Generic Name

Brand Name

Effect

Action

Buspirone

Buspar

Increased Concentrations with grapefruit or its juice

Avoid Grapefruit or its juice

Carbamazepine

Tegretol, Carbatrol

Increased Concentrations with grapefruit or its juice

Avoid Grapefruit or its juice

Cefotetan

Cefotan

Disulfiram-type reaction with Alcohol

Avoid Alcohol and medications containing alcohol

Clomipramine

Anafranil

Increased Concentrations with grapefruit or its juice

Avoid Grapefruit or its juice

Cyclosporine

Neoral, Sandimmune

Increased Concentrations with grapefruit or its juice

Avoid Grapefruit or its juice

Diazepam

Valium

Increased Concentrations with grapefruit or its juice

Avoid Grapefruit or its juice

Digoxin

Lanoxin

Change in diet may alter medication effect

Maintain diet with consistent level of Potassium

Dihydroergotamine

Migranal

Increased Concentrations with grapefruit or its juice

Avoid Grapefruit or its juice

Ergotamine

Cafergot

Increased Concentrations with grapefruit or its juice

Avoid Grapefruit or its juice

Etoposide

Vepesid

Decreased Concentrations with grapefruit or its juice

Avoid Grapefruit or its juice

Furazolidone

Furoxone

Disulfiram-type reaction with Alcohol

Avoid Alcohol and medications containing alcohol

Increased Blood Pressure with tryamine containing foods

* Maintain a low-tyramine diet. Do not consume foods high in tyramine

Griseofulvin

Fulvicin, Grifulvin

Disulfiram-type reaction with Alcohol

Avoid Alcohol and medications containing alcohol

Increased Concentrations with fatty meal.

Take after a high fat content meal

Isoniazid

INH

Disulfiram-type reaction with Alcohol

Avoid Alcohol and medications containing alcohol

Increased Blood Pressure with tryamine containing foods

* Maintain a low-tyramine diet. Do not consume foods high in tyramine

Histamine like symptoms (palpitations, flushing, headache, nausea, vomiting

Avoid tuna, skipjack, tropic or other fish species, sauerkraut or yeast extract

Ketoconazole

Nizoral

Disulfiram-type reaction with Alcohol

Avoid Alcohol and medications containing alcohol

Linezolid

Zyvox

Increased Blood Pressure with tryamine containing foods

* Maintain a low-tyramine diet. Do not consume foods high in tyramine

Metronidazole

Flagyl

Disulfiram-type reaction with Alcohol

Avoid Alcohol and medications containing alcohol

Midazolam

Versed

Increased Concentrations with grapefruit or its juice

Avoid Grapefruit or its juice

Nifedipine

Procardia

Increased Concentrations with grapefruit or its juice

Avoid Grapefruit or its juice

Procarbazine

Matulane

Increased Blood Pressure with tryamine containing foods

* Maintain a low-tyramine diet. Do not consume foods high in tryamine

Tolazoline

Priscoline

Disulfiram-type reaction with Alcohol

Avoid Alcohol and medications containing alcohol

Trimethoprim/Sulfamethoxazole (Cotrimoxazole)

Bactrim, Septra

Disulfiram-type reaction with Alcohol

Avoid Alcohol and medications containing alcohol

Verapamil

Calan, Isoptin

Increased Concentrations with grapefruit or its juice

Avoid Grapefruit or its juice

Warfarin

Coumadin

Change in diet may alter clotting time

Maintain diet with consistent levels of Vitamin K enriched foods.

* Tyramine Containing Foods: Cheddar and aged cheeses, yeast, fava bean, broad bean pods, smoked or pickled meat/poultry, fish, fermented sausage (bologna, pepperoni, salami, summer sausage, overripe fruit

Red Font – indicates that education will be completed prior to discharge for all inpatients.