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C
FLAMES
o Fluconazole
o Levofloxacin (really increase INR)
o Amiodarone (worse interaction - decrease warfarin dose by 50%)
Warfarin interactions
o Metronidazole (decrease warfarin dose by 1/3)
o Erythromycin (macrolides in general but this one is the worse)
o Sulf-TMP
PS PORCS
o Phenytoin
o Smoking
o Phenobarbital
CYP Inducers
o Oxcarbazepine (and eslicarbamazepine)
o Rifampin
o Carbamazepine (and its auto-inducer)
o St. John's wort
G PACMAN
o Grapefruit
o Protease Inhibitors
o Azoles
CYP Inhibitors
o C - cyclosporine, cimetidine, cobicistat
o Macrolides
o Amiodarone
o Non-DHP CCBs (diltiazem and verapamil)
o Gingko
o Garlic
5 G's (natural products) that
o Ginger
increase bleeding risk o Glucosamine
o Gingseng
LATTINS
o Lorazepam
o Amiodarone
o Tacrolimus
Drugs that require non-PVC
o Taxanes
containers
o Insulin
o Nitroglycerin
o Sufentanil
, ACID APE
♣ Ampicillin
♣ Caspofungin
♣ Infliximab
Common Drugs that require ♣ Daptomycin
SALINE only
♣ Ampicillin/ sulbactam
♣ Phenytoin
♣ Ertapenem
BOAS
♣ Bactrim (Sulf -TMP)
Common Drugs that require ♣ Oxaliplatin
dextrose only
♣ Ampotericin B
♣ Synercid (quinupristin/dalfopristin)