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Zyflo (zileuton) Disease Interactions

There is 1 disease interaction with Zyflo (zileuton):

Major

Zileuton (Includes Zyflo) ↔ Liver Disease

Severe Potential Hazard, High plausibility

Applies to: Liver Disease, Alcoholism

The use of zileuton is contraindicated in patients with active liver disease or transaminase elevations >= 3 times the upper limit of normal (ULN). Zileuton is primarily metabolized by the liver and may accumulate in patients with hepatic impairment. In addition, zileuton may cause elevation of serum transaminases, usually during the first two months of therapy but in a few cases, after treatment has been discontinued. During clinical trials, the overall rate of ALT (SGPT) elevation >= 3 times the ULN in patients treated with zileuton was 3.2%. The manufacturer recommends periodic monitoring of hepatic transaminases. Serum ALT should be evaluated prior to starting treatment, once a month for the first 3 months, every 2 to 3 months for the remainder of the first year, and periodically thereafter for patients receiving long-term zileuton therapy. If clinical signs and/or symptoms of liver dysfunction occur or transaminase levels increase to 5 times the ULN, treatment should be stopped and transaminase levels followed until normal. Because of the potential hepatotoxicity, zileuton should be used with caution in patients with a history of liver disease or alcoholism.

References

  1. "Product Information. Zylo Filmtab (zileuton)." Abbott Pharmaceutical, Abbott Park, IL.

Zyflo (zileuton) drug Interactions

There are 131 drug interactions with Zyflo (zileuton)

Drug Interaction Classification

The classifications below are a general guideline only. It is difficult to determine the relevance of a particular drug interaction to any individual given the large number of variables.

Major Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit.
Moderate Moderately clinically significant. Usually avoid combinations; use it only under special circumstances.
Minor Minimally clinically significant. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan.

Do not stop taking any medications without consulting your healthcare provider.

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