Enoxacin has 12 known drug interactions based on U.S. FDA drug labeling data. Of these, 2 are contraindicated combinations that should be avoided entirely. 6 are classified as major interactions requiring close medical supervision. Notable interactions include combinations with Duloxetine, Pirfenidone, Clozapine. Patients taking Enoxacin should inform their healthcare provider of all current medications — including over-the-counter drugs and supplements — to avoid potentially harmful combinations. Data sourced from OpenFDA and the NIH National Library of Medicine.
- Total
- 12
- Contraindicated
- 2
- Major
- 6
- Moderate
- 4
Contraindicated (2)
- Enoxacin + Duloxetine— Quinolone antimicrobial that inhibits CYP1A2; should be avoided due to significant increase in duloxetine concentrations…
- Enoxacin + Pirfenidone— Strong CYP1A2 inhibitor that significantly increases pirfenidone exposure. Should be discontinued prior to pirfenidone a…
Major (6)
- Enoxacin + Clozapine— Strong CYP1A2 inhibitor that increases clozapine plasma levels, potentially resulting in adverse reactions. Requires dos…
- Enoxacin + Duloxetine Hydrochloride— Quinolone antimicrobial and potent CYP1A2 inhibitor that should be avoided due to potential significant increase in dulo…
- Enoxacin + Pirfenidone Capsule, 267 Mg— Strong CYP1A2 inhibitor that significantly increases pirfenidone exposure. Should be discontinued prior to pirfenidone a…
- Enoxacin + Roflumilast— CYP3A4 and CYP1A2 inhibitor that increases roflumilast systemic exposure and may result in increased adverse reactions.
- Enoxacin + Warfarin— CYP1A2 inhibitor that increases warfarin effect and INR; requires close INR monitoring
- Enoxacin + Warfarin Sodium— CYP1A2 inhibitor that increases warfarin effect and INR; requires closer INR monitoring.
Moderate (4)
- Enoxacin + Asenapine— Strong CYP1A2 inhibitor that increases asenapine AUC and Cmax. Consider asenapine dose reduction based on clinical respo…
- Enoxacin + Duloxetine D/R— Quinolone antimicrobial that inhibits CYP1A2 and may increase duloxetine concentrations.
- Enoxacin + Propranolol Hydrochloride— CYP1A2 inhibitor that increases propranolol exposure. Monitor for bradycardia and hypotension.
- Enoxacin + Riluzole— CYP1A2 inhibitor that may increase riluzole exposure and risk of riluzole-associated adverse reactions.