670 159 659 277 647 645 375 118 634 126 634 154 626 110 616 143 610 106 606 103 572 97 563 67 562 185 561 286 Pag. 8 di 55 Le interazioni segnalate sono ottenute interrogando la banca dati MICROMEDEX DRUG-REAX® della THOMSON REUTERS. Bergamo 2011/2012 - IF per Interazione Assititi: tutti Periodo : 01.10.2011 - 30.09.2012. Interaz. su 30 gg: Contr., Magg Severità: Insorgenza: Documentazione: Descrizione: Maggiore Non specificato Discreta Maggiore Non specificato Eccellente Maggiore Non specificato Discreta Maggiore Non specificato Buona Maggiore Non specificato Buona Maggiore Non specificato Eccellente Maggiore Non specificato Discreta Maggiore Non specificato Discreta ControindicatoNon specificato Discreta Maggiore Non specificato Discreta Maggiore Maggiore Nelle 24 ore Ritardato Buona Discreta Maggiore Nelle 24 ore Buona Maggiore Non specificato Buona Maggiore Non specificato Discreta Maggiore Ritardato Buona Concurrent use of AZITHROMYCIN and CLASS III ANTIARRHYTHMIC AGENTS may result in an increased risk of cardiotoxicity (QT prolongation, torsades de pointes, cardiac arrest). Concurrent use of RANOLAZINE and SIMVASTATIN may result in increased simvastatin exposure and increased risk of rhabdomyolysis. Concurrent use of AMITRIPTYLINE and FENTANYL may result in an increased risk of serotonin syndrome (hypertension, hyperthermia, myoclonus, mental status changes). Concurrent use of HYDROCHLOROTHIAZIDE and LITHIUM may result in increased lithium concentrations and lithium toxicity (weakness, tremor, excessive thirst, confusion). Concurrent use of ATORVASTATIN and FENOFIBRATE may result in an increased risk of myopathy or rhabdomyolysis. Concurrent use of CLOPIDOGREL and NIFEDIPINE may result in decreased antiplatelet effect and increased risk of thrombotic events. Concurrent use of ESCITALOPRAM and TRAZODONE may result in increased risk of serotonin syndrome (hypertension, hyperthermia, myoclonus, mental status changes). Concurrent use of PROPAFENONE and SALMETEROL may result in increased risk of QT interval prolongation. Concurrent use of FLUCONAZOLE and SALMETEROL may result in an increased risk of QT interval prolongation. Concurrent use of SERTRALINE and TRAZODONE may result in increased risk of serotonin syndrome (hypertension, hyperthermia, myoclonus, mental status changes). Concurrent use of FENTANYL and NIFEDIPINE may result in severe hypotension. Concurrent use of CLARITHROMYCIN and NIFEDIPINE may result in inhibition of nifedipine metabolism resulting in an increase in nifedipine concentrations and an increased risk of hypotension and/or bradycardia. Concurrent use of AMIODARONE and FENTANYL may result in cardiac toxicity (low cardiac output) and an increased risk of fentanyl toxicity (CNS depression, respiratory depression). Concurrent use of CLARITHROMYCIN and FLUCONAZOLE may result in an increased risk of cardiotoxicity (QT prolongation, torsades de pointes, cardiac arrest). Concurrent use of FLECAINIDE and LEVOFLOXACIN may result in an increased risk of QT interval prolongation. Concurrent use of SIMVASTATIN and FLUCONAZOLE may result in an increased risk of myopathy or rhabdomyolysis. Numero: Assistiti: 555 327 545 142 534 139 526 86 510 170 505 144 489 119 485 89 481 251 480 144 478 471 58 256 463 86 461 362 457 184 455 258 Pag. 9 di 55 Le interazioni segnalate sono ottenute interrogando la banca dati MICROMEDEX DRUG-REAX® della THOMSON REUTERS. Bergamo 2011/2012 - IF per Interazione Assititi: tutti Periodo : 01.10.2011 - 30.09.2012. Interaz. su 30 gg: Contr., Magg Severità: Insorgenza: Documentazione: Descrizione: Maggiore Non specificato Buona Maggiore Maggiore Ritardato Non specificato Buona Discreta Maggiore Maggiore Ritardato Nelle 24 ore Discreta Discreta Maggiore Non specificato Buona Maggiore Non specificato Discreta Maggiore Non specificato Discreta Concurrent use of QUETIAPINE and HALOPERIDOL may result in an increased risk of cardiotoxicity (QT prolongation, torsades de pointes, cardiac arrest). Concurrent use of POTASSIUM and AMILORIDE may result in hyperkalemia. Concurrent use of CLARITHROMYCIN and CLASS III ANTIARRHYTHMIC AGENTS may result in increased risk of QT interval prolongation and torsade de pointes. Concurrent use of PERINDOPRIL and POTASSIUM may result in hyperkalemia. Concurrent use of AMIODARONE and QUETIAPINE may result in an increased risk of cardiotoxicity (QT prolongation, torsades de pointes, cardiac arrest). Concurrent use of DULOXETINE and PAROXETINE may result in increased duloxetine serum concentrations and an increased risk of serotonin syndrome. Concurrent use of DULOXETINE and TRAZODONE may result in increased risk of serotonin syndrome (hypertension, hyperthermia, myoclonus, mental status changes). Concurrent use of AMITRIPTYLINE and LEVOFLOXACIN may result in an increased risk of QT interval prolongation. Concurrent use of ALISKIREN and VALSARTAN may result in an increased risk of hyperkalemia, renal impairment, and hypotension. Concurrent use of ESCITALOPRAM and OXYCODONE may result in an increased risk of serotonin syndrome (tachycardia, hyperthermia, myoclonus, mental status changes). Concurrent use of AZITHROMYCIN and WARFARIN may result in an increased risk of bleeding. Concurrent use of CARBAMAZEPINE and NIFEDIPINE may result in decreased nifedipine exposure. Concurrent use of CEFIXIME and WARFARIN may result in an increased risk of bleeding. Concurrent use of QUETIAPINE and SALMETEROL may result in an increased risk of QT interval prolongation. Concurrent use of AZATHIOPRINE and RAMIPRIL may result in myelosuppression. Concurrent use of AMIODARONE and TRAZODONE may result in increased risk of QT interval prolongation and torsade de pointes. Concurrent use of CYCLOSPORINE and EVEROLIMUS may result in an increased risk of everolimus toxicity. Concurrent use of MORPHINE and PHENOTHIAZINES may result in an increase in central nervous system and respiratory depression. Concurrent use of ALLOPURINOL and CAPTOPRIL may result in hypersensitivity reactions (Stevens-Johnson syndrome, skin eruptions). ControindicatoNon specificato Buona Maggiore Ritardato Buona Maggiore Ritardato Buona ControindicatoRitardato Discreta Maggiore Maggiore Non specificato Non specificato Buona Discreta Maggiore Maggiore Ritardato Ritardato Discreta Buona Maggiore Non specificato Buona Maggiore Non specificato Discreta Maggiore Ritardato Buona Numero: Assistiti: 453 139 449 448 177 295 447 446 150 92 444 172 444 77 444 278 443 99 443 113 439 325 438 40 437 436 310 91 436 436 86 109 435 37 432 147 423 124 Pag. 10 di 55 Le interazioni segnalate sono ottenute interrogando la banca dati MICROMEDEX DRUG-REAX® della THOMSON REUTERS. Bergamo 2011/2012 - IF per Interazione Assititi: tutti Periodo : Severità: 01.10.2011 - 30.09.2012. Interaz. su 30 gg: Contr. Insorgenza: Documentazione: Descrizione: Controindicato Nelle 24 ore Discreta Controindicato Non specificato Buona Controindicato Non specificato Discreta Controindicato Non specificato Discreta Controindicato Non specificato Discreta Controindicato Non specificato Buona Controindicato Ritardato Discreta Controindicato Non specificato Buona Controindicato Ritardato Buona Controindicato Ritardato Discreta Controindicato Ritardato Eccellente Controindicato Nelle 24 ore Buona Controindicato Non specificato Buona Controindicato Non specificato Buona Controindicato Non specificato Eccellente Controindicato Ritardato Buona Concurrent use of KETOROLAC and NONSTEROIDAL ANTIINFLAMMATORY AGENTS may result in enhanced gastrointestinal adverse effects (peptic ulcers, gastrointestinal bleeding and/or perforation). Concurrent use of CLARITHROMYCIN and SIMVASTATIN may result in an increased risk of myopathy or rhabdomyolysis. Concurrent use of METOCLOPRAMIDE and ANTIPSYCHOTICS may result in an increased risk of extrapyramidal reactions or neuroleptic malignant syndrome. Concurrent use of ASPIRIN and KETOROLAC may result in enhanced gastrointestinal adverse effects (peptic ulcers, gastrointestinal bleeding, and/or perforation) and possible increase in serum ketorolac levels. Concurrent use of FLUCONAZOLE and SALMETEROL may result in an increased risk of QT interval prolongation. Concurrent use of ALISKIREN and VALSARTAN may result in an increased risk of hyperkalemia, renal impairment, and hypotension. Concurrent use of CARBAMAZEPINE and NIFEDIPINE may result in decreased nifedipine exposure. Concurrent use of ALISKIREN and RAMIPRIL may result in an increased risk of hyperkalemia, renal impairment, and hypotension. Concurrent use of SELEGILINE and LEVODOPA may result in hypertension or increased mortality. Concurrent use of NIFEDIPINE and PHENOBARBITAL may result in decreased nifedipine exposure. Concurrent use of SIMVASTATIN and CYCLOSPORINE may result in an increased risk of myopathy or rhabdomyolysis. Concurrent use of FROVATRIPTAN and RIZATRIPTAN may result in prolonged vasospastic reactions. Concurrent use of ALISKIREN and IRBESARTAN may result in an increased risk of hyperkalemia, renal impairment, and hypotension. Concurrent use of ALISKIREN and TELMISARTAN may result in an increased risk of hyperkalemia, renal impairment, and hypotension. Concurrent use of ITRACONAZOLE and SIMVASTATIN may result in an increased risk of myopathy or rhabdomyolysis. Concurrent use of CITALOPRAM and FLUCONAZOLE may result in increased risk of QT interval prolongation and serotonin syndrome. Numero: Assistiti: 1.643 934 1.275 971 950 257 862 546 481 251 443 99 438 40 362 66 292 58 273 40 251 36 230 77 210 56 208 44 203 113 202 114 Pag. 1 di 8 Le interazioni segnalate sono ottenute interrogando la banca dati MICROMEDEX DRUG-REAX® della THOMSON REUTERS. Bergamo 2011/2012 - IF per Interazione Assititi: tutti Periodo : Severità: 01.10.2011 - 30.09.2012. Interaz. su 30 gg: Contr. Insorgenza: Documentazione: Descrizione: Controindicato Non specificato Discreta Controindicato Non specificato Discreta Controindicato Non specificato Discreta Controindicato Non specificato Buona Controindicato Non specificato Buona Controindicato Ritardato Buona Controindicato Non specificato Discreta Controindicato Non specificato Discreta Controindicato Non specificato Discreta Controindicato Non specificato Discreta Controindicato Non specificato Discreta Controindicato Non specificato Discreta Controindicato Non specificato Discreta Controindicato Non specificato Buona Controindicato Non specificato Buona Controindicato Non specificato Discreta Controindicato Non specificato Discreta Concurrent use of FLUCONAZOLE and ONDANSETRON may result in an increased risk of QT interval prolongation. Concurrent use of ALMOTRIPTAN and RIZATRIPTAN may result in an increased risk for vasospastic reactions. Concurrent use of FLUCONAZOLE and QUETIAPINE may result in increased quetiapine serum concentrations and an increased risk of QT prolongation . Concurrent use of ALISKIREN and OLMESARTAN may result in an increased risk of hyperkalemia, renal impairment, and hypotension. Concurrent use of ALISKIREN and LOSARTAN may result in an increased risk of hyperkalemia, renal impairment, and hypotension. Concurrent use of GEMFIBROZIL and SIMVASTATIN may result in an increased risk of myopathy or rhabdomyolysis. Concurrent use of ALMOTRIPTAN and ELETRIPTAN may result in an increased risk for vasospastic reactions. Concurrent use of ELETRIPTAN and RIZATRIPTAN may result in an increased risk for vasospastic reactions. Concurrent use of METOCLOPRAMIDE and PAROXETINE may result in an increased risk of extrapyramidal reactions or neuroleptic malignant syndrome. Concurrent use of ALFUZOSIN and FLUCONAZOLE may result in an increased risk of torsade de pointes. Concurrent use of METOCLOPRAMIDE and TRICYCLIC ANTIDEPRESSANTS may result in an increased risk of extrapyramidal reactions or neuroleptic malignant syndrome. Concurrent use of ALMOTRIPTAN and FROVATRIPTAN may result in an increased risk for vasospastic reactions. Concurrent use of FLUCONAZOLE and GRANISETRON may result in an increased risk of QT interval prolongation. Concurrent use of ALISKIREN and ENALAPRIL may result in an increased risk of hyperkalemia, renal impairment, and hypotension. Concurrent use of ALISKIREN and CANDESARTAN may result in an increased risk of hyperkalemia, renal impairment, and hypotension. Concurrent use of METOCLOPRAMIDE and TRAZODONE may result in an increased risk of extrapyramidal reactions. Concurrent use of CITALOPRAM and METOCLOPRAMIDE may result in an increased risk of extrapyramidal reactions or neuroleptic malignant syndrome. Numero: Assistiti: 195 89 190 55 149 69 138 43 137 32 121 43 117 30 111 36 108 76 102 46 97 46 91 37 89 64 83 20 78 16 74 47 70 42 Pag. 2 di 8 Le interazioni segnalate sono ottenute interrogando la banca dati MICROMEDEX DRUG-REAX® della THOMSON REUTERS. Bergamo 2011/2012 - IF per Interazione Assititi: tutti Periodo : Severità: 01.10.2011 - 30.09.2012. Interaz. su 30 gg: Contr. Insorgenza: Documentazione: Descrizione: Controindicato Non specificato Discreta Controindicato Non specificato Buona Controindicato Ritardato Buona Controindicato Non specificato Discreta Controindicato Non specificato Buona Controindicato Nelle 24 ore Buona Controindicato Non specificato Buona Controindicato Nelle 24 ore Buona Controindicato Nelle 24 ore Discreta Controindicato Non specificato Discreta Controindicato Nelle 24 ore Buona Controindicato Nelle 24 ore Discreta Controindicato Non specificato Discreta Controindicato Nelle 24 ore Buona Controindicato Nelle 24 ore Buona Controindicato Non specificato Discreta Concurrent use of DULOXETINE and RASAGILINE may result in CNS toxicity or serotonin syndrome (hypertension, hyperthermia, myoclonus, mental status changes). Concurrent use of VENLAFAXINE and METOCLOPRAMIDE may result in an increased risk of developing extrapyramidal symptoms or neuroleptic malignant syndrome. Concurrent use of TAMOXIFEN and WARFARIN may result in an increased risk of bleeding. Concurrent use of DIHYDROERGOTAMINE and ELETRIPTAN may result in increased risk of prolonged vasospastic reactions. Concurrent use of ALISKIREN and LISINOPRIL may result in an increased risk of hyperkalemia, renal impairment, and hypotension. Concurrent use of SELEGILINE and VENLAFAXINE may result in CNS toxicity or serotonin syndrome (hypertension, hyperthermia, myoclonus, mental status changes). Concurrent use of PAROXETINE and RASAGILINE may result in serotonin syndrome (labile blood pressure, hyperthermia, neuromuscular abnormalities, mental status changes, gastrointestinal symptoms). Concurrent use of FROVATRIPTAN and ELETRIPTAN may result in prolonged vasospastic reactions. Concurrent use of RIZATRIPTAN and ERGOT DERIVATIVES may result in prolonged vasospastic reactions. Concurrent use of RASAGILINE and TRAMADOL may result in coma, severe hypertension or hypotension, severe respiratory depression, convulsions, malignant hyperpyrexia, excitation, peripheral vascular collapse, death. Concurrent use of SELEGILINE and SERTRALINE may result in CNS toxicity or serotonin syndrome (hypertension, hyperthermia, myoclonus, mental status changes). Concurrent use of RIZATRIPTAN and SUMATRIPTAN may result in prolonged vasospastic reactions. Concurrent use of PIMOZIDE and TRICYCLIC ANTIDEPRESSANTS may result in an increased risk of cardiotoxicity (QT prolongation, torsades de pointes, cardiac arrest). Concurrent use of ZOLMITRIPTAN and RIZATRIPTAN may result in prolonged vasospastic reactions. Concurrent use of FROVATRIPTAN and ZOLMITRIPTAN may result in prolonged vasospastic reactions. Concurrent use of CLARITHROMYCIN and LOVASTATIN may result in an increased risk of myopathy or rhabdomyolysis. Numero: Assistiti: 64 11 62 23 62 17 62 8 61 10 61 12 59 14 59 29 53 13 50 16 49 13 47 12 47 3 47 14 47 17 47 37 Pag. 3 di 8 Le interazioni segnalate sono ottenute interrogando la banca dati MICROMEDEX DRUG-REAX® della THOMSON REUTERS. Bergamo 2011/2012 - IF per Interazione Assititi: tutti Periodo : Severità: 01.10.2011 - 30.09.2012. Interaz. su 30 gg: Contr. Insorgenza: Documentazione: Descrizione: Controindicato Nelle 24 ore Buona Controindicato Non specificato Discreta Controindicato Non specificato Buona Controindicato Non specificato Discreta Controindicato Non specificato Discreta Controindicato Non specificato Discreta Controindicato Non specificato Discreta Controindicato Non specificato Buona Controindicato Non specificato Discreta Controindicato Nelle 24 ore Eccellente Controindicato Non specificato Discreta Controindicato Non specificato Buona Controindicato Non specificato Discreta Controindicato Nelle 24 ore Buona Controindicato Nelle 24 ore Discreta Controindicato Nelle 24 ore Discreta Concurrent use of GEMFIBROZIL and REPAGLINIDE may result in increased plasma concentrations of repaglinide. Concurrent use of TRAZODONE and MONOAMINE OXIDASE INHIBITORS may result in an increased risk of serotonin syndrome (hypertension, hyperthermia, myoclonus, mental status changes). Concurrent use of ESCITALOPRAM and SELEGILINE may result in an increased risk of serotonin syndrome (labile blood pressure, hyperthermia, neuromuscular abnormalities, mental status changes, gastrointestinal symptoms) . Concurrent use of ALMOTRIPTAN and ZOLMITRIPTAN may result in an increased risk for vasospastic reactions. Concurrent use of ALMOTRIPTAN and SUMATRIPTAN may result in an increased risk for vasospastic reactions. Concurrent use of DULOXETINE and METOCLOPRAMIDE may result in an increased risk of extrapyramidal reactions or neuroleptic malignant syndrome. Concurrent use of ESCITALOPRAM and METOCLOPRAMIDE may result in an increased risk of extrapyramidal reactions or neuroleptic malignant syndrome. Concurrent use of ALISKIREN and PERINDOPRIL may result in an increased risk of hyperkalemia, renal impairment, and hypotension. Concurrent use of HALOPERIDOL and PIMOZIDE may result in cardiotoxicity (QT prolongation, torsades de pointes, cardiac arrest). Concurrent use of CITALOPRAM and SELEGILINE may result in CNS toxicity or serotonin syndrome (hypertension, hyperthermia, myoclonus, mental status changes). Concurrent use of ALFUZOSIN and ITRACONAZOLE may result in an increase in alfuzosin exposure. Concurrent use of ALISKIREN and CAPTOPRIL may result in an increased risk of hyperkalemia, renal impairment, and hypotension. Concurrent use of ELETRIPTAN and ZOLMITRIPTAN may result in an increased risk for vasospastic reactions. Concurrent use of ITRACONAZOLE and PIMOZIDE may result in an increased risk of cardiotoxicity (QT prolongation, torsades de pointes, cardiac arrest). Concurrent use of PAROXETINE and SELEGILINE may result in CNS toxicity or serotonin syndrome (hypertension, hyperthermia, myoclonus, mental status changes). Concurrent use of BIPERIDEN and POTASSIUM may result in risk of gastrointestinal lesions. Numero: Assistiti: 38 8 37 13 35 10 33 16 31 4 29 25 28 24 28 7 28 3 27 8 25 12 24 4 23 12 23 1 22 7 21 11 Pag. 4 di 8 Le interazioni segnalate sono ottenute interrogando la banca dati MICROMEDEX DRUG-REAX® della THOMSON REUTERS. Bergamo 2011/2012 - IF per Interazione Assititi: tutti Periodo : Severità: 01.10.2011 - 30.09.2012. Interaz. su 30 gg: Contr. Insorgenza: Documentazione: Descrizione: Controindicato Ritardato Eccellente 20 16 Controindicato Non specificato Buona 20 4 Controindicato Non specificato Discreta 20 7 Controindicato Non specificato Discreta 19 5 Controindicato Non specificato Discreta 19 6 Controindicato Nelle 24 ore Buona 17 5 Controindicato Nelle 24 ore Discreta 14 3 Controindicato Non specificato Discreta Concurrent use of CLARITHROMYCIN and COLCHICINE may result in increased colchicine plasma concentrations and increased risk of toxicity. Concurrent use of ALISKIREN and QUINAPRIL may result in an increased risk of hyperkalemia, renal impairment, and hypotension. Concurrent use of ALMOTRIPTAN and DIHYDROERGOTAMINE may result in prolonged vasospastic reactions. Concurrent use of RANOLAZINE and TRICYCLIC ANTIDEPRESSANTS may result in increased tricyclic antidepressant plasma concentrations. Concurrent use of DULOXETINE and SELEGILINE may result in CNS toxicity or serotonin syndrome (hypertension, hyperthermia, myoclonus, mental status changes). Concurrent use of FROVATRIPTAN and SUMATRIPTAN may result in prolonged vasospastic reactions. Concurrent use of BUPROPION and SELEGILINE may result in serotonin syndrome (hypertension, hyperthermia, myoclonus, mental status changes). Concurrent use of MIRTAZAPINE and SELEGILINE may result in CNS toxicity. 14 7 Controindicato Ritardato Buona 14 4 Controindicato Non specificato Discreta 13 9 Controindicato Non specificato Discreta 13 5 Controindicato Ritardato Buona 12 9 Controindicato Ritardato Buona 12 6 Controindicato Nelle 24 ore Discreta 12 5 Controindicato Non specificato Discreta 12 1 Controindicato Non specificato Discreta Concurrent use of RIFAMPIN and NIFEDIPINE may result in decreased nifedipine effectiveness. Concurrent use of CLARITHROMYCIN and RANOLAZINE may result in an increase in ranolazine steady state plasma concentrations and an increased risk of cardiotoxicity ( QT prolongation, torsades de pointes, cardiac arrest). Concurrent use of MIRTAZAPINE and RASAGILINE may result in hypertensive crisis, circulatory collapse, CNS toxicity. Concurrent use of ERGOT DERIVATIVES and MACROLIDE ANTIBIOTICS may result in an increased risk of acute ergotism (nausea, vomiting, vasospastic ischemia). Concurrent use of ITRACONAZOLE and LOVASTATIN may result in an increased risk of myopathy or rhabdomyolysis. Concurrent use of SELEGILINE and TRAMADOL may result in nausea, vomiting, cardiovascular collapse, respiratory depression, seizures or serotonin syndrome (hypertension, hyperthermia, myoclonus, mental status changes). Concurrent use of ESCITALOPRAM and PIMOZIDE may result in QTc interval prolongation and an increased risk of torsade de pointes. Concurrent use of PHENOBARBITAL and RANOLAZINE may result in decreased ranolazine plasma concentrations. 11 2 Numero: Assistiti: Pag. 5 di 8 Le interazioni segnalate sono ottenute interrogando la banca dati MICROMEDEX DRUG-REAX® della THOMSON REUTERS. Bergamo 2011/2012 - IF per Interazione Assititi: tutti Periodo : Severità: 01.10.2011 - 30.09.2012. Interaz. su 30 gg: Contr. Insorgenza: Documentazione: Descrizione: Controindicato Non specificato Discreta Controindicato Non specificato Buona Controindicato Non specificato Discreta Controindicato Non specificato Discreta Controindicato Ritardato Buona Controindicato Non specificato Discreta Controindicato Nelle 24 ore Buona Controindicato Ritardato Eccellente Controindicato Ritardato Discreta Concurrent use of CLOZAPINE and FLUCONAZOLE may result in an increased risk of QT interval prolongation and increased plasma concentrations of clozapine. Concurrent use of CITALOPRAM and PIMOZIDE may result in an increased risk of torsade de pointes. Concurrent use of CARBAMAZEPINE and RANOLAZINE may result in decreased ranolazine plasma concentrations. Concurrent use of PIMOZIDE and QUETIAPINE may result in an increased risk of QT prolongation. Concurrent use of NIFEDIPINE and PHENYTOIN may result in decreased nifedipine exposure and increased risk of phenytoin toxicity (ataxia, hyperreflexia, nystagmus, tremor) . Concurrent use of ITRACONAZOLE and RANOLAZINE may result in an increase in ranolazine steady state plasma concentrations and an increased risk of cardiotoxicity ( QT prolongation, torsades de pointes, cardiac arrest). Concurrent use of TRIFLUOPERAZINE and VENLAFAXINE may result in an increased risk of neuroleptic malignant syndrome and an increased risk of cardiotoxicity ( QT prolongation, torsades de pointes, cardiac arrest). Concurrent use of FELODIPINE and ITRACONAZOLE may result in increased felodipine serum concentrations and potential cardiotoxicity. Concurrent use of TRIAMTERENE and AMILORIDE may result in hyperkalemia. Controindicato Nelle 24 ore Buona Controindicato Non specificato Buona Controindicato Non specificato Discreta Controindicato Non specificato Discreta Controindicato Non specificato Discreta Controindicato Nelle 24 ore Buona Concurrent use of PAROXETINE and PIMOZIDE may result in an increased risk of pimozide toxicity including cardiotoxicity (QT prolongation, torsades de pointes, cardiac arrest). Concurrent use of DANAZOL and SIMVASTATIN may result in an increased risk of myopathy or rhabdomyolysis. Concurrent use of METOCLOPRAMIDE and RIVASTIGMINE may result in increased risk of extrapyramidal effects. Concurrent use of METOCLOPRAMIDE and MIRTAZAPINE may result in an increased risk of extrapyramidal reactions. Concurrent use of PIMOZIDE and TETRABENAZINE may result in an increased risk of QT interval prolongation. Concurrent use of ZOLMITRIPTAN and SUMATRIPTAN may result in prolonged vasospastic reactions. Numero: Assistiti: 11 5 11 6 11 2 10 3 9 3 9 4 9 1 8 6 8 2 8 4 8 1 7 6 7 6 7 3 7 4 Pag. 6 di 8 Le interazioni segnalate sono ottenute interrogando la banca dati MICROMEDEX DRUG-REAX® della THOMSON REUTERS. Bergamo 2011/2012 - IF per Interazione Assititi: tutti Periodo : Severità: 01.10.2011 - 30.09.2012. Interaz. su 30 gg: Contr. Insorgenza: Documentazione: Descrizione: Controindicato Non specificato Discreta 6 2 Controindicato Nelle 24 ore Buona 6 6 Controindicato Non specificato Discreta 6 3 Controindicato Non specificato Discreta 6 2 Controindicato Non specificato Discreta 5 5 Controindicato Non specificato Discreta 5 2 Controindicato Non specificato Discreta 5 3 Controindicato Non specificato Discreta 5 1 Controindicato Ritardato Discreta Concurrent use of LEVOFLOXACIN and PIMOZIDE may result in an increased risk of cardiotoxicity (QT prolongation, torsades de pointes, cardiac arrest). Concurrent use of FROVATRIPTAN and ERGOT DERIVATIVES may result in prolonged vasospastic reactions. Concurrent use of ALMOTRIPTAN and ERGOTAMINE may result in prolonged vasospastic reactions. Concurrent use of ELETRIPTAN and SUMATRIPTAN may result in an increased risk for vasospastic reactions. Concurrent use of COLCHICINE and ITRACONAZOLE may result in increased colchicine plasma concentrations and increased risk of toxicity. Concurrent use of CLOMIPRAMINE and MONOAMINE OXIDASE INHIBITORS may result in an increased risk of serotonin syndrome (hypertension, hyperthermia, myoclonus, mental status changes). Concurrent use of CITALOPRAM and ZIPRASIDONE may result in an increased risk of torsade de pointes. Concurrent use of CARBAMAZEPINE and MONOAMINE OXIDASE INHIBITORS may result in an increased risk of serotonin syndrome (hypertension, hyperthermia, myoclonus, mental status changes). Concurrent use of TRIAMTERENE and SPIRONOLACTONE may result in hyperkalemia. 4 3 Controindicato Nelle 24 ore Discreta 3 Controindicato Nelle 24 ore Buona 4 2 Controindicato Non specificato Buona 4 2 Controindicato Non specificato Discreta 3 2 Controindicato Non specificato Discreta 3 2 Controindicato Nelle 24 ore Discreta 2 1 Controindicato Non specificato Discreta Concurrent use of AZITHROMYCIN and PIMOZIDE may result in an increased risk of cardiotoxicity (QT prolongation, torsades de pointes, cardiac arrest). Concurrent use of PIMOZIDE and CLARITHROMYCIN may result in an increased risk of cardiotoxicity (QT prolongation, torsades de pointes, cardiac arrest). Concurrent use of ALISKIREN and EPROSARTAN may result in an increased risk of hyperkalemia, renal impairment, and hypotension. Concurrent use of MONOAMINE OXIDASE INHIBITORS and MONOAMINE OXIDASE INHIBITORS may result in hypertensive crisis (headache, palpitation, neck stiffness) or seizure. Concurrent use of PIMOZIDE and SALMETEROL may result in an increased risk of QT interval prolongation. Concurrent use of POTASSIUM and TRIHEXYPHENIDYL may result in risk of gastrointestinal lesions. Concurrent use of BUPROPION and METOCLOPRAMIDE may result in an increased risk of extrapyramidal reactions. 4 2 1 Numero: Assistiti: Pag. 7 di 8 Le interazioni segnalate sono ottenute interrogando la banca dati MICROMEDEX DRUG-REAX® della THOMSON REUTERS. Bergamo 2011/2012 - IF per Interazione Assititi: tutti Periodo : Severità: 01.10.2011 - 30.09.2012. Interaz. su 30 gg: Contr. Insorgenza: Documentazione: Descrizione: Controindicato Non specificato Buona Controindicato Non specificato Discreta Controindicato Non specificato Discreta Controindicato Non specificato Buona Controindicato Non specificato Discreta Controindicato Non specificato Discreta Controindicato Non specificato Discreta Controindicato Non specificato Discreta Controindicato Non specificato Discreta Controindicato Nelle 24 ore Buona Controindicato Non specificato Discreta Controindicato Non specificato Buona Controindicato Nelle 24 ore Eccellente Controindicato Non specificato Buona Concurrent use of SIMVASTATIN and TELITHROMYCIN may result in increased risk of myopathy or rhabdomyolysis. Concurrent use of ALFUZOSIN and PIMOZIDE may result in an increased risk of QT interval prolongation. Concurrent use of NORFLOXACIN and PIMOZIDE may result in an increased risk of QT interval prolongation. Concurrent use of ALISKIREN and MOEXIPRIL may result in an increased risk of hyperkalemia, renal impairment, and hypotension. Concurrent use of ZIPRASIDONE and PHENOTHIAZINES may result in an increased risk of cardiotoxicity (QT prolongation, torsades de pointes, cardiac arrest). Concurrent use of FLUVOXAMINE and METOCLOPRAMIDE may result in an increased risk of extrapyramidal reactions or neuroleptic malignant syndrome. Concurrent use of PIMOZIDE and RISPERIDONE may result in cardiotoxicity (QT prolongation, torsades de pointes, cardiac arrest). Concurrent use of PENTOXIFYLLINE and NONSTEROIDAL ANTIINFLAMMATORY AGENTS may result in an increased risk of bleeding. Concurrent use of OXCARBAZEPINE and SELEGILINE may result in an increase in selegiline plasma concentration. Concurrent use of ZOLMITRIPTAN and ERGOT DERIVATIVES may result in prolonged vasospastic reactions. Concurrent use of ZIPRASIDONE and FLUCONAZOLE may result in an increased risk of cardiotoxicity (QT prolongation, torsades de pointes, cardiac arrest). Concurrent use of RANOLAZINE and RIFAMPIN may result in decreased ranolazine plasma concentrations. Concurrent use of AMITRIPTYLINE and SELEGILINE may result in neurotoxicity, seizures, or serotonin syndrome (hypertension, hyperthermia, myoclonus, mental status changes). Concurrent use of ALISKIREN and BENAZEPRIL may result in an increased risk of hyperkalemia, renal impairment, and hypotension. Numero: Assistiti: 2 1 2 1 2 1 2 1 2 1 2 1 2 1 2 1 1 1 1 1 1 1 1 1 1 1 1 1 Pag. 8 di 8 Le interazioni segnalate sono ottenute interrogando la banca dati MICROMEDEX DRUG-REAX® della THOMSON REUTERS. Bergamo 2011/2012 - IF per coppia ATC con descrizione Assititi: tutti Periodo : 01.10.2011 - 30.09.2012. Interaz. su 30 gg: Contr., Magg ATC Descrizione-Descrizione Interazioni % (1) Assistiti % (2) Int/Ass 17,283 3.9% 3.468 4.4% 5.0 C08CA01-C10AA01 AMLODIPINA BESILATO-SIMVASTATINA Concurrent use of AMLODIPINE and SIMVASTATIN may result in increased simvastatin exposure and increased risk of myopathy, including rhabdomyolysis. B01AC04-B01AC06 CLOPIDOGREL-ACIDO ACETILSALICILICO 11,557 2.6% 3.568 4.5% 3.2 1.8% 5.1 Concurrent use of ASPIRIN and CLOPIDOGREL HYDROGEN SULFATE may result in an increased risk of bleeding. C01BD01-C07AB07 AMIODARONE CLORIDRATO-BISOPROLOLO EMIFUMARATO7,361 1.7% 1.449 Concurrent use of AMIODARONE and BETA-ADRENERGIC BLOCKERS may result in hypotension, bradycardia, or cardiac arrest. B01AC06-N06AB05 ACIDO ACETILSALICILICO-PAROXETINA CLORIDRATO 7,129 1.6% 2.037 2.6% 3.5 1.5% 2.007 2.5% 3.4 1.4% 1.713 2.2% 3.7 1.4% 2.825 3.6% 2.2 1.4% 2.047 2.6% 3.1 1.3% 1.510 1.9% 3.8 1.555 2.0% 3.5 Concurrent use of PAROXETINE and ANTIPLATELET AGENTS may result in an increased risk of bleeding. B01AA03-C01BD01 WARFARIN SODICO-AMIODARONE CLORIDRATO 6,838 Concurrent use of AMIODARONE and WARFARIN may result in an increased risk of bleeding. B01AC06-N06AB06 ACIDO ACETILSALICILICO-SERTRALINA CLORIDRATO 6,398 Concurrent use of SERTRALINE and ANTIPLATELET AGENTS may result in an increased risk of bleeding. B01AA03-B01AB05 WARFARIN SODICO-ENOXAPARINA SODICA 6,309 Concurrent use of ENOXAPARIN and WARFARIN may result in increased risk of bleeding. B01AA03-B01AC06 WARFARIN SODICO-ACIDO ACETILSALICILICO 6,244 Concurrent use of ASPIRIN and WARFARIN may result in an increased risk of bleeding. B01AC06-N06AB04 ACIDO ACETILSALICILICO-CITALOPRAM BROMIDRATO 5,730 Concurrent use of CITALOPRAM and ANTIPLATELET AGENTS may result in an increased risk of bleeding. B01AA03-C10AA01 WARFARIN SODICO-SIMVASTATINA 5,403 1.2% Concurrent use of SIMVASTATIN and WARFARIN may result in increased risk of bleeding and an increased risk of rhabdomyolysis. 4,885 1.1%PROPIONATO 2.770 J01MA12-R03AK06 LEVOFLOXACINA EMIIDRATO-SALMETEROLO XINAFOATO/FLUTICASONE 3.5% 1.8 1.1% 5.5 Concurrent use of LEVOFLOXACIN and SALMETEROL may result in an increased risk of QT interval prolongation. C01BD01-C08CA01 AMIODARONE CLORIDRATO-AMLODIPINA BESILATO 4,713 1.1% 859 Concurrent use of AMIODARONE and CALCIUM CHANNEL BLOCKERS may result in bradycardia, atrioventricular block and/or sinus arrest. B01AC06-N06AX16 ACIDO ACETILSALICILICO-VENLAFAXINA CLORIDRATO 4,539 1.0% 695 0.9% 6.5 824 1.0% 5.5 Concurrent use of VENLAFAXINE and ANTIPLATELET AGENTS may result in an increased risk of bleeding. A02BC03-N06AB04 LANSOPRAZOLO-CITALOPRAM BROMIDRATO 4,529 1.0% Concurrent use of CITALOPRAM and LANSOPRAZOLE may result in increased citalopram exposure and risk of QT interval prolongation. B01AC06-N06AB10 ACIDO ACETILSALICILICO-ESCITALOPRAM OSSALATO 4,460 1.0% 1.206 1.5% 3.7 Concurrent use of ESCITALOPRAM and ANTIPLATELET AGENTS may result in an increased risk of bleeding. 1.0% 1.055 1.3% 4.1 4,152 0.9% A02BC02-N06AB04 PANTOPRAZOLO SODICO SESQUIIDRATO-CITALOPRAM BROMIDRATO 831 1.0% 5.0 B01AC05-B01AC06 TICLOPIDINA CLORIDRATO-ACIDO ACETILSALICILICO 4,294 Concurrent use of ASPIRIN and TICLOPIDINE may result in an increased risk of bleeding. Concurrent use of CITALOPRAM and PANTOPRAZOLE may result in increased citalopram exposure and risk of QT interval prolongation. A10BA02-J01MA12 METFORMINA CLORIDRATO-LEVOFLOXACINA EMIIDRATO 4,059 0.9% 2.177 2.7% 1.9 Concurrent use of FLUOROQUINOLONES and ANTIDIABETIC AGENTS may result in changes in blood glucose and increased risk of hypoglycemia or hyperglycemia. C01BD01-C10AA01 AMIODARONE CLORIDRATO-SIMVASTATINA 3,686 0.8% 784 1.0% 4.7 Concurrent use of AMIODARONE and SIMVASTATIN may result in increased exposure to simvastatin and an increased risk of myopathy or rhabdomyolysis. Bergamo 2011/2012 - IF per coppia ATC con descrizione Assititi: tutti Periodo : 01.10.2011 - 30.09.2012. Interaz. su 30 gg: Contr., Magg ATC Descrizione-Descrizione Interazioni % (1) Assistiti % (2) Int/Ass 3,680 0.8% 947 1.2% 3.9 C09AA02-M04AA01 ENALAPRIL MALEATO-ALLOPURINOLO Concurrent use of ALLOPURINOL and ENALAPRIL may result in hypersensitivity reactions (Stevens-Johnson syndrome, skin eruptions, anaphylactic coronary spasm). B01AC06-N06AX21 ACIDO ACETILSALICILICO-DULOXETINA CLORIDRATO 3,529 0.8% 753 0.9% 4.7 506 0.6% 6.5 Concurrent use of DULOXETINE and ANTIPLATELET AGENTS may result in an increased risk of bleeding. C01BD01-C07AG02 AMIODARONE CLORIDRATO-CARVEDILOLO 3,297 0.7% Concurrent use of AMIODARONE and BETA-ADRENERGIC BLOCKERS may result in hypotension, bradycardia, or cardiac arrest. B01AC06-M01AE03 ACIDO ACETILSALICILICO-KETOPROFENE 3,110 0.7% 1.850 2.3% 1.7 Concurrent use of ASPIRIN and KETOPROFEN may result in increased risk of serious gastrointestinal adverse effects (ulceration, bleeding, perforation). C08CA13-C10AA01 LERCANIDIPINA CLORIDRATO-SIMVASTATINA 3,048 0.7% 709 0.9% 4.3 Concurrent use of AMLODIPINE and SIMVASTATIN may result in increased simvastatin exposure and increased risk of myopathy, including rhabdomyolysis. B01AB05-M01AE01 ENOXAPARINA SODICA-IBUPROFENE 3,022 0.7% 1.564 2.0% 1.9 Concurrent use of LOW MOLECULAR WEIGHT HEPARINS and NONSTEROIDAL ANTIINFLAMMATORY AGENTS may result in an increased risk of bleeding. J01FA09-R03AK06 2,954 0.7% CLARITROMICINA-SALMETEROLO XINAFOATO/FLUTICASONE PROPIONATO 1.070 1.3% 2.8 1.0% 3.6 Concurrent use of CLARITHROMYCIN and SALMETEROL may result in increased plasma concentration of salmeterol. B01AC04-C08CA01 CLOPIDOGREL-AMLODIPINA BESILATO 2,858 0.6% 801 Concurrent use of AMLODIPINE and CLOPIDOGREL may result in decreased antiplatelet effect and increased risk of thrombotic events. C03EA01-C09AA05 AMILORIDE CLORIDRATO/IDROCLOROTIAZIDE-RAMIPRIL 2,765 0.6% 673 0.8% 4.1 Concurrent use of POTASSIUM-SPARING DIURETICS and ANGIOTENSIN CONVERTING ENZYME INHIBITORS may result in hyperkalemia. C08DA01-C10AA01 VERAPAMIL CLORIDRATO-SIMVASTATINA 2,763 0.6% 514 0.6% 5.4 Concurrent use of SIMVASTATIN and VERAPAMIL may result in increased exposure to simvastatin and an increased risk of myopathy or rhabdomyolysis. 0.7% 4.9 2,614 0.6% PROPIONATO 694 0.9% C07AB07-R03AK06 BISOPROLOLO EMIFUMARATO-SALMETEROLO XINAFOATO/FLUTICASONE 3.8 N02AA01-N02AB03 MORFINA CLORIDRATO-FENTANIL 2,747 0.6% 564 Concurrent use of OPIOID ANALGESICS and OPIOID ANALGESICS may result in additive respiratory depression. Concurrent use of BETA-ADRENERGIC BLOCKERS and BETA-2 AGONISTS may result in decreased effectiveness of either the beta-adrenergic blocker and/or the beta-2 agonist. N05AH04-N06AX05 QUETIAPINA FUMARATO-TRAZODONE CLORIDRATO 2,494 0.6% 493 0.6% 5.1 485 0.6% 5.0 Concurrent use of QUETIAPINE and TRAZODONE may result in an increased risk of QT interval prolongation. A02BC01-N06AB04 OMEPRAZOLO-CITALOPRAM BROMIDRATO 2,449 0.6% Concurrent use of CITALOPRAM and OMEPRAZOLE may result in increased citalopram exposure and risk of QT interval prolongation. N02AA59-N02AB03 PARACETAMOLO/CODEINA FOSFATO-FENTANIL 2,438 0.5% 536 0.7% 4.5 0.5% 6.3 Concurrent use of OPIOID ANALGESICS and OPIOID ANALGESICS may result in additive respiratory depression. C03DA01-C09AA05 SPIRONOLATTONE-RAMIPRIL 2,432 0.5% 383 Concurrent use of POTASSIUM-SPARING DIURETICS and ANGIOTENSIN CONVERTING ENZYME INHIBITORS may result in hyperkalemia. 2,417 0.5% 1.577 2.0% DIIDRATO 1.5 J01MA12-R03AK07 LEVOFLOXACINA EMIIDRATO-BECLOMETASONE DIPROPRIONATO/FORMOTEROLO FUMARATO Concurrent use of FORMOTEROL and QT PROLONGING DRUGS may result in increased risk of ventricular arrhythmias. 2,339 C08DA01-C10AA05 VERAPAMIL CLORIDRATO-ATORVASTATINA CALCIO TRIIDRATO 0.5% 414 0.5% 5.6 Concurrent use of ATORVASTATIN and VERAPAMIL may result in increased exposure to atorvastatin and an increased risk of myopathy or rhabdomyolysis. Bergamo 2011/2012 - IF per coppia ATC con descrizione Assititi: tutti Periodo : 01.10.2011 - 30.09.2012. Interaz. su 30 gg: Contr., Magg ATC Descrizione-Descrizione J01FA09-J01MA12 CLARITROMICINA-LEVOFLOXACINA EMIIDRATO Interazioni % (1) Assistiti % (2) Int/Ass 2,330 0.5% 1.825 2.3% 1.3 0.2% 12.6 Concurrent use of CLARITHROMYCIN and LEVOFLOXACIN may result in an increased risk of QT interval prolongation. N03AG01-N03AX09 MAGNESIO VALPROATO-LAMOTRIGINA 2,263 0.5% 180 Concurrent use of LAMOTRIGINE and VALPROIC ACID may result in increased elimination half-life of lamotrigine leading to lamotrigine toxicity (fatigue, drowsiness, ataxia) and an increased risk of life-threatening rashes. C03EA01-C09AA02 AMILORIDE CLORIDRATO/IDROCLOROTIAZIDE-ENALAPRIL2,219 MALEATO0.5% 463 0.6% 4.8 Concurrent use of POTASSIUM-SPARING DIURETICS and ANGIOTENSIN CONVERTING ENZYME INHIBITORS may result in hyperkalemia. J01FA10-J01MA12 AZITROMICINA DIIDRATO-LEVOFLOXACINA EMIIDRATO 2,144 0.5% 1.673 2.1% 1.3 0.6% 4.3 Concurrent use of AZITHROMYCIN and LEVOFLOXACIN may result in an increased risk of QT interval prolongation. 2,117 0.5% A02BC05-N06AB04 ESOMEPRAZOLO MAGNESIO TRIIDRATO-CITALOPRAM BROMIDRATO 490 Concurrent use of CITALOPRAM and ESOMEPRAZOLE may result in increased citalopram exposure and increased risk of QT interval prolongation. C09AA05-C09CA03 RAMIPRIL-VALSARTAN 1,954 0.4% 421 0.5% 4.6 Concurrent use of ANGIOTENSIN CONVERTING ENZYME INHIBITORS and ANGIOTENSIN II RECEPTOR BLOCKERS may result in increased risk of adverse events (ie, hypotension, syncope, hyperkalemia, changes in renal function, acute renal failure). B01AA03-J01MA12 WARFARIN SODICO-LEVOFLOXACINA EMIIDRATO 1,948 0.4% 1.277 1.6% 1.5 0.4% 930 1.2% 2.0 Concurrent use of LEVOFLOXACIN and WARFARIN may result in an increased risk of bleeding. J01MA12-J02AC01 LEVOFLOXACINA EMIIDRATO-FLUCONAZOLO 1,888 Concurrent use of FLUCONAZOLE and LEVOFLOXACIN may result in an increased risk of QTc prolongation and torsades de pointes. C09AA05-C09CA01 RAMIPRIL-LOSARTAN POTASSICO 1,870 0.4% 336 0.4% 5.6 Concurrent use of ANGIOTENSIN CONVERTING ENZYME INHIBITORS and ANGIOTENSIN II RECEPTOR BLOCKERS may result in increased risk of adverse events (ie, hypotension, syncope, hyperkalemia, changes in renal function, acute renal failure). C03EB01-C09AA05 FUROSEMIDE/SPIRONOLATTONE-RAMIPRIL 1,847 0.4% 367 0.5% 5.0 Concurrent use of POTASSIUM-SPARING DIURETICS and ANGIOTENSIN CONVERTING ENZYME INHIBITORS may result in hyperkalemia. C03CA01-C07AA07 FUROSEMIDE-SOTALOLO CLORIDRATO 1,798 0.4% 427 0.5% 4.2 Concurrent use of SOTALOL and DIURETICS may result in an increased risk of cardiotoxicity (QT prolongation, torsades de pointes, cardiac arrest). A02BX13-C09AA05 SODIO ALGINATO/POTASSIO BICARBONATO-RAMIPRIL 1,764 0.4% 522 0.7% 3.4 1,757 0.4% 261 0.3% 6.7 Concurrent use of POTASSIUM and RAMIPRIL may result in hyperkalemia. C02AC01-C07AB07 CLONIDINA-BISOPROLOLO EMIFUMARATO Concurrent use of BISOPROLOL and CLONIDINE may result in increased risk of sinus bradycardia; exaggerated clonidine withdrawal response (acute hypertension). N02AB03-N02AB03 FENTANIL-FENTANIL 1,753 0.4% 229 0.3% 7.7 1.4% 1.5 712 0.9% 2.3 846 1.1% 2.0 Concurrent use of OPIOID ANALGESICS and OPIOID ANALGESICS may result in additive respiratory depression. J01FA10-R03AK06 1,718 0.4% 1.119 AZITROMICINA DIIDRATO-SALMETEROLO XINAFOATO/FLUTICASONE PROPIONATO Concurrent use of AZITHROMYCIN and SALMETEROL may result in an increased risk of QT interval prolongation. B01AB05-B01AC05 ENOXAPARINA SODICA-TICLOPIDINA CLORIDRATO 1,655 0.4% Concurrent use of TICLOPIDINE and ANTICOAGULANTS may result in an increased risk of bleeding. C01BD01-J01MA12 AMIODARONE CLORIDRATO-LEVOFLOXACINA EMIIDRATO1,654 0.4% Concurrent use of LEVOFLOXACIN and CLASS III ANTIARRHYTHMIC AGENTS may result in an increased risk of cardiotoxicity (QT prolongation, torsades de pointes, cardiac arrest). C08CA01-C10BA02 AMLODIPINA BESILATO-EZETIMIBE/SIMVASTATINA 1,550 0.3% 330 0.4% 4.7 Concurrent use of AMLODIPINE and SIMVASTATIN may result in increased simvastatin exposure and increased risk of myopathy, including rhabdomyolysis. Bergamo 2011/2012 - IF per coppia ATC con descrizione Assititi: tutti Periodo : 01.10.2011 - 30.09.2012. Interaz. su 30 gg: Contr., Magg ATC Descrizione-Descrizione Interazioni % (1) Assistiti % (2) Int/Ass 1,540 C09BA02-M04AA01 ENALAPRIL MALEATO/IDROCLOROTIAZIDE-ALLOPURINOLO 0.3% 395 0.5% 3.9 Concurrent use of ALLOPURINOL and ENALAPRIL may result in hypersensitivity reactions (Stevens-Johnson syndrome, skin eruptions, anaphylactic coronary spasm). N05AH04-N06AB04 QUETIAPINA FUMARATO-CITALOPRAM BROMIDRATO 1,488 0.3% 319 0.4% 4.7 329 0.4% 4.3 Concurrent use of CITALOPRAM and QUETIAPINE may result in increased risk of QT interval prolongation. A02BC01-B01AC04 OMEPRAZOLO-CLOPIDOGREL 1,423 0.3% Concurrent use of CLOPIDOGREL and OMEPRAZOLE may result in reduction in clinical efficacy of clopidogrel and increased risk for thrombosis. N02AA99-N02AB03 OXICODONE CLORIDRATO/PARACETAMOLO-FENTANIL 1,406 0.3% 264 0.3% 5.3 0.3% 5.6 Concurrent use of OPIOID ANALGESICS and OPIOID ANALGESICS may result in additive respiratory depression. C01AA05-C08DA01 DIGOSSINA-VERAPAMIL CLORIDRATO 1,405 0.3% 249 Concurrent use of DIGOXIN and VERAPAMIL may result in increased serum digoxin concentrations and risk of digitalis toxicity. B01AC05-N06AB04 TICLOPIDINA CLORIDRATO-CITALOPRAM BROMIDRATO 1,394 0.3% 252 0.3% 5.5 314 0.4% 4.4 672 0.8% 2.0 Concurrent use of CITALOPRAM and ANTIPLATELET AGENTS may result in an increased risk of bleeding. B01AC05-N06AB05 TICLOPIDINA CLORIDRATO-PAROXETINA CLORIDRATO 1,372 0.3% Concurrent use of PAROXETINE and ANTIPLATELET AGENTS may result in an increased risk of bleeding. B01AB05-M01AB05 ENOXAPARINA SODICA-DICLOFENAC POTASSICO 1,358 0.3% Concurrent use of LOW MOLECULAR WEIGHT HEPARINS and NONSTEROIDAL ANTIINFLAMMATORY AGENTS may result in an increased risk of bleeding. J01FA09-J01FA10 CLARITROMICINA-AZITROMICINA DIIDRATO 1,336 0.3% 1.184 1.5% 1.1 521 0.7% 2.5 716 0.9% 1.8 Concurrent use of AZITHROMYCIN and CLARITHROMYCIN may result in an increased risk of QT interval prolongation. B01AB05-N06AB05 ENOXAPARINA SODICA-PAROXETINA CLORIDRATO 1,292 0.3% Concurrent use of PAROXETINE and ANTICOAGULANTS may result in an increased risk of bleeding. 1,290 A10BD02-J01MA12 CLORPROPAMIDE/METFORMINA-LEVOFLOXACINA EMIIDRATO 0.3% Concurrent use of FLUOROQUINOLONES and ANTIDIABETIC AGENTS may result in changes in blood glucose and increased risk of hypoglycemia or hyperglycemia. A02BC05-B01AC04 ESOMEPRAZOLO MAGNESIO TRIIDRATO-CLOPIDOGREL 1,268 0.3% 305 0.4% 4.2 Concurrent use of CLOPIDOGREL and ESOMEPRAZOLE may result in reduction in clinical efficacy of clopidogrel and increased risk for thrombosis. N02AA05-N02AB03 OXICODONE CLORIDRATO-FENTANIL 1,253 0.3% 222 0.3% 5.6 0.3% 5.9 Concurrent use of OPIOID ANALGESICS and OPIOID ANALGESICS may result in additive respiratory depression. C02AC01-C07AB12 CLONIDINA-NEBIVOLOLO CLORIDRATO 1,251 0.3% 212 Concurrent use of CLONIDINE and NEBIVOLOL may result in increased risk of sinus bradycardia; exaggerated clonidine withdrawal response (acute hypertension). 265 0.3% 4.7 1,213 0.3% 312 C01BD01-R03AK06 AMIODARONE CLORIDRATO-SALMETEROLO XINAFOATO/FLUTICASONE PROPIONATO 0.4% 3.9 885 1.1% 1.4 426 0.5% 2.8 261 0.3% 4.5 B01AC05-N06AB06 TICLOPIDINA CLORIDRATO-SERTRALINA CLORIDRATO 1,249 0.3% Concurrent use of SERTRALINE and ANTIPLATELET AGENTS may result in an increased risk of bleeding. Concurrent use of AMIODARONE and SALMETEROL may result in an increased risk of QT interval prolongation. C10AA01-J01FA10 SIMVASTATINA-AZITROMICINA DIIDRATO 1,198 0.3% Concurrent use of AZITHROMYCIN and SIMVASTATIN may result in an increased risk of rhabdomyolysis. B01AB05-N06AB06 ENOXAPARINA SODICA-SERTRALINA CLORIDRATO 1,182 0.3% Concurrent use of SERTRALINE and ANTICOAGULANTS may result in an increased risk of bleeding. C01AA05-C03EB01 DIGOSSINA-FUROSEMIDE/SPIRONOLATTONE 1,171 0.3% Concurrent use of DIGOXIN and SPIRONOLACTONE may result in digoxin toxicity (nausea, vomiting, cardiac arrhythmias). Bergamo 2011/2012 - IF per coppia ATC con descrizione Assititi: tutti Periodo : 01.10.2011 - 30.09.2012. Interaz. su 30 gg: Contr., Magg ATC Descrizione-Descrizione Interazioni % (1) Assistiti % (2) Int/Ass 1,152 0.3% 605 0.8% 1.9 0.3% 255 0.3% 4.5 B01AB06-B01AC06 NADROPARINA CALCICA-ACIDO ACETILSALICILICO Concurrent use of ASPIRIN and HEPARIN may result in an increased risk of bleeding. C09AA05-C09DA03 RAMIPRIL-VALSARTAN/IDROCLOROTIAZIDE 1,149 Concurrent use of ANGIOTENSIN CONVERTING ENZYME INHIBITORS and ANGIOTENSIN II RECEPTOR BLOCKERS may result in increased risk of adverse events (ie, hypotension, syncope, hyperkalemia, changes in renal function, acute renal failure). C01AA05-C03DA01 DIGOSSINA-SPIRONOLATTONE 1,148 0.3% 196 0.2% 5.9 Concurrent use of DIGOXIN and SPIRONOLACTONE may result in digoxin toxicity (nausea, vomiting, cardiac arrhythmias). B01AC05-M01AE01 TICLOPIDINA CLORIDRATO-IBUPROFENE 1,145 0.3% 492 0.6% 2.3 Concurrent use of TICLOPIDINE and NONSTEROIDAL ANTIINFLAMMATORY AGENTS may result in increased risk of gastrointestinal bleeding. G04CA01-J01MA12 ALFUZOSINA CLORIDRATO-LEVOFLOXACINA EMIIDRATO 1,132 0.3% 664 0.8% 1.7 1.1% 1.3 Concurrent use of ALFUZOSIN and LEVOFLOXACIN may result in an increased risk of QT interval prolongation. C10AA01-J01FA09 SIMVASTATINA-CLARITROMICINA 1,115 0.3% 860 Concurrent use of CLARITHROMYCIN and SIMVASTATIN may result in an increased risk of myopathy or rhabdomyolysis. C01AA05-C01BD01 DIGOSSINA-AMIODARONE CLORIDRATO 1,094 0.2% 286 0.4% 3.8 0.3% 4.6 Concurrent use of DIGOXIN and AMIODARONE may result in digoxin toxicity (nausea, vomiting, cardiac arrhythmias). B01AA03-C03CA04 WARFARIN SODICO-TORASEMIDE 1,074 0.2% 232 Concurrent use of TORSEMIDE and WARFARIN may result in increased warfarin plasma concentrations, decreased warfarin clearance, and elevated INR. A10BB12-J01MA12 GLIMEPIRIDE-LEVOFLOXACINA EMIIDRATO 1,072 0.2% 586 0.7% 1.8 Concurrent use of FLUOROQUINOLONES and ANTIDIABETIC AGENTS may result in changes in blood glucose and increased risk of hypoglycemia or hyperglycemia. C01BD01-C08CA05 AMIODARONE CLORIDRATO-NIFEDIPINA 1,064 0.2% 185 0.2% 5.8 Concurrent use of AMIODARONE and CALCIUM CHANNEL BLOCKERS may result in bradycardia, atrioventricular block and/or sinus arrest. M01AE01-N06AB05 IBUPROFENE-PAROXETINA CLORIDRATO 1,063 0.2% 599 0.8% 1.8 Concurrent use of SELECTIVE SEROTONIN REUPTAKE INHIBITORS and NONSTEROIDAL ANTIINFLAMMATORY AGENTS may result in an increased risk of bleeding. C03DA01-C09AA02 SPIRONOLATTONE-ENALAPRIL MALEATO 1,052 0.2% 156 0.2% 6.7 Concurrent use of POTASSIUM-SPARING DIURETICS and ANGIOTENSIN CONVERTING ENZYME INHIBITORS may result in hyperkalemia. B01AA03-N06AB05 WARFARIN SODICO-PAROXETINA CLORIDRATO 1,026 0.2% 334 0.4% 3.1 245 0.3% 4.2 1.0% 1.3 Concurrent use of PAROXETINE and ANTICOAGULANTS may result in an increased risk of bleeding. N02AB03-N02BE51 FENTANIL-PARACETAMOLO/CODEINA FOSFATO 1,025 0.2% Concurrent use of OPIOID ANALGESICS and OPIOID ANALGESICS may result in additive respiratory depression. C10AA05-J01FA09 ATORVASTATINA CALCIO TRIIDRATO-CLARITROMICINA 1,024 0.2% 762 Concurrent use of ATORVASTATIN and CLARITHROMYCIN may result in increased atorvastatin exposure and an increased risk of myopathy or rhabdomyolysis. B01AA03-N06AB06 WARFARIN SODICO-SERTRALINA CLORIDRATO 1,004 0.2% 315 0.4% 3.2 109 0.1% 9.0 174 0.2% 5.6 Concurrent use of SERTRALINE and ANTICOAGULANTS may result in an increased risk of bleeding. B01AC05-N06AX16 TICLOPIDINA CLORIDRATO-VENLAFAXINA CLORIDRATO 983 0.2% Concurrent use of VENLAFAXINE and ANTIPLATELET AGENTS may result in an increased risk of bleeding. N06AX11-N06AX16 MIRTAZAPINA-VENLAFAXINA CLORIDRATO 972 0.2% Concurrent use of MIRTAZAPINE and VENLAFAXINE may result in an increased risk of serotonin syndrome. Bergamo 2011/2012 - IF per coppia ATC con descrizione Assititi: tutti Periodo : 01.10.2011 - 30.09.2012. Interaz. su 30 gg: Contr., Magg ATC Descrizione-Descrizione Interazioni % (1) Assistiti 968 0.2% C03EA01-C09AA04 AMILORIDE CLORIDRATO/IDROCLOROTIAZIDE-PERINDOPRIL ARGININA 251 % (2) Int/Ass 0.3% 3.9 Concurrent use of POTASSIUM-SPARING DIURETICS and ANGIOTENSIN CONVERTING ENZYME INHIBITORS may result in hyperkalemia. J01FA09-R03AK07 954 0.2% 774 1.0% CLARITROMICINA-BECLOMETASONE DIPROPRIONATO/FORMOTEROLO FUMARATO DIIDRATO 1.2 Concurrent use of FORMOTEROL and QT PROLONGING DRUGS may result in increased risk of ventricular arrhythmias. B01AB05-N06AB04 ENOXAPARINA SODICA-CITALOPRAM BROMIDRATO 938 0.2% 345 0.4% 2.7 166 0.2% 5.6 Concurrent use of CITALOPRAM and ANTICOAGULANTS may result in an increased risk of bleeding. 0.2% C03EA01-C09AA03 AMILORIDE CLORIDRATO/IDROCLOROTIAZIDE-LISINOPRIL 925 DIIDRATO Concurrent use of POTASSIUM-SPARING DIURETICS and ANGIOTENSIN CONVERTING ENZYME INHIBITORS may result in hyperkalemia. 0.2% 249 0.3% 3.6 899 0.2% N02AA05-N02AA99 OXICODONE CLORIDRATO-OXICODONE CLORIDRATO/PARACETAMOLO 176 0.2% 5.1 432 0.5% 2.0 467 0.6% 1.8 B01AA07-B01AC06 ACENOCUMAROLO-ACIDO ACETILSALICILICO 905 Concurrent use of DICUMAROL and ASPIRIN may result in an increased risk of bleeding. Concurrent use of OPIOID ANALGESICS and OPIOID ANALGESICS may result in additive respiratory depression. J01MA12-N05AH04 LEVOFLOXACINA EMIIDRATO-QUETIAPINA FUMARATO 884 0.2% Concurrent use of LEVOFLOXACIN and QUETIAPINE may result in an increased risk of QT prolongation. B01AB05-M01AE03 ENOXAPARINA SODICA-KETOPROFENE 863 0.2% Concurrent use of LOW MOLECULAR WEIGHT HEPARINS and NONSTEROIDAL ANTIINFLAMMATORY AGENTS may result in an increased risk of bleeding. N06AB04-N06AX05 CITALOPRAM BROMIDRATO-TRAZODONE CLORIDRATO 858 0.2% 207 0.3% 4.1 Concurrent use of CITALOPRAM and TRAZODONE may result in an increased risk of QT interval prolongation and serotonin syndrome (hypertension, hyperthermia, myoclonus, mental status changes). 850 0.2% C07AG02-R03AK06 CARVEDILOLO-SALMETEROLO XINAFOATO/FLUTICASONE PROPIONATO 211 0.3% 4.0 Concurrent use of BETA-ADRENERGIC BLOCKERS and BETA-2 AGONISTS may result in decreased effectiveness of either the beta-adrenergic blocker and/or the beta-2 agonist. 847 B01AC06-M01AB15 ACIDO ACETILSALICILICO-KETOROLAC SALE DI TROMETAMOLO 0.2% 538 0.7% 1.6 Concurrent use of ASPIRIN and KETOROLAC may result in enhanced gastrointestinal adverse effects (peptic ulcers, gastrointestinal bleeding, and/or perforation) and possible increase in serum ketorolac levels. J01MA12-N06AB04 LEVOFLOXACINA EMIIDRATO-CITALOPRAM BROMIDRATO 843 0.2% 520 0.7% 1.6 310 0.4% 2.7 Concurrent use of CITALOPRAM and LEVOFLOXACIN may result in increased risk of QT interval prolongation. N02AX02-N06AA09 TRAMADOLO CLORIDRATO-AMITRIPTILINA CLORIDRATO 833 0.2% Concurrent use of AMITRIPTYLINE and TRAMADOL may result in an increased risk of seizures; increased concentrations of tramadol and decreased concentrations of tramadol active metabolite, M1. 829 0.2% 287FUMARATO 0.4% DIIDRATO 2.9 C07AB07-R03AK07 BISOPROLOLO EMIFUMARATO-BECLOMETASONE DIPROPRIONATO/FORMOTEROLO Concurrent use of BETA-ADRENERGIC BLOCKERS and BETA-2 AGONISTS may result in decreased effectiveness of either the beta-adrenergic blocker and/or the beta-2 agonist. N02AX02-N06AB04 TRAMADOLO CLORIDRATO-CITALOPRAM BROMIDRATO 825 0.2% 212 0.3% 3.9 Concurrent use of CITALOPRAM and TRAMADOL may result in an increased risk of seizures and serotonin syndrome (hypertension, hyperthermia, myoclonus, mental status changes). C02AC01-C07AB03 CLONIDINA-ATENOLOLO 824 0.2% 179 0.2% 4.6 Concurrent use of ATENOLOL and CLONIDINE may result in increased risk of sinus bradycardia; exaggerated clonidine withdrawal response (acute hypertension). 255 0.3% 3.2 817 0.2% 308 C07AB12-R03AK06 NEBIVOLOLO CLORIDRATO-SALMETEROLO XINAFOATO/FLUTICASONE PROPIONATO 0.4% 2.7 B01AA03-N06AB04 WARFARIN SODICO-CITALOPRAM BROMIDRATO 821 0.2% Concurrent use of CITALOPRAM and ANTICOAGULANTS may result in an increased risk of bleeding. Concurrent use of BETA-ADRENERGIC BLOCKERS and BETA-2 AGONISTS may result in decreased effectiveness of either the beta-adrenergic blocker and/or the beta-2 agonist. Bergamo 2011/2012 - IF per coppia ATC con descrizione Assititi: tutti Periodo : 01.10.2011 - 30.09.2012. Interaz. su 30 gg: Contr., Magg ATC Descrizione-Descrizione Interazioni % (1) Assistiti % (2) Int/Ass 814 0.2% 203 0.3% 4.0 J02AC01-N02AB03 FLUCONAZOLO-FENTANIL Concurrent use of FENTANYL and FLUCONAZOLE may result in increased or prolonged opioid effects (CNS depression, respiratory depression). C10AA07-J01FA09 ROSUVASTATINA SALE DI CALCIO-CLARITROMICINA 810 0.2% 588 0.7% 1.4 299 0.4% 2.7 Concurrent use of CLARITHROMYCIN and ROSUVASTATIN may result in increased risk of rhabdomyolysis. J01EE01-J02AC01 TRIMETOPRIM/SULFAMETOXAZOLO-FLUCONAZOLO 809 0.2% Concurrent use of COTRIMOXAZOLE and FLUCONAZOLE may result in an increased risk of cardiotoxicity (QT prolongation, torsades de pointes, cardiac arrest). N02AX02-N06AX16 TRAMADOLO CLORIDRATO-VENLAFAXINA CLORIDRATO 805 0.2% 127 0.2% 6.3 187 0.2% 4.3 401 0.5% 2.0 Concurrent use of TRAMADOL and VENLAFAXINE may result in an increased risk of serotonin syndrome. B01AC05-N06AB10 TICLOPIDINA CLORIDRATO-ESCITALOPRAM OSSALATO 804 0.2% Concurrent use of ESCITALOPRAM and ANTIPLATELET AGENTS may result in an increased risk of bleeding. M01AE01-N06AB06 IBUPROFENE-SERTRALINA CLORIDRATO 799 0.2% Concurrent use of SELECTIVE SEROTONIN REUPTAKE INHIBITORS and NONSTEROIDAL ANTIINFLAMMATORY AGENTS may result in an increased risk of bleeding. B01AA03-J01CA04 WARFARIN SODICO-AMOXICILLINA TRIIDRATO 793 0.2% 570 0.7% 1.4 0.2% 282 0.4% 2.8 Concurrent use of AMOXICILLIN and WARFARIN may result in an increased risk of bleeding. N02AX02-N06AB05 TRAMADOLO CLORIDRATO-PAROXETINA CLORIDRATO 776 Concurrent use of PAROXETINE and TRAMADOL may result in an increased risk of seizures and serotonin syndrome (hypertension, hyperthermia, myoclonus, mental status changes); a decrease in the analgesic effect of tramadol. G04CA02-J01FA09 TAMSULOSINA CLORIDRATO-CLARITROMICINA 765 0.2% 476 0.6% 1.6 0.4% 2.2 Concurrent use of TAMSULOSIN and STRONG CYP3A4 INHIBITORS may result in increased tamsulosin exposure. B01AC05-M01AB05 TICLOPIDINA CLORIDRATO-DICLOFENAC POTASSICO 758 0.2% 343 Concurrent use of TICLOPIDINE and NONSTEROIDAL ANTIINFLAMMATORY AGENTS may result in increased risk of gastrointestinal bleeding. C07AA07-C09DA03 SOTALOLO CLORIDRATO-VALSARTAN/IDROCLOROTIAZIDE 739 0.2% 165 0.2% 4.5 Concurrent use of SOTALOL and DIURETICS may result in an increased risk of cardiotoxicity (QT prolongation, torsades de pointes, cardiac arrest). M01AE01-N06AB04 IBUPROFENE-CITALOPRAM BROMIDRATO 731 0.2% 369 0.5% 2.0 Concurrent use of SELECTIVE SEROTONIN REUPTAKE INHIBITORS and NONSTEROIDAL ANTIINFLAMMATORY AGENTS may result in an increased risk of bleeding. J01MA12-R03DA04 LEVOFLOXACINA EMIIDRATO-TEOFILLINA 728 0.2% 335 0.4% 2.2 Concurrent use of THEOPHYLLINE and LEVOFLOXACIN may result in theophylline toxicity (nausea, vomiting, palpitations, seizures). C07AA07-C09BA05 SOTALOLO CLORIDRATO-RAMIPRIL/IDROCLOROTIAZIDE 722 0.2% 112 0.1% 6.4 Concurrent use of SOTALOL and DIURETICS may result in an increased risk of cardiotoxicity (QT prolongation, torsades de pointes, cardiac arrest). J01MA12-N06AX05 LEVOFLOXACINA EMIIDRATO-TRAZODONE CLORIDRATO 722 0.2% 376 0.5% 1.9 54 0.1% 13.4 117 0.1% 6.1 569 0.7% 1.2 Concurrent use of LEVOFLOXACIN and TRAZODONE may result in an increased risk of QT interval prolongation. N03AA02-N03AE01 FENOBARBITAL-CLONAZEPAM 721 0.2% Concurrent use of BARBITURATES and BENZODIAZEPINES may result in additive respiratory depression. B01AC05-N06AX21 TICLOPIDINA CLORIDRATO-DULOXETINA CLORIDRATO 710 0.2% Concurrent use of DULOXETINE and ANTIPLATELET AGENTS may result in an increased risk of bleeding. J01FA09-R03BA05 CLARITROMICINA-FLUTICASONE PROPIONATO 710 0.2% Concurrent use of CLARITHROMYCIN and FLUTICASONE may result in increased fluticasone plasma concentration and reduced plasma cortisol concentration. Bergamo 2011/2012 - IF per coppia ATC con descrizione Assititi: tutti Periodo : 01.10.2011 - 30.09.2012. Interaz. su 30 gg: Contr., Magg ATC Descrizione-Descrizione Interazioni % (1) Assistiti % (2) Int/Ass 706 0.2% 169 0.2% 4.2 C01AA05-C09DA03 DIGOSSINA-VALSARTAN/IDROCLOROTIAZIDE Concurrent use of DIGITALIS GLYCOSIDES and THIAZIDE DIURETICS may result in digitalis toxicity (nausea, vomiting, arrhythmias). C01BD01-C08CA13 AMIODARONE CLORIDRATO-LERCANIDIPINA CLORIDRATO 703 0.2% 157 0.2% 4.5 Concurrent use of AMIODARONE and CALCIUM CHANNEL BLOCKERS may result in bradycardia, atrioventricular block and/or sinus arrest. C01BD01-C07AB02 AMIODARONE CLORIDRATO-METOPROLOLO TARTRATO 702 0.2% 210 0.3% 3.3 Concurrent use of AMIODARONE and BETA-ADRENERGIC BLOCKERS may result in hypotension, bradycardia, or cardiac arrest. N02AX02-N06AX21 TRAMADOLO CLORIDRATO-DULOXETINA CLORIDRATO 697 0.2% 146 0.2% 4.8 209 0.3% 3.3 0.2% 3.8 197 0.2% 3.4 490 0.6% 1.4 0.2% 3.7 Concurrent use of DULOXETINE and TRAMADOL may result in an increased risk of serotonin syndrome. 683 N02AA05-N02AA59 OXICODONE CLORIDRATO-PARACETAMOLO/CODEINA FOSFATO 0.2% Concurrent use of OPIOID ANALGESICS and OPIOID ANALGESICS may result in additive respiratory depression. C10AA07-C10AB05 ROSUVASTATINA SALE DI CALCIO-FENOFIBRATO 682 0.2% 181 Concurrent use of FENOFIBRATE and ROSUVASTATIN may result in an increased risk of myopathy or rhabdomyolysis. 675 0.2% A02BX13-C09AA02 SODIO ALGINATO/POTASSIO BICARBONATO-ENALAPRIL MALEATO Concurrent use of ENALAPRIL and POTASSIUM may result in hyperkalemia. J01FA10-J02AC01 AZITROMICINA DIIDRATO-FLUCONAZOLO 673 0.2% Concurrent use of AZITHROMYCIN and FLUCONAZOLE may result in an increased risk of QT interval prolongation. C09AA05-C09CA07 RAMIPRIL-TELMISARTAN 670 0.2% 183 Concurrent use of ANGIOTENSIN CONVERTING ENZYME INHIBITORS and ANGIOTENSIN II RECEPTOR BLOCKERS may result in increased risk of adverse events (ie, hypotension, syncope, hyperkalemia, changes in renal function, acute renal failure). C01BC04-C09DA04 FLECAINIDE ACETATO-IRBESARTAN/IDROCLOROTIAZIDE 663 0.1% 90 0.1% 7.4 Concurrent use of FLECAINIDE and HYDROCHLOROTHIAZIDE may result in increased risk of electrolyte imbalance and subsequent cardiotoxicity. B01AB06-C01DA02 NADROPARINA CALCICA-NITROGLICERINA 660 0.1% 158 0.2% 4.2 277 0.3% 2.4 0.2% 3.5 Concurrent use of HEPARIN and NITROGLYCERIN may result in a decrease in partial thromboplastin time. C01BC03-J01MA12 PROPAFENONE CLORIDRATO-LEVOFLOXACINA EMIIDRATO 659 0.1% Concurrent use of LEVOFLOXACIN and PROPAFENONE may result in increased risk of QT interval prolongation. C01AA05-C03EA01 DIGOSSINA-AMILORIDE CLORIDRATO/IDROCLOROTIAZIDE 658 0.1% 188 Concurrent use of DIGITALIS GLYCOSIDES and THIAZIDE DIURETICS may result in digitalis toxicity (nausea, vomiting, arrhythmias). M01AB05-N06AB05 DICLOFENAC POTASSICO-PAROXETINA CLORIDRATO 657 0.1% 374 0.5% 1.8 Concurrent use of SELECTIVE SEROTONIN REUPTAKE INHIBITORS and NONSTEROIDAL ANTIINFLAMMATORY AGENTS may result in an increased risk of bleeding. C09AA05-C09CA08 RAMIPRIL-OLMESARTAN MEDOXOMIL 656 0.1% 222 0.3% 3.0 Concurrent use of ANGIOTENSIN CONVERTING ENZYME INHIBITORS and ANGIOTENSIN II RECEPTOR BLOCKERS may result in increased risk of adverse events (ie, hypotension, syncope, hyperkalemia, changes in renal function, acute renal failure). 653 0.1% 176 G04CA01-R03AK06 ALFUZOSINA CLORIDRATO-SALMETEROLO XINAFOATO/FLUTICASONE PROPIONATO 0.2% 3.7 272 0.3% 2.4 287 0.4% 2.3 Concurrent use of ALFUZOSIN and SALMETEROL may result in an increased risk of QT interval prolongation. B01AB05-N06AB10 ENOXAPARINA SODICA-ESCITALOPRAM OSSALATO 648 0.1% Concurrent use of ESCITALOPRAM and ANTICOAGULANTS may result in an increased risk of bleeding. 647 B01AB05-M01AB15 ENOXAPARINA SODICA-KETOROLAC SALE DI TROMETAMOLO 0.1% Concurrent use of LOW MOLECULAR WEIGHT HEPARINS and NONSTEROIDAL ANTIINFLAMMATORY AGENTS may result in an increased risk of bleeding. N02AB03-N06AB05 FENTANIL-PAROXETINA CLORIDRATO 645 0.1% 118 0.1% 5.5 Concurrent use of FENTANYL and PAROXETINE may result in increased risk of serotonin syndrome or neuroleptic malignant syndrome-like reactions. Bergamo 2011/2012 - IF per coppia ATC con descrizione Assititi: tutti Periodo : 01.10.2011 - 30.09.2012. Interaz. su 30 gg: Contr., Magg ATC Descrizione-Descrizione Interazioni % (1) Assistiti % (2) Int/Ass 642 0.1% 174 0.2% 3.7 A03FA01-N05AD01 METOCLOPRAMIDE CLORIDRATO-ALOPERIDOLO Concurrent use of METOCLOPRAMIDE and ANTIPSYCHOTICS may result in an increased risk of extrapyramidal reactions or neuroleptic malignant syndrome. 0.1% 361 0.5% 1.7 0.1% A10AB04-J01MA12 INSULINA LISPRO DA DNA RICOMBINANTE-LEVOFLOXACINA629 EMIIDRATO 372 0.5% 1.7 B01AB05-B01AB06 ENOXAPARINA SODICA-NADROPARINA CALCICA 630 Concurrent use of ENOXAPARIN and HEPARIN may result in increased risk of bleeding. Concurrent use of FLUOROQUINOLONES and ANTIDIABETIC AGENTS may result in changes in blood glucose and increased risk of hypoglycemia or hyperglycemia. N02AA01-N02AA05 MORFINA CLORIDRATO-OXICODONE CLORIDRATO 629 0.1% 199 0.3% 3.2 0.1% 5.7 Concurrent use of OPIOID ANALGESICS and OPIOID ANALGESICS may result in additive respiratory depression. N02AB03-N06AB06 FENTANIL-SERTRALINA CLORIDRATO 626 0.1% 110 Concurrent use of FENTANYL and SERTRALINE may result in increased risk of serotonin syndrome or neuroleptic malignant syndrome-like reactions. C03EB01-C09AA02 FUROSEMIDE/SPIRONOLATTONE-ENALAPRIL MALEATO 621 0.1% 133 0.2% 4.7 Concurrent use of POTASSIUM-SPARING DIURETICS and ANGIOTENSIN CONVERTING ENZYME INHIBITORS may result in hyperkalemia. N02AB03-N06AX05 FENTANIL-TRAZODONE CLORIDRATO 610 0.1% 106 0.1% 5.8 Concurrent use of FENTANYL and TRAZODONE may result in increased risk of serotonin syndrome (hypertension, hyperthermia, myoclonus, mental status changes). N02AB03-N06AB04 FENTANIL-CITALOPRAM BROMIDRATO 606 0.1% 103 0.1% 5.9 199 0.3% 3.0 Concurrent use of CITALOPRAM and FENTANYL may result in increased risk of serotonin syndrome. N02AX02-N06AB06 TRAMADOLO CLORIDRATO-SERTRALINA CLORIDRATO 606 0.1% Concurrent use of SERTRALINE and TRAMADOL may result in an increased risk of seizures and serotonin syndrome (hypertension, hyperthermia, myoclonus, mental status changes). B01AB05-B01AC04 ENOXAPARINA SODICA-CLOPIDOGREL 604 0.1% 280 0.4% 2.2 84 0.1% 7.2 Concurrent use of CLOPIDOGREL and ANTICOAGULANTS may result in an increased risk of bleeding. C01BC04-C09DA03 FLECAINIDE ACETATO-VALSARTAN/IDROCLOROTIAZIDE 603 0.1% Concurrent use of FLECAINIDE and HYDROCHLOROTHIAZIDE may result in increased risk of electrolyte imbalance and subsequent cardiotoxicity. N02AX02-N06AB10 TRAMADOLO CLORIDRATO-ESCITALOPRAM OSSALATO 590 0.1% 173 0.2% 3.4 Concurrent use of TRAMADOL and ESCITALOPRAM may result in an increased risk of seizures and serotonin syndrome (hypertension, hyperthermia, myoclonus, mental status changes). B01AA03-N06AB10 WARFARIN SODICO-ESCITALOPRAM OSSALATO 581 0.1% 203 0.3% 2.9 405 0.5% 1.4 Concurrent use of ESCITALOPRAM and ANTICOAGULANTS may result in an increased risk of bleeding. A10AE04-J01MA12 INSULINA GLARGINE-LEVOFLOXACINA EMIIDRATO 577 0.1% Concurrent use of FLUOROQUINOLONES and ANTIDIABETIC AGENTS may result in changes in blood glucose and increased risk of hypoglycemia or hyperglycemia. N03AA03-N03AF01 PRIMIDONE-CARBAMAZEPINA 577 0.1% 32 0.0% 18.0 0.4% 1.8 Concurrent use of PRIMIDONE and CYP3A4 SUBSTRATES may result in decreased exposure of CYP3A4 substrates. M01AE01-N06AB10 IBUPROFENE-ESCITALOPRAM OSSALATO 576 0.1% 326 Concurrent use of SELECTIVE SEROTONIN REUPTAKE INHIBITORS and NONSTEROIDAL ANTIINFLAMMATORY AGENTS may result in an increased risk of bleeding. N02AX02-N06AX05 TRAMADOLO CLORIDRATO-TRAZODONE CLORIDRATO 565 0.1% 153 0.2% 3.7 Concurrent use of TRAMADOL and TRAZODONE may result in increased risk of serotonin syndrome (hypertension, hyperthermia, myoclonus, mental status changes). B01AA03-B01AC05 WARFARIN SODICO-TICLOPIDINA CLORIDRATO 563 0.1% Concurrent use of TICLOPIDINE and ANTICOAGULANTS may result in an increased risk of bleeding. 175 0.2% 3.2 Bergamo 2011/2012 - IF per coppia ATC con descrizione Assititi: tutti Periodo : 01.10.2011 - 30.09.2012. Interaz. su 30 gg: Contr., Magg ATC Descrizione-Descrizione Interazioni % (1) Assistiti % (2) Int/Ass 563 0.1% 67 0.1% 8.4 286 0.4% 2.0 C02AC01-C08DA01 CLONIDINA-VERAPAMIL CLORIDRATO Concurrent use of CLONIDINE and VERAPAMIL may result in increased incidence of sinus bradycardia. B01AC06-M01AE02 ACIDO ACETILSALICILICO-NAPROXENE 561 0.1% Concurrent use of ASPIRIN and NAPROXEN may result in increased risk of serious gastrointestinal adverse effects (ulceration, bleeding, perforation). C01BD01-C07AB12 AMIODARONE CLORIDRATO-NEBIVOLOLO CLORIDRATO 550 0.1% 151 0.2% 3.6 Concurrent use of AMIODARONE and BETA-ADRENERGIC BLOCKERS may result in hypotension, bradycardia, or cardiac arrest. C07AB07-C08DA01 BISOPROLOLO EMIFUMARATO-VERAPAMIL CLORIDRATO 548 0.1% 149 0.2% 3.7 93 0.1% 5.9 Concurrent use of VERAPAMIL and BETA-ADRENERGIC BLOCKERS may result in hypotension, bradycardia. C09BA05-C09CA03 RAMIPRIL/IDROCLOROTIAZIDE-VALSARTAN 548 0.1% Concurrent use of ANGIOTENSIN CONVERTING ENZYME INHIBITORS and ANGIOTENSIN II RECEPTOR BLOCKERS may result in increased risk of adverse events (ie, hypotension, syncope, hyperkalemia, changes in renal function, acute renal failure). C07AA07-C09DA04 SOTALOLO CLORIDRATO-IRBESARTAN/IDROCLOROTIAZIDE547 0.1% 119 0.1% 4.6 Concurrent use of SOTALOL and DIURETICS may result in an increased risk of cardiotoxicity (QT prolongation, torsades de pointes, cardiac arrest). C09AA05-C09DA07 RAMIPRIL-TELMISARTAN/IDROCLOROTIAZIDE 547 0.1% 129 0.2% 4.2 Concurrent use of ANGIOTENSIN CONVERTING ENZYME INHIBITORS and ANGIOTENSIN II RECEPTOR BLOCKERS may result in increased risk of adverse events (ie, hypotension, syncope, hyperkalemia, changes in renal function, acute renal failure). M01AB15-M01AE01 KETOROLAC SALE DI TROMETAMOLO-IBUPROFENE 542 0.1% 314 0.4% 1.7 Concurrent use of KETOROLAC and NONSTEROIDAL ANTIINFLAMMATORY AGENTS may result in enhanced gastrointestinal adverse effects (peptic ulcers, gastrointestinal bleeding and/or perforation). N02AA59-N02AE01 PARACETAMOLO/CODEINA FOSFATO-BUPRENORFINA 536 0.1% 137 0.2% 3.9 Concurrent use of OPIOID ANALGESICS and OPIOID AGONISTS/ANTAGONISTS may result in precipitation of withdrawal symptoms (abdominal cramps, nausea, vomiting, lacrimation, rhinorrhea, anxiety, restlessness, elevation of temperature or piloerection). N02AB03-N06AA09 FENTANIL-AMITRIPTILINA CLORIDRATO 534 0.1% 139 0.2% 3.8 Concurrent use of AMITRIPTYLINE and FENTANYL may result in an increased risk of serotonin syndrome (hypertension, hyperthermia, myoclonus, mental status changes). B01AA03-C10BA02 WARFARIN SODICO-EZETIMIBE/SIMVASTATINA 529 0.1% 157 0.2% 3.4 Concurrent use of SIMVASTATIN and WARFARIN may result in increased risk of bleeding and an increased risk of rhabdomyolysis. C01AA05-C09BA05 DIGOSSINA-RAMIPRIL/IDROCLOROTIAZIDE 529 0.1% 99 0.1% 5.3 Concurrent use of DIGITALIS GLYCOSIDES and THIAZIDE DIURETICS may result in digitalis toxicity (nausea, vomiting, arrhythmias). 108 0.1% 4.9 525 0.1% 173 N06AB04-R03AK06 CITALOPRAM BROMIDRATO-SALMETEROLO XINAFOATO/FLUTICASONE PROPIONATO 0.2% 3.0 0.3% 2.5 0.4% 1.7 B01AA03-N06AX16 WARFARIN SODICO-VENLAFAXINA CLORIDRATO 526 0.1% Concurrent use of VENLAFAXINE and ANTICOAGULANTS may result in an increased risk of bleeding. Concurrent use of CITALOPRAM and SALMETEROL may result in an increased risk of QT interval prolongation. 518 N02AA01-N02AA59 MORFINA CLORIDRATO-PARACETAMOLO/CODEINA FOSFATO 0.1% 205 Concurrent use of OPIOID ANALGESICS and OPIOID ANALGESICS may result in additive respiratory depression. A10AB05-J01MA12 INSULINA ASPART-LEVOFLOXACINA EMIIDRATO 517 0.1% 303 Concurrent use of FLUOROQUINOLONES and ANTIDIABETIC AGENTS may result in changes in blood glucose and increased risk of hypoglycemia or hyperglycemia. 514 M01AB05-M01AB15 DICLOFENAC POTASSICO-KETOROLAC SALE DI TROMETAMOLO 0.1% 334 0.4% 1.5 Concurrent use of KETOROLAC and NONSTEROIDAL ANTIINFLAMMATORY AGENTS may result in enhanced gastrointestinal adverse effects (peptic ulcers, gastrointestinal bleeding and/or perforation). M01AB05-N06AB06 DICLOFENAC POTASSICO-SERTRALINA CLORIDRATO 513 0.1% 257 0.3% 2.0 Concurrent use of SELECTIVE SEROTONIN REUPTAKE INHIBITORS and NONSTEROIDAL ANTIINFLAMMATORY AGENTS may result in an increased risk of bleeding. Bergamo 2011/2012 - IF per farmaco Assititi: tutti Periodo : 01.10.2011 - 30.09.2012. Interaz. su 30 gg: Contr., Magg Farmaci Severità: Insorgenza: Doc.: Maggiore Non specificato Discreta 8.141 2.670 Concurrent use of ASPIRIN and CLOPIDOGREL HYDROGEN SULFATE may result in an increased risk of bleeding. Maggiore CARDIOASPIRIN COUMADIN Ritardato Eccellente 5.429 1.797 La contemporanea assunzione di ASPIRINA e WARFARINA può portare ad un aumento del rischio di sanguinamento Maggiore CLEXANE COUMADIN Non specificato Discreta 3.482 1.803 L'utilizzo concomitante di enoxaparina e warfarin può portare ad un aumentato rischio di sanguinamento CORDARONE COUMADIN CARDIOASPIRIN PLAVIX Maggiore Numero: Assistiti: Ritardato Eccellente 3.021 936 La contemporanea assunzione di AMIODARONE e WARFARIN può portare ad un aumento del rischio di sanguinamento. Maggiore CLEXANE T COUMADIN Non specificato Discreta 2.827 1.287 L'utilizzo concomitante di enoxaparina e warfarin può portare ad un aumentato rischio di sanguinamento NORVASC SIVASTIN Nelle 24 ore Buona 2.619 539 Concurrent use of AMLODIPINE and SIMVASTATIN may result in increased simvastatin exposure and increased risk of myopathy, including rhabdomyolysis. Maggiore Non specificato Discreta SEROQUEL TRITTICO 2.478 491 Concurrent use of QUETIAPINE and TRAZODONE may result in an increased risk of QT interval prolongation. BRUFEN CLEXANE Maggiore Maggiore Non specificato Buona 2.125 1.173 L'utilizzo concomitante di EPARINE A BASSO PESO MOLECOLARE e di FANS può aumentare il rischio di emorragia. Maggiore CARDIOASPIRIN ZOLOFT Non specificato Buona 1.981 584 L'utilizzo concomitante di sertralina e farmaci antiaggreganti può portare ad un aumentato rischio di sanguinamento Maggiore CARDIOASPIRIN CIPRALEX Non specificato Buona 1.888 570 L'utilizzo concomitante di ESCITALOPRAM e di ANTIAGGREGANTI PIASTRINICI può aumentare il rischio di sanguinamento. Maggiore AMLODIPINA DOC G. SIMVASTATINA DOC Nelle 24 ore Buona 1.744 465 1.729 140 Concurrent use of AMLODIPINE and SIMVASTATIN may result in increased simvastatin exposure and increased risk of myopathy, including rhabdomyolysis. Maggiore Ritardato Eccellente DEPAKIN LAMICTAL La contemporanea assunzione di LAMOTRIGINA e ACIDO VALPROICO può causare un aumento dell’emivita di eliminazione della lamotrigina portando a tossicità da lamotrigina (affaticamento, sonnolenza, atassia) e un aumento del rischio di rash potenzialmente mortali. Maggiore Ritardato Eccellente 1.723 AMIODARONE SANDOZ COUMADIN 609 La contemporanea assunzione di AMIODARONE e WARFARIN può portare ad un aumento del rischio di sanguinamento. Maggiore CARDIOASPIRIN CYMBALTA Non specificato La contemporanea assunzione di DULOXETINA e AGENTI ANTIAGGREGANTI può portare ad un maggior rischio di sanguinamento. Maggiore Nelle 24 ore AMLODIPINA M.G. SIMVASTATINA M.G. Buona 1.698 377 Buona 1.592 437 Concurrent use of AMLODIPINE and SIMVASTATIN may result in increased simvastatin exposure and increased risk of myopathy, including rhabdomyolysis. Pag. 1 di 1.539 Le interazioni segnalate sono ottenute interrogando la banca dati MICROMEDEX DRUG-REAX® della THOMSON REUTERS. Bergamo 2011/2012 - IF per farmaco Assititi: tutti Periodo : 01.10.2011 - 30.09.2012. Interaz. su 30 gg: Contr., Magg Farmaci Severità: Insorgenza: Doc.: Maggiore Non specificato Buona 1.565 437 L'utilizzo concomitante di ESCITALOPRAM e di ANTIAGGREGANTI PIASTRINICI può aumentare il rischio di sanguinamento. Maggiore CARDIOASPIRIN EFEXOR Non specificato Buona 1.528 258 Buona 1.469 282 CARDIOASPIRIN ENTACT La contemporanea assunzione di VENLAFAXINA e AGENTI ANTIAGGREGANTI può portare ad un maggior rischio di sanguinamento. Maggiore Nelle 24 ore CORDARONE NORVASC Numero: Assistiti: La contemporanea assunzione di AMIODARONE e BLOCCANTI DEI CANALI DEL CALCIO può portare a bradicardia, blocco atrioventricolare e/o arresto del nodo senoatriale. Maggiore Ritardato Buona 1.337 MODURETIC TRIATEC 320 La contemporanea assunzione di DIURETICI RISPARMIATORI DI POTASSIO e ACE-INIBITORI può causare iperkaliemia. Maggiore AMIODAR COUMADIN Ritardato Eccellente 1.285 401 La contemporanea assunzione di AMIODARONE e WARFARIN può portare ad un aumento del rischio di sanguinamento. Maggiore DEPALGOS OXYCONTIN Nelle 24 ore Buona 1.270 228 L'utilizzo concomitante di farmaci analgesici oppioidi può sfociare in una depressione respiratoria CARDIOASPIRIN CITALOPRAM M.G. Non specificato Buona 1.268 426 Ritardato Eccellente 1.202 394 La contemporanea assunzione di SIMVASTATINA e WARFARIN può portare ad un maggior rischio di sanguinamento e ad un aumentato rischio di rabdomiolisi. Maggiore Nelle 24 ore Eccellente AMIODARONE SANDOZ BISOPROLOLO SAN 1.195 344 La contemporanea assunzione di AMIODARONE e BLOCCANTI BETA-ADRENERGICI può portare ad ipotensione, bradicardia o arresto cardiaco. Maggiore Non specificato CARDIOASPIRIN SEREUPIN Buona 1.194 339 L'utilizzo concomitante di PAROXETINA e di ANTIAGGREGANTI PIASTRINICI può aumentare il rischio di emorragia. Maggiore COEFFERALGAN DUROGESIC Nelle 24 ore Buona 1.185 258 L'utilizzo concomitante di farmaci analgesici oppioidi può sfociare in una depressione respiratoria CARDIOASPIRIN XERISTAR Non specificato Buona 1.183 268 Buona 1.181 235 Concurrent use of AMLODIPINE and SIMVASTATIN may result in increased simvastatin exposure and increased risk of myopathy, including rhabdomyolysis. Maggiore Non specificato Buona CARDIOASPIRIN CITALOPRAM DOC 1.162 375 L'utilizzo concomitante di CITALOPRAM e di ANTIAGGREGANTI PIASTRINICI può aumentare il rischio di emorragia. Maggiore NORVASC PLAVIX Eccellente 1.160 356 Discreta 1.125 730 Maggiore L'utilizzo concomitante di CITALOPRAM e di ANTIAGGREGANTI PIASTRINICI può aumentare il rischio di emorragia. Maggiore COUMADIN SIVASTIN Maggiore La contemporanea assunzione di DULOXETINA e AGENTI ANTIAGGREGANTI può portare ad un maggior rischio di sanguinamento. Maggiore Nelle 24 ore NORVASC SINVACOR Non specificato Concurrent use of AMLODIPINE and CLOPIDOGREL may result in decreased antiplatelet effect and increased risk of thrombotic events. Maggiore Non specificato ALIFLUS LEVOXACIN Concurrent use of LEVOFLOXACIN and SALMETEROL may result in an increased risk of QT interval prolongation. Pag. 2 di 1.539 Le interazioni segnalate sono ottenute interrogando la banca dati MICROMEDEX DRUG-REAX® della THOMSON REUTERS. Bergamo 2011/2012 - IF per farmaco Assititi: tutti Periodo : 01.10.2011 - 30.09.2012. Interaz. su 30 gg: Contr., Magg Farmaci LANOXIN LASITONE Severità: Insorgenza: Doc.: Maggiore Ritardato Buona 1.111 244 Discreta 1.093 709 La contemporanea assunzione di DIGOSSINA e SPIRONOLATTONE può portare a tossicità da digossina (nausea, vomito, aritmie) Maggiore Non specificato CARDIOASPIRIN OKI Numero: Assistiti: La contemporanea assunzione di ASPIRINA e KETOPROFENE può portare ad un aumento del rischio di seri effetti avversi gastrointestinali (ulcera, sanguinamento, perforazione della mucosa). Maggiore Non specificato Buona 1.044 CARDIOASPIRIN PAROXETINA M.G 360 L'utilizzo concomitante di PAROXETINA e di ANTIAGGREGANTI PIASTRINICI può aumentare il rischio di emorragia. Maggiore ALDACTONE LANOXIN Ritardato Buona 1.039 176 Eccellente 1.006 354 La contemporanea assunzione di SIMVASTATINA e WARFARIN può portare ad un maggior rischio di sanguinamento e ad un aumentato rischio di rabdomiolisi. Maggiore Non specificato Buona CARDIOASPIRIN SERTRALINA DOC 980 334 L'utilizzo concomitante di sertralina e farmaci antiaggreganti può portare ad un aumentato rischio di sanguinamento Maggiore NORVASC SIMVASTATINA DOC 952 308 Concurrent use of AMLODIPINE and SIMVASTATIN may result in increased simvastatin exposure and increased risk of myopathy, including rhabdomyolysis. Maggiore Non specificato Discreta CARDIOASPIRIN CLOPIDOGREL DOC G 947 353 Concurrent use of ASPIRIN and CLOPIDOGREL HYDROGEN SULFATE may result in an increased risk of bleeding. Maggiore CARDIOASPIRIN DAPAROX Non specificato Buona 936 311 L'utilizzo concomitante di PAROXETINA e di ANTIAGGREGANTI PIASTRINICI può aumentare il rischio di emorragia. Maggiore ALDACTONE TRIATEC Ritardato Buona 921 162 La contemporanea assunzione di DIURETICI RISPARMIATORI DI POTASSIO e ACE-INIBITORI può causare iperkaliemia. Maggiore DUROGESIC ORAMORPH Nelle 24 ore Buona 900 208 L'utilizzo concomitante di farmaci analgesici oppioidi può sfociare in una depressione respiratoria DUROGESIC TACHIDOL Maggiore Nelle 24 ore Buona 868 203 L'utilizzo concomitante di farmaci analgesici oppioidi può sfociare in una depressione respiratoria DUROGESIC EFFENTORA Maggiore Nelle 24 ore Buona 844 82 L'utilizzo concomitante di farmaci analgesici oppioidi può sfociare in una depressione respiratoria GAVISCON ADVANCE TRIATEC Maggiore Ritardato Buona 830 244 La contemporanea assunzione di POTASSIO e RAMIPRIL può determinare iperkaliemia. ISOPTIN TORVAST Maggiore Non specificato Discreta 829 156 La contemporanea assunzione di DIGOSSINA e SPIRONOLATTONE può portare a tossicità da digossina (nausea, vomito, aritmie) Maggiore Ritardato COUMADIN SIMVASTATINA DOC Nelle 24 ore Buona Concurrent use of ATORVASTATIN and VERAPAMIL may result in increased exposure to atorvastatin and an increased risk of myopathy or rhabdomyolysis. Pag. 3 di 1.539 Le interazioni segnalate sono ottenute interrogando la banca dati MICROMEDEX DRUG-REAX® della THOMSON REUTERS. Bergamo 2011/2012 - IF per farmaco Assititi: tutti Periodo : 01.10.2011 - 30.09.2012. Interaz. su 30 gg: Contr., Magg Farmaci Severità: Insorgenza: Doc.: Maggiore Ritardato Buona 828 188 La contemporanea assunzione di DIURETICI RISPARMIATORI DI POTASSIO e ACE-INIBITORI può causare iperkaliemia. Maggiore CARDIOASPIRIN SINTROM Ritardato Buona 816 223 L'utilizzo concomitante di dicumarolo e aspirina può portare ad un aumentato rischio di sanguinamento CORDARONE SEQUACOR Nelle 24 ore Eccellente 816 172 La contemporanea assunzione di AMIODARONE e BLOCCANTI BETA-ADRENERGICI può portare ad ipotensione, bradicardia o arresto cardiaco. Maggiore Ritardato ISOPTIN LANOXIN Eccellente 809 147 Concurrent use of DIGOXIN and VERAPAMIL may result in increased serum digoxin concentrations and risk of digitalis toxicity. Maggiore COUMADIN SIMVASTATINA M.G. Eccellente 807 308 La contemporanea assunzione di SIMVASTATINA e WARFARIN può portare ad un maggior rischio di sanguinamento e ad un aumentato rischio di rabdomiolisi. Maggiore Nelle 24 ore Buona DEPALGOS DUROGESIC 803 172 L'utilizzo concomitante di farmaci analgesici oppioidi può sfociare in una depressione respiratoria CARDIOASPIRIN SERTRALINA M.G. ENAPREN MODURETIC Maggiore Maggiore L'utilizzo concomitante di sertralina e farmaci antiaggreganti può portare ad un aumentato rischio di sanguinamento Maggiore ENAPREN ZYLORIC Ritardato Numero: Assistiti: Non specificato Buona 787 301 Nelle 24 ore Discreta 783 221 La contemporanea assunzione di ALLOPURINOLO e ENALAPRIL può portare a reazioni di ipersensibilità (sindrome di Stevens-Johnson, eruzioni cutanee, spasmo coronarico anafilattico). Maggiore Nelle 24 ore Eccellente 780 CORDARONE DILATREND 132 La contemporanea assunzione di AMIODARONE e BLOCCANTI BETA-ADRENERGICI può portare ad ipotensione, bradicardia o arresto cardiaco. Maggiore Nelle 24 ore NORVASC SIMVASTATINA M.G. 777 240 Concurrent use of AMLODIPINE and SIMVASTATIN may result in increased simvastatin exposure and increased risk of myopathy, including rhabdomyolysis. Maggiore Non specificato Buona CARDIOASPIRIN TICLOPIDINA DOC 725 222 Concurrent use of ASPIRIN and TICLOPIDINE may result in an increased risk of bleeding. CARDICOR CORDARONE Eccellente 722 142 La contemporanea assunzione di AMIODARONE e BLOCCANTI BETA-ADRENERGICI può portare ad ipotensione, bradicardia o arresto cardiaco. Maggiore Non specificato GARDENALE RIVOTRIL Buona 711 52 La contemporanea assunzione di BARBITURICI e BENZODIAZEPINE può portare a marcata depressione respiratoria Maggiore CITALOPRAM M.G. LANSOPRAZOLO M.G. Non specificato Discreta 708 173 Concurrent use of CITALOPRAM and LANSOPRAZOLE may result in increased citalopram exposure and risk of QT interval prolongation. Maggiore Non specificato ALIFLUS BISOPROLOLO SAN Discreta 702 226 Maggiore Nelle 24 ore Buona La contemporanea assunzione di BLOCCANTI BETA-ADRENERGICI e BETA-2 AGONISTI può portare ad una diminuzione di efficacia del beta-bloccante e/o del beta-2 agonista. Pag. 4 di 1.539 Le interazioni segnalate sono ottenute interrogando la banca dati MICROMEDEX DRUG-REAX® della THOMSON REUTERS. Bergamo 2011/2012 - IF per farmaco Assititi: tutti Periodo : 01.10.2011 - 30.09.2012. Interaz. su 30 gg: Contr., Magg Farmaci CONTRAMAL LAROXYL Severità: Insorgenza: Doc.: Maggiore Nelle 24 ore Discreta Numero: Assistiti: 698 266 La contemporanea assunzione di AMITRIPTILINA e TRAMADOLO può portare ad un aumento del rischio di attacchi convulsivi per aumento delle concentrazioni di tramadolo e diminuzione delle concentrazioni del suo metabolita attivo M1. Maggiore Non specificato Discreta 667 ALIFLUS TAVANIC 422 Concurrent use of LEVOFLOXACIN and SALMETEROL may result in an increased risk of QT interval prolongation. Maggiore BISOPROLOLO SAN CORDARONE Eccellente 653 201 La contemporanea assunzione di AMIODARONE e BLOCCANTI BETA-ADRENERGICI può portare ad ipotensione, bradicardia o arresto cardiaco. Maggiore Ritardato CARDIRENE COUMADIN Nelle 24 ore Eccellente 652 208 La contemporanea assunzione di ASPIRINA e WARFARINA può portare ad un aumento del rischio di sanguinamento Maggiore CARDIOASPIRIN TICLOPIDINA DOROM Non specificato Buona 649 209 Concurrent use of ASPIRIN and TICLOPIDINE may result in an increased risk of bleeding. LASITONE TRIATEC Maggiore Ritardato Buona 649 139 La contemporanea assunzione di DIURETICI RISPARMIATORI DI POTASSIO e ACE-INIBITORI può causare iperkaliemia. Maggiore COUMADIN LEVOXACIN Ritardato Eccellente 640 461 Concurrent use of LEVOFLOXACIN and WARFARIN may result in an increased risk of bleeding. CARDIOASPIRIN PAROXETINA DOC GEN. Maggiore Non specificato Buona 633 220 L'utilizzo concomitante di PAROXETINA e di ANTIAGGREGANTI PIASTRINICI può aumentare il rischio di emorragia. Maggiore CARDIOASPIRIN CLOPIDOGREL MG Non specificato Discreta 625 222 Concurrent use of ASPIRIN and CLOPIDOGREL HYDROGEN SULFATE may result in an increased risk of bleeding. Maggiore COEFFERALGAN DEPALGOS Nelle 24 ore Buona 625 291 L'utilizzo concomitante di farmaci analgesici oppioidi può sfociare in una depressione respiratoria CARDIOASPIRIN TIKLID Maggiore Non specificato Buona 623 162 Concurrent use of ASPIRIN and TICLOPIDINE may result in an increased risk of bleeding. LORTAAN TRIATEC Maggiore Non specificato Eccellente 616 90 Concurrent use of ANGIOTENSIN CONVERTING ENZYME INHIBITORS and ANGIOTENSIN II RECEPTOR BLOCKERS may result in increased risk of adverse events (ie, hypotension, syncope, hyperkalemia, changes in renal function, acute renal failure). Maggiore Non specificato Buona 610 CARDIOASPIRIN VENLAFAXINA DOC 144 La contemporanea assunzione di VENLAFAXINA e AGENTI ANTIAGGREGANTI può portare ad un maggior rischio di sanguinamento. Maggiore Nelle 24 ore CARDIOASPIRIN SELEPARINA Eccellente 604 366 La contemporanea assunzione di ASPIRINA e EPARINA può portare ad un aumento del rischio di sanguinamento TAREG TRIATEC Eccellente 604 107 Maggiore Non specificato Concurrent use of ANGIOTENSIN CONVERTING ENZYME INHIBITORS and ANGIOTENSIN II RECEPTOR BLOCKERS may result in increased risk of adverse events (ie, hypotension, syncope, hyperkalemia, changes in renal function, acute renal failure). Pag. 5 di 1.539 Le interazioni segnalate sono ottenute interrogando la banca dati MICROMEDEX DRUG-REAX® della THOMSON REUTERS. Bergamo 2011/2012 - IF per farmaco Assititi: tutti Periodo : 01.10.2011 - 30.09.2012. Interaz. su 30 gg: Contr., Magg Farmaci COEFFERALGAN OXYCONTIN L'utilizzo concomitante di farmaci analgesici oppioidi può sfociare in una depressione respiratoria CARDIRENE PLAVIX Severità: Insorgenza: Doc.: Numero: Assistiti: Maggiore Nelle 24 ore Buona 598 167 Maggiore Non specificato Discreta 594 226 Concurrent use of ASPIRIN and CLOPIDOGREL HYDROGEN SULFATE may result in an increased risk of bleeding. Maggiore MYSOLINE TEGRETOL Non specificato Discreta 577 32 Concurrent use of PRIMIDONE and CYP3A4 SUBSTRATES may result in decreased exposure of CYP3A4 substrates. Maggiore CARDIOASPIRIN ZARELIS Non specificato Buona 570 102 Discreta 561 366 La contemporanea assunzione di VENLAFAXINA e AGENTI ANTIAGGREGANTI può portare ad un maggior rischio di sanguinamento. Controindicato Non specificato CARDIOASPIRIN TORADOL L'utilizzo concomitante di ASPIRINA e di KETOROLAC aumenta gli effetti avversi gastrointestinali (ulcera peptica, sanguinamento gastrointestinale, e/o perforazione) e i livelli sierici di ketorolac. Maggiore Non specificato Discreta 561 CITALOPRAM DOC LANSOPRAZOLO DOC G 148 Concurrent use of CITALOPRAM and LANSOPRAZOLE may result in increased citalopram exposure and risk of QT interval prolongation. Maggiore Ritardato Eccellente 554 LANOXIN MODURETIC 167 La contemporanea assunzione di GLICOSIDI DIGITALICI e DIURETICI TIAZIDICI può portare a tossicità da digitalici (nausea, vomito, aritmie). Maggiore Ritardato COUMADIN SINVACOR Eccellente 551 171 La contemporanea assunzione di SIMVASTATINA e WARFARIN può portare ad un maggior rischio di sanguinamento e ad un aumentato rischio di rabdomiolisi. Maggiore Non specificato Discreta CARDIOASPIRIN ORUDIS 549 348 La contemporanea assunzione di ASPIRINA e KETOPROFENE può portare ad un aumento del rischio di seri effetti avversi gastrointestinali (ulcera, sanguinamento, perforazione della mucosa). Maggiore Non specificato Discreta 548 CITALOPRAM M.G. PANTOPRAZOLO M.G. 127 Concurrent use of CITALOPRAM and PANTOPRAZOLE may result in increased citalopram exposure and risk of QT interval prolongation. Maggiore Nelle 24 ore CONGESCOR CORDARONE Eccellente 548 117 La contemporanea assunzione di AMIODARONE e BLOCCANTI BETA-ADRENERGICI può portare ad ipotensione, bradicardia o arresto cardiaco. Maggiore Nelle 24 ore COEFFERALGAN MATRIFEN Buona 536 130 L'utilizzo concomitante di farmaci analgesici oppioidi può sfociare in una depressione respiratoria DIFLUCAN LEVOXACIN Buona 527 280 La contemporanea assunzione di FLUCONAZOLO e LEVOFLOXACINA può portare ad un aumento del rischio di prolungamento dell’intervallo QT e torsioni di punta Maggiore Non specificato Discreta CITALOPRAM M.G. SEROQUEL 525 124 Concurrent use of CITALOPRAM and QUETIAPINE may result in increased risk of QT interval prolongation. CARDIOASPIRIN TICLOPIDINA M.G. 520 178 Maggiore Maggiore Ritardato Non specificato Buona Concurrent use of ASPIRIN and TICLOPIDINE may result in an increased risk of bleeding. Pag. 6 di 1.539 Le interazioni segnalate sono ottenute interrogando la banca dati MICROMEDEX DRUG-REAX® della THOMSON REUTERS. Bergamo 2011/2012 - IF per farmaco Assititi: tutti Periodo : 01.10.2011 - 30.09.2012. Interaz. su 30 gg: Contr., Magg Farmaci Severità: Insorgenza: Doc.: Maggiore Nelle 24 ore Eccellente 511 97 Concurrent use of SIMVASTATIN and VERAPAMIL may result in increased exposure to simvastatin and an increased risk of myopathy or rhabdomyolysis. Maggiore Ritardato Eccellente CORDARONE LANOXIN 494 129 La contemporanea assunzione di DIGOSSINA e AMIODARONE può portare a tossicità da digitalici (nausea, vomito, aritmie cardiache). Maggiore Ritardato COUMADIN DIURESIX 484 115 La contemporanea assunzione di TORASEMIDE e WARFARIN può determinare un aumento delle concentrazioni plasmatiche di warfarin, una diminuzione della clearance del warfarin e un elevato INR (tempo internazionale standardizzato di protrombina) Maggiore Non specificato Discreta 483 ALIFLUS ZITROMAX 320 Concurrent use of AZITHROMYCIN and SALMETEROL may result in an increased risk of QT interval prolongation. Maggiore COEFFERALGAN TRANSTEC 474 114 La contemporanea assunzione di ANALGESICI OPPIOIDI e AGONISTI/ANTAGONISTI OPPIOIDI può provocare sintomi da astinenza (crampi addominali, nausea, vomito, lacrimazione, rinorrea, ansia, irrequietezza, innalzamento della temperatura corporea o piloerezione). Maggiore Non specificato Discreta 470 CATAPRESAN TTS2 LOBIVON 89 Concurrent use of CLONIDINE and NEBIVOLOL may result in increased risk of sinus bradycardia; exaggerated clonidine withdrawal response (acute hypertension). Maggiore Non specificato Discreta BISOPROLOLO SAN CATAPRESAN TTS2 466 85 Concurrent use of BISOPROLOL and CLONIDINE may result in increased risk of sinus bradycardia; exaggerated clonidine withdrawal response (acute hypertension). Maggiore Ritardato Eccellente COUMADIN TAVANIC 463 319 Concurrent use of LEVOFLOXACIN and WARFARIN may result in an increased risk of bleeding. CITALOPRAM DOC PANTOPRAZOLO DOC G. ISOPTIN SIVASTIN Maggiore Ritardato Non specificato Numero: Assistiti: Buona Buona Discreta 462 122 Concurrent use of CITALOPRAM and PANTOPRAZOLE may result in increased citalopram exposure and risk of QT interval prolongation. Maggiore Ritardato ALDACTONE ENAPREN Buona 458 69 La contemporanea assunzione di DIURETICI RISPARMIATORI DI POTASSIO e ACE-INIBITORI può causare iperkaliemia. Maggiore DELTACORTENE SEROQUEL Buona 457 133 450 136 Non specificato La contemporanea assunzione di QUETIAPINA e GLUCOCORTICOIDI può portare ad una diminuzione delle concentrazioni plasmatiche di quetiapina. Controindicato Non specificato Discreta PLASIL SERENASE L'utilizzo concomitante di ANTIPSICOTICI e di METOCLOPRAMIDE può aumentare il rischio di sviluppare reazioni exrtrapiramidali o i sintomi della sindrome neurolettica maligna. Maggiore Ritardato Buona 449 GAVISCON ADVANCE MODURETIC 177 La contemporanea assunzione di POTASSIO e AMILORIDE può determinare iperkaliemia. LASIX SOTALOLO HEXAL 131 Maggiore Non specificato Buona 447 La contemporanea assunzione di SOTALOLO e DIURETICI può portare ad un aumento del rischio di cardiotossicità (prolungamento dell’intervallo QT, torsioni di punta, arresto cardiaco). Maggiore Non specificato Discreta 447 LEVOXACIN SERETIDE DISKUS 50/500 245 Concurrent use of LEVOFLOXACIN and SALMETEROL may result in an increased risk of QT interval prolongation. Pag. 7 di 1.539 Le interazioni segnalate sono ottenute interrogando la banca dati MICROMEDEX DRUG-REAX® della THOMSON REUTERS. Bergamo 2011/2012 - IF per farmaco Assititi: tutti Periodo : 01.10.2011 - 30.09.2012. Interaz. su 30 gg: Contr., Magg Farmaci Severità: Insorgenza: Doc.: Maggiore Nelle 24 ore Buona Numero: Assistiti: 443 122 Concurrent use of AMLODIPINE and SIMVASTATIN may result in increased simvastatin exposure and increased risk of myopathy, including rhabdomyolysis. Maggiore Non specificato Discreta CONTRAMAL TRITTICO 443 118 Concurrent use of TRAMADOL and TRAZODONE may result in increased risk of serotonin syndrome (hypertension, hyperthermia, myoclonus, mental status changes). Maggiore Non specificato Buona CARDIOASPIRIN EUTIMIL 439 145 L'utilizzo concomitante di PAROXETINA e di ANTIAGGREGANTI PIASTRINICI può aumentare il rischio di emorragia. Maggiore BRUFEN CLEXANE T Non specificato Buona 438 208 L'utilizzo concomitante di EPARINE A BASSO PESO MOLECOLARE e di FANS può aumentare il rischio di emorragia. Maggiore AMIODAR NORVASC Nelle 24 ore Buona 437 85 AMLODIPINA PENSA SIMVASTATINA PENSA La contemporanea assunzione di AMIODARONE e BLOCCANTI DEI CANALI DEL CALCIO può portare a bradicardia, blocco atrioventricolare e/o arresto del nodo senoatriale. Maggiore Non specificato Buona 435 CERTICAN SANDIMMUN NEORAL L'utilizzo concomitante di CICLOSPORINA e di EVEROLIMUS può aumentare il rischio di tossicità da everolimus. AMIODARONE RATIO COUMADIN Maggiore 37 Ritardato Eccellente 434 177 Nelle 24 ore Eccellente 431 109 Concurrent use of AMIODARONE and SIMVASTATIN may result in increased exposure to simvastatin and an increased risk of myopathy or rhabdomyolysis. Maggiore Nelle 24 ore Buona DUROGESIC MORFINA CL MOLT. 431 174 L'utilizzo concomitante di farmaci analgesici oppioidi può sfociare in una depressione respiratoria NEXIUM PLAVIX 427 99 424 100 La contemporanea assunzione di AMIODARONE e WARFARIN può portare ad un aumento del rischio di sanguinamento. Maggiore CORDARONE SIVASTIN Maggiore Ritardato Eccellente Concurrent use of CLOPIDOGREL and ESOMEPRAZOLE may result in reduction in clinical efficacy of clopidogrel and increased risk for thrombosis. Maggiore Nelle 24 ore Buona AMIODARONE SANDOZ NORVASC La contemporanea assunzione di AMIODARONE e BLOCCANTI DEI CANALI DEL CALCIO può portare a bradicardia, blocco atrioventricolare e/o arresto del nodo senoatriale. Maggiore Non specificato Buona 420 CLEXANE TORADOL 213 L'utilizzo concomitante di EPARINE A BASSO PESO MOLECOLARE e di FANS può aumentare il rischio di emorragia. Maggiore CLEXANE ZOLOFT Ritardato Buona 418 169 La contemporanea assunzione di SERTRALINA e ANTICOAGULANTI può determinare un maggior rischio di sanguinamento. Maggiore EFFENTORA OXYCONTIN Nelle 24 ore Buona 418 51 L'utilizzo concomitante di farmaci analgesici oppioidi può sfociare in una depressione respiratoria INEGY NORVASC Nelle 24 ore Buona 416 96 412 250 Maggiore Concurrent use of AMLODIPINE and SIMVASTATIN may result in increased simvastatin exposure and increased risk of myopathy, including rhabdomyolysis. Maggiore Non specificato Discreta ARTROSILENE CARDIOASPIRIN Pag. 8 di 1.539 Le interazioni segnalate sono ottenute interrogando la banca dati MICROMEDEX DRUG-REAX® della THOMSON REUTERS. Bergamo 2011/2012 - IF per farmaco Assititi: tutti Periodo : 01.10.2011 - 30.09.2012. Interaz. su 30 gg: Contr., Magg Farmaci Severità: Insorgenza: Doc.: Numero: Assistiti: La contemporanea assunzione di ASPIRINA e KETOPROFENE può portare ad un aumento del rischio di seri effetti avversi gastrointestinali (ulcera, sanguinamento, perforazione della mucosa). Maggiore Nelle 24 ore Eccellente 410 AMIODAR BISOPROLOLO SAN 105 La contemporanea assunzione di AMIODARONE e BLOCCANTI BETA-ADRENERGICI può portare ad ipotensione, bradicardia o arresto cardiaco. Maggiore Ritardato MODURETIC ZESTRIL Buona 409 81 La contemporanea assunzione di DIURETICI RISPARMIATORI DI POTASSIO e ACE-INIBITORI può causare iperkaliemia. Maggiore ISOPTIN TOTALIP Discreta 407 85 Concurrent use of ATORVASTATIN and VERAPAMIL may result in increased exposure to atorvastatin and an increased risk of myopathy or rhabdomyolysis. Maggiore Non specificato Discreta BACTRIM DIFLUCAN 402 178 Non specificato La contemporanea assunzione di COTRIMOXAZOLO e FLUCONAZOLO può portare ad un aumento del rischio di cardiotossicità (intervallo QT prolungato, torsioni di punta, arresto cardiaco). Maggiore Non specificato Discreta 401 DUROGESIC TRITTICO 62 Concurrent use of FENTANYL and TRAZODONE may result in increased risk of serotonin syndrome (hypertension, hyperthermia, myoclonus, mental status changes). Maggiore Ritardato Buona MODURETIC RAMIPRIL DOC G. 401 113 La contemporanea assunzione di DIURETICI RISPARMIATORI DI POTASSIO e ACE-INIBITORI può causare iperkaliemia. Maggiore ALLOPURINOLO TEVA ENAPREN 398 127 Nelle 24 ore Discreta La contemporanea assunzione di ALLOPURINOLO e ENALAPRIL può portare a reazioni di ipersensibilità (sindrome di Stevens-Johnson, eruzioni cutanee, spasmo coronarico anafilattico). Maggiore Non specificato Buona 398 CARDIOASPIRIN VENLAFAXINA MG 91 La contemporanea assunzione di VENLAFAXINA e AGENTI ANTIAGGREGANTI può portare ad un maggior rischio di sanguinamento. Maggiore Nelle 24 ore ORAMORPH OXYCONTIN Buona 398 120 L'utilizzo concomitante di farmaci analgesici oppioidi può sfociare in una depressione respiratoria NORVASC ZOCOR Buona 396 78 393 231 Maggiore Nelle 24 ore Concurrent use of AMLODIPINE and SIMVASTATIN may result in increased simvastatin exposure and increased risk of myopathy, including rhabdomyolysis. Controindicato Nelle 24 ore Discreta BRUFEN TORADOL La contemporanea assunzione di KETOROLAC e AGENTI ANTIINFIAMMATORI NON STEROIDEI può portare ad effetti avversi gastrointestinali seri (ulcere peptiche, emorragia e/o perforazione gastrointestinale) Maggiore Ritardato Buona 385 ALDACTONE RAMIPRIL M.G. 77 La contemporanea assunzione di DIURETICI RISPARMIATORI DI POTASSIO e ACE-INIBITORI può causare iperkaliemia. Maggiore Non specificato Discreta 381 DEPAKIN TRITTICO 83 Concurrent use of TRAZODONE and VALPROIC ACID may result in increased risk of serotonin syndrome (hypertension, hyperthermia, myoclonus, mental status changes). Maggiore Non specificato Discreta 380 FOSTER LEVOXACIN 258 Concurrent use of FORMOTEROL and QT PROLONGING DRUGS may result in increased risk of ventricular arrhythmias. Pag. 9 di 1.539 Le interazioni segnalate sono ottenute interrogando la banca dati MICROMEDEX DRUG-REAX® della THOMSON REUTERS. Bergamo 2011/2012 - IF per farmaco Assititi: tutti Periodo : 01.10.2011 - 30.09.2012. Interaz. su 30 gg: Contr., Magg Farmaci Severità: Insorgenza: Doc.: Maggiore Nelle 24 ore Eccellente 376 63 La contemporanea assunzione di AMIODARONE e BLOCCANTI BETA-ADRENERGICI può portare ad ipotensione, bradicardia o arresto cardiaco. Maggiore Non specificato LEVOXACIN ZITROMAX Discreta 376 288 Concurrent use of AZITHROMYCIN and LEVOFLOXACIN may result in an increased risk of QT interval prolongation. Maggiore NORVASC VYTORIN Buona 374 77 373 58 AMIODAR DILATREND Nelle 24 ore Concurrent use of AMLODIPINE and SIMVASTATIN may result in increased simvastatin exposure and increased risk of myopathy, including rhabdomyolysis. Maggiore Nelle 24 ore Buona ADALAT CRONO CORDARONE Numero: Assistiti: La contemporanea assunzione di AMIODARONE e BLOCCANTI DEI CANALI DEL CALCIO può portare a bradicardia, blocco atrioventricolare e/o arresto del nodo senoatriale. Maggiore Ritardato Buona 370 COUMADIN ZOLOFT 131 La contemporanea assunzione di SERTRALINA e ANTICOAGULANTI può determinare un maggior rischio di sanguinamento. Maggiore DEPALGOS TACHIDOL Nelle 24 ore Buona 368 167 L'utilizzo concomitante di farmaci analgesici oppioidi può sfociare in una depressione respiratoria LUCEN PLAVIX Ritardato Eccellente 362 89 Concurrent use of CLOPIDOGREL and ESOMEPRAZOLE may result in reduction in clinical efficacy of clopidogrel and increased risk for thrombosis. Maggiore Non specificato Discreta CLEXANE PLAVIX Maggiore 361 162 L'utilizzo concomitante di CLOPIDOGREL ed ANTICOAGULANTI può provocare un aumentato rischio di emorragia. Maggiore HALDOL LARGACTIL 361 78 La contemporanea assunzione di ANTIPSICOTICI e FENOTIAZINE può portare ad un aumento del rischio di cardiotossicità (intervallo QT prolungato, torsioni di punta, arresto cardiaco). 359 Maggiore Non specificato Buona HALDOL SEROQUEL 95 La contemporanea assunzione di QUETIAPINA e ALOPERIDOLO può portare ad un aumento del rischio di cardiotossicità (intervallo QT prolungato, torsioni di punta, arresto cardiaco). Maggiore Nelle 24 ore Eccellente 353 AMIODARONE RATIO BISOPROLOLO SAN 126 La contemporanea assunzione di AMIODARONE e BLOCCANTI BETA-ADRENERGICI può portare ad ipotensione, bradicardia o arresto cardiaco. Maggiore Non specificato CLEXANE OKI Buona 353 202 L'utilizzo concomitante di EPARINE A BASSO PESO MOLECOLARE e di FANS può aumentare il rischio di emorragia. Maggiore AMLODIPINA DOC G. PLAVIX Eccellente 348 125 Concurrent use of AMLODIPINE and CLOPIDOGREL may result in decreased antiplatelet effect and increased risk of thrombotic events. Maggiore Non specificato LYRICA TORADOL Discreta 347 164 L'utilizzo concomitante di KETOROLAC e ANTICONVULSIVANTI può ridurre l'effetto anticonvulsivante. OXYCONTIN TACHIDOL Buona 344 131 Maggiore Non specificato Non specificato Nelle 24 ore Discreta L'utilizzo concomitante di farmaci analgesici oppioidi può sfociare in una depressione respiratoria Pag. 10 di 1.539 Le interazioni segnalate sono ottenute interrogando la banca dati MICROMEDEX DRUG-REAX® della THOMSON REUTERS.