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Exakte Wirkstoffkennungen und zitierbare Passagen zu Wechselwirkungen, Gegenanzeigen und Nebenwirkungen.

Ein Paarvergleich findet Originalpassagen, die den anderen Wirkstoff wörtlich nennen. Aussagen gelten für das jeweilige Präparat und seine Formulierung. Klassenbegriffe und abweichende Synonyme können fehlen. Kein Treffer bedeutet nicht, dass keine Wechselwirkung besteht.

RxNorm 05-Oct-2026 · geprüft 2026-10-25 · 871 Präparate · 48256 Quellenpassagen · 124 strukturierte Aussagen. Automatisch aktualisiert, ohne menschliche Freigabe.

Ketoconazole Esteve (previously Ketoconazole HRA)

HOS-097310 · Fachinformation

Quellenpassagen (13)

Wechselwirkungen · Rapamune

Rapamune 1 mg/mL oral solution · Abschnitt 4.5 · PDF-Seite 8

HOS-090592 · Präparat HOS-084095

Sirolimus is extensively metabolised by the CYP3A4 isozyme in the intestinal wall and liver. Sirolimus is also a substrate for the multidrug efflux pump, P-glycoprotein (P-gp) located in the small intestine. Therefore, absorption and the subsequent elimination of sirolimus may be influenced by substances that affect these proteins. Inhibitors of CYP3A4 (such as ketoconazole, voriconazole, itraconazole, telithromycin, or clarithromycin) decrease the metabolism of sirolimus and increase sirolimus levels. Inducers of CYP3A4 (such as rifampin or rifabutin) increase the metabolism of sirolimus and decrease sirolimus levels. Co-administration of sirolimus with strong inhibitors of CYP3A4 or inducers of CYP3A4 is not recommended (see section 4.4).

Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.

RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): itraconazole (HOS-084516) telithromycin (HOS-084523) clarithromycin (HOS-084517) rifampin (HOS-088791) rifabutin (HOS-086262) ketoconazole (HOS-084513) voriconazole (HOS-084524)

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Version 2026-06-04T09:34:00Z · SHA-256 822914cb553b9bcf81064d714c9274d63e73d083445521dca5c314d6106f24d7 · Passage 159852d4b6d56d956ff9fb4bd74e5bc0c13922c9c8af0ccc6125f8aa005e10e7 · Zeichen 0–750 im Abschnitt

Wechselwirkungen · Rapamune

Rapamune 1 mg/mL oral solution · Abschnitt 4.5 · PDF-Seite 8

HOS-090595 · Präparat HOS-084095

Ketoconazole (CYP3A4 inhibitor)

Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.

RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): ketoconazole (HOS-084513)

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Version 2026-06-04T09:34:00Z · SHA-256 822914cb553b9bcf81064d714c9274d63e73d083445521dca5c314d6106f24d7 · Passage ce5dc75ae810b931dc151756c23881bc1d079deafb4e8e079228b7bdeb954017 · Zeichen 1162–1193 im Abschnitt

Wechselwirkungen · Rapamune

Rapamune 1 mg/mL oral solution · Abschnitt 4.5 · PDF-Seite 8

HOS-090596 · Präparat HOS-084095

Multiple-dose ketoconazole administration significantly affected the rate and extent of absorption and sirolimus exposure from Rapamune oral solution as reflected by increases in sirolimus C max, tmax, and AUC of 4.4-fold, 1.4-fold, and 10.9-fold, respectively. Co-administration of sirolimus and ketoconazole is not recommended (see section 4.4).

Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.

RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): ketoconazole (HOS-084513)

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Version 2026-06-04T09:34:00Z · SHA-256 822914cb553b9bcf81064d714c9274d63e73d083445521dca5c314d6106f24d7 · Passage f093aee2fede9df4671904db3184ee26b0302e598c7f6799829e53e13ab4d4df · Zeichen 1195–1542 im Abschnitt

Wechselwirkungen · Rapamune

Rapamune 0.5 mg coated tablets Rapamune 1 mg coated tablets Rapamune 2 mg coated tablets · Abschnitt 4.5 · PDF-Seite 29

HOS-090664 · Präparat HOS-084095

Sirolimus is extensively metabolised by the CYP3A4 isozyme in the intestinal wall and liver. Sirolimus is also a substrate for the multidrug efflux pump, P-glycoprotein (P-gp) located in the small intestine. Therefore, absorption and the subsequent elimination of sirolimus may be influenced by substances that affect these proteins. Inhibitors of CYP3A4 (such as ketoconazole, voriconazole, itraconazole, telithromycin, or clarithromycin) decrease the metabolism of sirolimus and increase sirolimus levels. Inducers of CYP3A4 (such as rifampin or rifabutin) increase the metabolism of sirolimus and decrease sirolimus levels. Co-administration of sirolimus with strong inhibitors of CYP3A4 or inducers of CYP3A4 is not recommended (see section 4.4).

Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.

RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): clarithromycin (HOS-084517) rifampin (HOS-088791) rifabutin (HOS-086262) ketoconazole (HOS-084513) voriconazole (HOS-084524) itraconazole (HOS-084516) telithromycin (HOS-084523)

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Version 2026-06-04T09:34:00Z · SHA-256 822914cb553b9bcf81064d714c9274d63e73d083445521dca5c314d6106f24d7 · Passage 159852d4b6d56d956ff9fb4bd74e5bc0c13922c9c8af0ccc6125f8aa005e10e7 · Zeichen 0–750 im Abschnitt

Wechselwirkungen · Rapamune

Rapamune 0.5 mg coated tablets Rapamune 1 mg coated tablets Rapamune 2 mg coated tablets · Abschnitt 4.5 · PDF-Seite 29

HOS-090667 · Präparat HOS-084095

Ketoconazole (CYP3A4 inhibitor)

Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.

RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): ketoconazole (HOS-084513)

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Version 2026-06-04T09:34:00Z · SHA-256 822914cb553b9bcf81064d714c9274d63e73d083445521dca5c314d6106f24d7 · Passage ce5dc75ae810b931dc151756c23881bc1d079deafb4e8e079228b7bdeb954017 · Zeichen 1162–1193 im Abschnitt

Wechselwirkungen · Rapamune

Rapamune 0.5 mg coated tablets Rapamune 1 mg coated tablets Rapamune 2 mg coated tablets · Abschnitt 4.5 · PDF-Seite 29

HOS-090668 · Präparat HOS-084095

Multiple-dose ketoconazole administration significantly affected the rate and extent of absorption and sirolimus exposure from Rapamune oral solution as reflected by increases in sirolimus C max, tmax, and AUC of 4.4-fold, 1.4-fold, and 10.9-fold, respectively. Co-administration of sirolimus and ketoconazole is not recommended (see section 4.4).

Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.

RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): ketoconazole (HOS-084513)

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Version 2026-06-04T09:34:00Z · SHA-256 822914cb553b9bcf81064d714c9274d63e73d083445521dca5c314d6106f24d7 · Passage f093aee2fede9df4671904db3184ee26b0302e598c7f6799829e53e13ab4d4df · Zeichen 1195–1542 im Abschnitt

Wechselwirkungen · Akynzeo

Akynzeo 300 mg/0.5 mg hard capsules · Abschnitt 4.5 · PDF-Seite 5–6

HOS-130699 · Präparat HOS-096947

Netupitant is mainly metabolised by CYP3A4; therefore, co-administration with medicinal products that inhibit or induce CYP3A4 activity may influence plasma concentrations of netupitant. Consequently, concomitant administration with strong CYP3A4 inhibitors (e.g., ketoconazole) should be approached with caution and concomitant administration with strong CYP3A4 inducers (e.g., rifampicin) should be avoided. Moreover, this medicinal product should be used with caution in patients receiving concomitant orally administered active substances with a narrow therapeutic range that are primarily metabolised by CYP3A4, such as cyclosporine, tacrolimus, sirolimus, everolimus, 5 alfentanil, diergotamine, ergotamine, fentanyl, and quinidine.

Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.

RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): ketoconazole (HOS-084513) cyclosporine (HOS-084512) tacrolimus (HOS-085202) sirolimus (HOS-085172) everolimus (HOS-086310) alfentanil (HOS-109375) ergotamine (HOS-086154) fentanyl (HOS-086196) quinidine (HOS-085593)

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Version 2026-08-25T11:52:00Z · SHA-256 d3ff78e9e4d5b08bc98e527fab724082b02f5be1899a4d4f9c683d723854e46c · Passage feff48dcbd1e3a397dca67ff11c9be3c5588e9ca8708f2aed816cac8522d3598 · Zeichen 3768–4558 im Abschnitt

Wechselwirkungen · Akynzeo

Akynzeo 235 mg/0.25 mg powder for concentrate for solution for infusion · Abschnitt 4.5 · PDF-Seite 21–22

HOS-130740 · Präparat HOS-096947

Netupitant is mainly metabolised by CYP3A4; therefore, co-administration with medicinal products that inhibit or induce CYP3A4 activity may influence plasma concentrations of netupitant. Consequently, concomitant administration with strong CYP3A4 inhibitors (e.g., ketoconazole) should 21 be approached with caution and concomitant administration with strong CYP3A4 inducers (e.g., rifampicin) should be avoided. Moreover, this medicinal product should be used with caution in patients receiving concomitant orally administered active substances with a narrow therapeutic range that are primarily metabolised by CYP3A4, such as cyclosporine, tacrolimus, sirolimus, everolimus, alfentanil, diergotamine, ergotamine, fentanyl, and quinidine.

Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.

RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): ketoconazole (HOS-084513) cyclosporine (HOS-084512) tacrolimus (HOS-085202) sirolimus (HOS-085172) everolimus (HOS-086310) alfentanil (HOS-109375) ergotamine (HOS-086154) fentanyl (HOS-086196) quinidine (HOS-085593)

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Version 2026-08-25T11:52:00Z · SHA-256 d3ff78e9e4d5b08bc98e527fab724082b02f5be1899a4d4f9c683d723854e46c · Passage 6d43f4270698847344eb1b734abf13ad2bf8f680bba27f36d2af8f239618c6f4 · Zeichen 3798–4588 im Abschnitt

Wechselwirkungen · Akynzeo

Akynzeo 235 mg/0.25 mg concentrate for solution for infusion · Abschnitt 4.5 · PDF-Seite 39–40

HOS-130783 · Präparat HOS-096947

Netupitant is mainly metabolised by CYP3A4; therefore, co-administration with medicinal products that inhibit or induce CYP3A4 activity may influence plasma concentrations of netupitant. Consequently, concomitant administration with strong CYP3A4 inhibitors (e.g., ketoconazole) should 39 be approached with caution and concomitant administration with strong CYP3A4 inducers (e.g., rifampicin) should be avoided. Moreover, this medicinal product should be used with caution in patients receiving concomitant orally administered active substances with a narrow therapeutic range that are primarily metabolised by CYP3A4, such as cyclosporine, tacrolimus, sirolimus, everolimus, alfentanil, diergotamine, ergotamine, fentanyl, and quinidine.

Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.

RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): ketoconazole (HOS-084513) cyclosporine (HOS-084512) tacrolimus (HOS-085202) sirolimus (HOS-085172) everolimus (HOS-086310) alfentanil (HOS-109375) ergotamine (HOS-086154) fentanyl (HOS-086196) quinidine (HOS-085593)

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Version 2026-08-25T11:52:00Z · SHA-256 d3ff78e9e4d5b08bc98e527fab724082b02f5be1899a4d4f9c683d723854e46c · Passage 39f90840a2362fc69f04f921682545e70a0354d1c40c395de423a823b9c589e3 · Zeichen 3799–4589 im Abschnitt

Wechselwirkungen · Akynzeo

Akynzeo 300 mg/0.5 mg oral suspension in sachet · Abschnitt 4.5 · PDF-Seite 56

HOS-130819 · Präparat HOS-096947

Netupitant is mainly metabolised by CYP3A4; therefore, co-administration with medicinal products that inhibit or induce CYP3A4 activity may influence plasma concentrations of netupitant. Consequently, concomitant administration with strong CYP3A4 inhibitors (e.g., ketoconazole) should be approached with caution and concomitant administration with strong CYP3A4 inducers (e.g., rifampicin) should be avoided. Moreover, this medicinal product should be used with caution in patients receiving concomitant orally administered active substances with a narrow therapeutic range that are primarily metabolised by CYP3A4, such as cyclosporine, tacrolimus, sirolimus, everolimus, alfentanil, diergotamine, ergotamine, fentanyl, and quinidine.

Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.

RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): ketoconazole (HOS-084513) cyclosporine (HOS-084512) tacrolimus (HOS-085202) sirolimus (HOS-085172) everolimus (HOS-086310) alfentanil (HOS-109375) ergotamine (HOS-086154) fentanyl (HOS-086196) quinidine (HOS-085593)

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Version 2026-08-25T11:52:00Z · SHA-256 d3ff78e9e4d5b08bc98e527fab724082b02f5be1899a4d4f9c683d723854e46c · Passage e20102f3d8095f1dd05c59d29ef1fcf01bb3e4788261fb2373293f9a27f0cc6d · Zeichen 3761–4497 im Abschnitt

Gegenanzeigen · Ketoconazole Esteve (previously Ketoconazole HRA)

Ketoconazole Esteve 200 mg tablets · Abschnitt 4.3 · PDF-Seite 4–5

HOS-132835 · Präparat HOS-097310

4 o colchicine in patients with renal impairment due to an increased risk of severe adverse reactions; o irinotecan due to an alteration of the metabolism of this medicinal product; o everolimus, sirolimus (also known as rapamycin) due to an increase of the plasma concentrations of these medicinal products; o vardenafil in men older than 75-years due to increased risk of adverse reactions; o paritaprevir/ombitasvir (ritonavir) due to increased risk of adverse reactions; o fesoterodine and solifenacin in patients with renal impairment; o tolvaptan used for a specific disease called “syndrome of inappropriate antidiuretic hormone secretion”.

Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.

RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): colchicine (HOS-086147) irinotecan (HOS-112102) everolimus (HOS-086310) sirolimus (HOS-085172) vardenafil (HOS-086163) paritaprevir (HOS-110301) ombitasvir (HOS-110300) ritonavir (HOS-084521) fesoterodine (HOS-116432) solifenacin (HOS-116433) tolvaptan (HOS-109429)

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Version 2025-05-05T12:00:00Z · SHA-256 1463d2e081bcaa454cdfd6129ad3b8e03e3df9233f9d0704cfceba71c89c59b5 · Passage faff2553122d6c384dc8d1a2a28fb45dbf0f436b1bcaa7a98bc5fee989b1cf04 · Zeichen 2103–2872 im Abschnitt

Wechselwirkungen · Ketoconazole Esteve (previously Ketoconazole HRA)

Ketoconazole Esteve 200 mg tablets · Abschnitt 4.5 · PDF-Seite 7

HOS-132842 · Präparat HOS-097310

o CYP3A4 metabolised HMG-CoA reductase inhibitors (e.g. simvastatin, atorvastatin and lovastatin) due to an increased risk of skeletal muscle toxicity including rhabdomyolysis; o eplerenone due to an increased risk of hyperkalemia and hypotension; o substances that may have their plasma concentrations increased and have QT prolonging potential : methadone, disopyramide, quinidine, dronedarone, pimozide, sertindole, saquinavir (saquinavir/ritonavir 1000/100 mg bid), ranolazine, mizolastine, halofantrine; o dabigatran due to an increased bleeding risk; o triazolam, oral midazolam and alprazolam due to potential for prolonged or increased sedation and respiratory depression; o ergot alkaloids (eg dihydroergotamine, ergometrine (ergonovine), ergotamine and methylergometrine (methylergonovine) due to an increased risk of ergotism and other serious vasospastic adverse reactionsevents o lurasidone; o quetiapine due to an increased risk of toxicity; o telithromycin and clarithromycin in patients with severe renal impairment due to an increased risk of hepatotoxicity and QT interval prolongation; o felodipine, nisoldipine due to an increased risk of oedema and congestive heart failure; o colchicine in patients with renal impairment due to an increased risk of severe adverse reactions; o irinotecan due to an alteration of the metabolism of this medicinal product; o everolimus, sirolimus (also known as rapamycin) due to an increase of the plasma concentrations of these medicinal products; o vardenafil in men older than 75-years due to increased risk of adverse reactions o paritaprevir/ombitasvir (ritonavir) due to increased risk of adverse reactions; o fesoterodine and solifenacin in patients with renal impairment; o tolvaptan used for a specific disease called “syndrome of inappropriate antidiuretic hormone secretion”.

Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.

RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): ritonavir (HOS-084521) simvastatin (HOS-086158) atorvastatin (HOS-086304) lovastatin (HOS-086157) eplerenone (HOS-089050) methadone (HOS-086198) disopyramide (HOS-085595) quinidine (HOS-085593) dronedarone (HOS-086144) pimozide (HOS-085600) sertindole (HOS-085601) saquinavir (HOS-084522) ranolazine (HOS-086141) mizolastine (HOS-085609) halofantrine (HOS-085606) dabigatran (HOS-112096) triazolam (HOS-086168) midazolam (HOS-086167) alprazolam (HOS-086171) ergot alkaloids (HOS-108807) dihydroergotamine (HOS-086152) ergonovine (HOS-086153) ergotamine (HOS-086154) methylergonovine (HOS-086155) lurasidone (HOS-086148) quetiapine (HOS-086150) telithromycin (HOS-084523) clarithromycin (HOS-084517) felodipine (HOS-108908) nisoldipine (HOS-114251) colchicine (HOS-086147) irinotecan (HOS-112102) everolimus (HOS-086310) sirolimus (HOS-085172) vardenafil (HOS-086163) paritaprevir (HOS-110301) ombitasvir (HOS-110300) fesoterodine (HOS-116432) solifenacin (HOS-116433) tolvaptan (HOS-109429)

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Version 2025-05-05T12:00:00Z · SHA-256 1463d2e081bcaa454cdfd6129ad3b8e03e3df9233f9d0704cfceba71c89c59b5 · Passage 0b65d259964c6f340994be44a864bad55b31283e3fc412d0d5a47323a792d889 · Zeichen 171–2105 im Abschnitt

Wechselwirkungen · Ketoconazole Esteve (previously Ketoconazole HRA)

Ketoconazole Esteve 200 mg tablets · Abschnitt 4.5 · PDF-Seite 12–13

HOS-132868 · Präparat HOS-097310

12 Medicinal product by Expected effect on drug levels Recommendation for co- therapeutic area administration Beta Blockers Nadolol ↑in plasma concentrations of nadolol Careful monitoring. Dose adjustment have been observed of nadolol may be required. Calcium Channel Blockers Felodipine AUC: ↑ has been observed Contraindicated due to an increase Nisoldipine Cmax: ↑ has been observed risk of edema and congestive heart failure (see section 4.3). Other dihydropyridines Potential ↑in plasma concentrations of Careful monitoring. Dose adjustment Verapamil these drugs of dihydropyridines and verapamil may be required. Cardiovascular Drugs, Miscellaneous Ranolazine Ranolazine: Contraindicated due to the potential AUC: ↑ 3.0 to 3.9-fold for serious cardiovascular events including QT prolongation (see section 4.3). Bosentan Bosentan: Not recommended due to the AUC: ↑ 2-fold potential for hepatic toxicity (see Cmax: ↑ 2-fold section 4.3). Aliskiren Aliskiren: Careful monitoring. AUC: ↑ 1.8-fold Dose adjustment of aliskiren may be required. Diuretics Eplerenone Eplerenone: Contraindicated due to the increased AUC: ↑ 5.5-fold risk of hyperkalaemia and hypotension (see section 4.3). Gastrointestinal Drugs Aprepitant Aprepitant: Careful monitoring. AUC: ↑ 5-fold Dose adjustment of aprepitant may be required Domperidone Domperidone: Not recommended due to an AUC: ↑ 3.0 fold increased risk in QT prolongation. Cmax: ↑ 3.0 fold Naloxegol Naloxegol Not recommended AUC ↑ 12.9 fold Cmax ↑ 9.6 fold Immunosuppressants Everolimus Everolimus: Contraindicated due to the large Sirolimus (rapamycin) AUC: ↑ 15.3-fold increase in these medicinal products Cmax: ↑ 4.1-fold concentrations (see section 4.3). Sirolimus (rapamycin): AUC: ↑ 10.9-fold Cmax: ↑ 4.4-fold Temsirolimus Temsirolimus: Not recommended unless necessary. AUC: ↔ Careful monitoring and dose Cmax: ↔ adjustment of these medicinal Tacrolimus Ciclesonide active metabolite: products may be required. Ciclosporine AUC: ↑ 3.5-fold Budesonide Ciclesonide Rest of drugs ↑in plasma concentrations of these drugs have been observed

Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.

RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): nadolol (HOS-132869) calcium (HOS-085615) felodipine (HOS-108908) nisoldipine (HOS-114251) verapamil (HOS-090602) ranolazine (HOS-086141) bosentan (HOS-086291) aliskiren (HOS-086927) eplerenone (HOS-089050) aprepitant (HOS-112506) domperidone (HOS-114656) naloxegol (HOS-109428) everolimus (HOS-086310) sirolimus (HOS-085172) temsirolimus (HOS-117078) tacrolimus (HOS-085202) ciclesonide (HOS-132871) budesonide (HOS-086332)

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Version 2025-05-05T12:00:00Z · SHA-256 1463d2e081bcaa454cdfd6129ad3b8e03e3df9233f9d0704cfceba71c89c59b5 · Passage 55c1f47059932c9461c4dbc4909ce69dab602449f5d770f01d87bd752335918f · Zeichen 23587–27472 im Abschnitt

This product uses publicly available data from the U.S. National Library of Medicine (NLM), National Institutes of Health, Department of Health and Human Services; NLM is not responsible for the product and does not endorse or recommend this or any other product.