Zum Inhalt

HealthOSArzneimittel

Arbeitsbereiche

Nachschlagen

Wirkstoffe & Arzneimittelsicherheit

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 · 1009 Präparate · 54812 Quellenpassagen · 148 strukturierte Aussagen. Automatisch aktualisiert, ohne menschliche Freigabe.

Quellenpassagen (14)

Wechselwirkungen · Norvir

Norvir 100 mg powder for oral suspension · Abschnitt 4.5 · PDF-Seite 16

HOS-086250 · Präparat HOS-083284

Trazodone 50, single dose 200 q12h ↑ 2.4-fold ↑ 34% An increase in the incidence in trazodone-related adverse reactions was noted when co-administered with ritonavir dosed as an antiretroviral agent or as a pharmacokinetic enhancer. If trazodone is co-administered with ritonavir, the combination should be used with caution, initiating trazodone at the lowest dosage and monitoring for clinical response and tolerability.

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): trazodone (HOS-086251)

Vollständigen Kontext in der EMA-Fachinformation lesen →
Quellennachweis

Version 2025-11-11T18:35:00Z · SHA-256 82413695e61cf39577e85c47e382ee60197570a4ae72fe81d6e24e4211cd2d43 · Passage 17a1b1656a0f05d044cac2851bbe65b797a6e311337cc7c4e1ed9c41e4a683ad · Zeichen 26785–27471 im Abschnitt

Wechselwirkungen · Norvir

Norvir 100 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 48

HOS-086439 · Präparat HOS-083284

Trazodone 50, single dose 200 q12h ↑ 2.4-fold ↑ 34% An increase in the incidence in trazodone-related adverse reactions was noted when co- administered with ritonavir dosed as an antiretroviral agent or as a pharmacokinetic enhancer. If trazodone is co-administered with ritonavir, the combination should be used with caution, initiating trazodone at the lowest dosage and monitoring for clinical response and tolerability.

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): trazodone (HOS-086251)

Vollständigen Kontext in der EMA-Fachinformation lesen →
Quellennachweis

Version 2025-11-11T18:35:00Z · SHA-256 82413695e61cf39577e85c47e382ee60197570a4ae72fe81d6e24e4211cd2d43 · Passage efb1aea0f4359822ff2b8aa593c55e0c8b279192756cce69f6aa78168d2e47e5 · Zeichen 27779–28478 im Abschnitt

Wechselwirkungen · Kaletra

Kaletra (80 mg + 20 mg) / ml oral solution · Abschnitt 4.5 · PDF-Seite 17

HOS-108895 · Präparat HOS-093083

Due to induction of lamotrigine In patients starting or stopping glucuronidation Kaletra while currently taking maintenance dose of lamotrigine: Valproate: ↓ lamotrigine dose may need to be increased if Kaletra is added, or decreased if Kaletra is discontinued; therefore plasma lamotrigine monitoring should be conducted, particularly before and during 2 weeks after starting or stopping Kaletra, in order to see if lamotrigine dose adjustment is needed. In patients currently taking Kaletra and starting lamotrigine: no dose adjustments to the recommended dose escalation of lamotrigine should be necessary. Antidepressants and Anxiolytics Trazodone single dose Trazodone: It is unknown whether the AUC: ↑ 2.4-fold combination of Kaletra causes a (Ritonavir, 200 mg BID) similar increase in trazodone Adverse events of nausea, exposure. The combination should dizziness, hypotension and be used with caution and a lower syncope were observed following dose of trazodone should be co-administration of trazodone considered. and ritonavir. Antifungals Ketoconazole and Ketoconazole, Itraconazole: High doses of ketoconazole and Itraconazole Serum concentrations may be itraconazole (> 200 mg/day) are increased due to CYP3A not recommended. inhibition by lopinavir/ritonavir. Voriconazole Voriconazole: Co-administration of voriconazole Concentrations may be decreased. and low dose ritonavir (100 mg BID) as contained in Kaletra should be avoided unless an assessment of the benefit/risk to patient justifies the use of voriconazole.

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): lamotrigine (HOS-086242) valproate (HOS-085955) ketoconazole (HOS-084513) voriconazole (HOS-084524) itraconazole (HOS-084516) trazodone (HOS-086251)

Vollständigen Kontext in der EMA-Fachinformation lesen →
Quellennachweis

Version 2025-12-02T16:00:00Z · SHA-256 441d9e5f9e4b42d645e4bd802abc892cef6574b0be5b3f18d2a96678774ae365 · Passage cc67e2cdf7b4bd67992a77fee82c028a01ca61b900711d375f1043368d2697bb · Zeichen 27086–30540 im Abschnitt

Wechselwirkungen · Kaletra

Kaletra 200 mg/50 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 53

HOS-109012 · Präparat HOS-093083

Due to induction of lamotrigine In patients starting or stopping glucuronidation Kaletra while currently taking maintenance dose of lamotrigine: Valproate: ↓ lamotrigine dose may need to be increased if Kaletra is added, or decreased if Kaletra is discontinued; therefore plasma lamotrigine monitoring should be conducted, particularly before and during 2 weeks after starting or stopping Kaletra, in order to see if lamotrigine dose adjustment is needed. In patients currently taking Kaletra and starting lamotrigine: no dose adjustments to the recommended dose escalation of lamotrigine should be necessary. Antidepressants and Anxiolytics Trazodone single dose Trazodone: It is unknown whether the AUC: ↑ 2.4-fold combination of Kaletra causes a (Ritonavir, 200 mg similar increase in trazodone BID) Adverse events of nausea, exposure. The combination should dizziness, hypotension and be used with caution and a lower dose syncope were observed following of trazodone should be considered. co-administration of trazodone and ritonavir. Antifungals Ketoconazole and Ketoconazole, Itraconazole: High doses of ketoconazole and Itraconazole Serum concentrations may be itraconazole (> 200 mg/day) are not increased due to CYP3A recommended. inhibition by lopinavir/ritonavir. Voriconazole Voriconazole: Co-administration of voriconazole Concentrations may be decreased. and low dose ritonavir (100 mg BID) as contained in Kaletra should be avoided unless an assessment of the

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): lamotrigine (HOS-086242) valproate (HOS-085955) ketoconazole (HOS-084513) voriconazole (HOS-084524) itraconazole (HOS-084516) trazodone (HOS-086251)

Vollständigen Kontext in der EMA-Fachinformation lesen →
Quellennachweis

Version 2025-12-02T16:00:00Z · SHA-256 441d9e5f9e4b42d645e4bd802abc892cef6574b0be5b3f18d2a96678774ae365 · Passage b7549f913c063162484a547a54d17aa41fc44fb9504b9f1472817c41a1f18572 · Zeichen 26672–29701 im Abschnitt

Wechselwirkungen · Kaletra

Kaletra 100 mg/25 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 89

HOS-109088 · Präparat HOS-093083

Antidepressants and Anxiolytics Trazodone single dose Trazodone: It is unknown whether the AUC: ↑ 2.4-fold combination of Kaletra causes a (Ritonavir, 200 mg similar increase in trazodone BID) Adverse events of nausea, exposure. The combination should dizziness, hypotension and be used with caution and a lower syncope were observed following dose of trazodone should be co-administration of trazodone considered. and ritonavir. Antifungals Ketoconazole and Ketoconazole, Itraconazole: High doses of ketoconazole and Itraconazole Serum concentrations may be itraconazole (> 200 mg/day) are not increased due to CYP3A recommended. inhibition by lopinavir/ritonavir. Voriconazole Voriconazole: Co-administration of voriconazole Concentrations may be decreased. and low dose ritonavir (100 mg BID) as contained in Kaletra should be avoided unless an assessment of the benefit/risk to patient justifies the use of voriconazole. Anti-gout agents: Colchicine single dose Colchicine: Concomitant administration of AUC: ↑ 3-fold Kaletra with colchicine in patients (Ritonavir 200 mg twice Cmax: ↑ 1.8-fold with renal and/or hepatic daily) Due to P-gp and/or CYP3A4 impairment is contraindicated due inhibition by ritonavir. to a potential increase of colchicine- related serious and/or life-threatening reactions such as neuromuscular toxicity (including rhabdomyolysis) (see sections 4.3 and 4.4). A reduction in colchicine dosage or an interruption of colchicine treatment is recommended in patients with normal renal or hepatic function if treatment with Kaletra is required. Refer to colchicine prescribing information. Antihistamines Astemizole Serum concentrations may be Concomitant administration of Terfenadine increased due to CYP3A Kaletra and astemizole and inhibition by lopinavir/ritonavir. terfenadine is contraindicated as it may increase the risk of serious arrhythmias from these agents (see section 4.3).

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) voriconazole (HOS-084524) itraconazole (HOS-084516) trazodone (HOS-086251) colchicine (HOS-086147) astemizole (HOS-085608) terfenadine (HOS-085607)

Vollständigen Kontext in der EMA-Fachinformation lesen →
Quellennachweis

Version 2025-12-02T16:00:00Z · SHA-256 441d9e5f9e4b42d645e4bd802abc892cef6574b0be5b3f18d2a96678774ae365 · Passage 9043d84be2324d7e08bc16eeeba0c8c1136fbb4075d51aeb08ee163e186d9cab · Zeichen 28361–32171 im Abschnitt

Wechselwirkungen · Aptivus

Aptivus 250 mg soft capsules · Abschnitt 4.5 · PDF-Seite 22

HOS-114853 · Präparat HOS-094169

Steady-state tipranavir/r Digoxin Cmax ↓ 38% Digoxin AUC ↔ Trazodone In a pharmacokinetic study The combination should be used Interaction study performed in healthy volunteers, with caution and a lower dose of performed only with concomitant use of low dose trazodone should be considered. ritonavir ritonavir (200 mg twice daily) with a single dose of trazodone led to an increased plasma concentration of trazodone (AUC increased by 2.4 fold). Adverse events of nausea, dizziness, hypotension and syncope have been observed following co- administration of trazodone and ritonavir in this study. However, it is unknown whether the combination of tipranavir with ritonavir might cause a larger increase in trazodone exposure.

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): digoxin (HOS-086172) trazodone (HOS-086251) ritonavir (HOS-084521)

Vollständigen Kontext in der EMA-Fachinformation lesen →
Quellennachweis

Version 2026-04-23T09:35:00Z · SHA-256 1c396190f98e89933229f2261b0e436bd43dac9c1de8e2dacaa36a755dc06dce · Passage 670ddbc82082775bbd9eb1b8fe463eabb7382dd9ec3661e309efc0cbfd787716 · Zeichen 59209–60356 im Abschnitt

Wechselwirkungen · Prezista

PREZISTA 100 mg/ml oral suspension · Abschnitt 4.5 · PDF-Seite 17

HOS-116373 · Präparat HOS-094447

In contrast to these data with PREZISTA/ritonavir, PREZISTA/cobicistat may increase these antidepressant plasma concentrations (CYP2D6 and/or CYP3A inhibition). Amitriptyline Clinical monitoring is Desipramine Concomitant use of boosted PREZISTA recommended when Imipramine and these antidepressants may increase co-administering boosted Nortriptyline concentrations of the antidepressant. PREZISTA with these Trazodone (CYP2D6 and/or CYP3A inhibition) antidepressants and a dose adjustment of the antidepressant may be needed.

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): nortriptyline (HOS-086245) amitriptyline (HOS-085911) desipramine (HOS-086249) imipramine (HOS-085907) cobicistat (HOS-088111) trazodone (HOS-086251) ritonavir (HOS-084521)

Vollständigen Kontext in der EMA-Fachinformation lesen →
Quellennachweis

Version 2024-07-26T09:44:00Z · SHA-256 457dafbe8b3b9cee45b9ca7b46919ded598e0d0cd16715525d161e54f80b9117 · Passage 4f4525e55eb9ba191fea6abaa7ec0b7cfb9e176370ce240a8d85cec068cb4990 · Zeichen 39141–40004 im Abschnitt

Wechselwirkungen · Prezista

PREZISTA 75 mg film-coated tablets PREZISTA 150 mg film-coated tablets PREZISTA 600 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 59

HOS-116522 · Präparat HOS-094447

Concomitant use of PREZISTA Clinical monitoring is co-administered with low dose ritonavir recommended when and these antidepressants may increase co-administering PREZISTA with concentrations of the antidepressant. low dose ritonavir with these (CYP2D6 and/or CYP3A inhibition) antidepressants and a dose adjustment of the antidepressant Amitriptyline may be needed. Desipramine Imipramine Nortriptyline Trazodone ANTIEMETICS Domperidone Not studied. Co-administration of domperidone with boosted PREZISTA is contraindicated. ANTIFUNGALS Voriconazole Not studied. Ritonavir may decrease Voriconazole should not be plasma concentrations of voriconazole. combined with PREZISTA (induction of CYP450 enzymes) co-administered with low dose ritonavir unless an assessment of the benefit/risk ratio justifies the use of voriconazole. Fluconazole Not studied. PREZISTA may increase Caution is warranted and clinical Isavuconazole antifungal plasma concentrations and monitoring is recommended. When Itraconazole posaconazole, isavuconazole, co-administration is required the Posaconazole itraconazole, or fluconazole may increase daily dose of itraconazole should darunavir concentrations. not exceed 200 mg. (CYP3A and/or P-gp inhibition)

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): isavuconazole (HOS-085186) nortriptyline (HOS-086245) amitriptyline (HOS-085911) desipramine (HOS-086249) imipramine (HOS-085907) domperidone (HOS-114656) voriconazole (HOS-084524) itraconazole (HOS-084516) trazodone (HOS-086251) fluconazole (HOS-087945) ritonavir (HOS-084521) posaconazole (HOS-085622)

Vollständigen Kontext in der EMA-Fachinformation lesen →
Quellennachweis

Version 2024-07-26T09:44:00Z · SHA-256 457dafbe8b3b9cee45b9ca7b46919ded598e0d0cd16715525d161e54f80b9117 · Passage 22f4e74ad4f26762902abfc0033ac15b80ded8bd1a23d2f6a966a8c972097288 · Zeichen 30842–32867 im Abschnitt

Wechselwirkungen · Prezista

PREZISTA 400 mg film-coated tablets PREZISTA 800 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 99

HOS-116612 · Präparat HOS-094447

In contrast to these data with PREZISTA/ritonavir, PREZISTA/cobicistat may increase these antidepressant plasma concentrations (CYP2D6 and/or CYP3A inhibition). Amitriptyline Clinical monitoring is Desipramine Concomitant use of boosted PREZISTA recommended when Imipramine and these antidepressants may increase co-administering boosted Nortriptyline concentrations of the antidepressant. PREZISTA with these Trazodone (CYP2D6 and/or CYP3A inhibition) antidepressants and a dose adjustment of the antidepressant may be needed. ANTI-DIABETICS Metformin Not studied. Based on theoretical Careful patient monitoring and considerations PREZISTA dose adjustment of metformin is co-administered with cobicistat is recommended in patients who are expected to increase metformin plasma taking PREZISTA co-administered concentrations. with cobicistat. (MATE1 inhibition) (not applicable for PREZISTA co-administered with ritonavir)

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): nortriptyline (HOS-086245) amitriptyline (HOS-085911) desipramine (HOS-086249) imipramine (HOS-085907) cobicistat (HOS-088111) trazodone (HOS-086251) ritonavir (HOS-084521) metformin (HOS-091032)

Vollständigen Kontext in der EMA-Fachinformation lesen →
Quellennachweis

Version 2024-07-26T09:44:00Z · SHA-256 457dafbe8b3b9cee45b9ca7b46919ded598e0d0cd16715525d161e54f80b9117 · Passage 2c0dc2d9e3ddb0e0e92026d074dbaae3a3a70393cfdb47a97a09e403e78ecd72 · Zeichen 38675–40185 im Abschnitt

Wechselwirkungen · Zydelig

Zydelig 100 mg film-coated tablets Zydelig 150 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 7–8

HOS-132102 · Präparat HOS-097192

7 Medicinal product Expected effect of Clinical recommendation upon idelalisib on medicinal co-administration with idelalisib product levels ANTICOAGULANTS Warfarin ↑ serum concentrations It is recommended that the international normalised ratio (INR) be monitored upon co-administration and following ceasing treatment with idelalisib. ANTICONVULSANTS Carbamazepine ↑ serum concentrations Anticonvulsant medicinal product levels should be monitored. ANTIDEPRESSANTS Trazodone ↑ serum concentrations Careful dose titration of the antidepressant and monitoring for antidepressant response is recommended. ANTI-GOUT Colchicine ↑ serum concentrations Dose reductions of colchicine may be required. Idelalisib should not be co-administered with colchicine to patients with renal or hepatic impairment. ANTI-HYPERTENSIVES Amlodipine, diltiazem, ↑ serum concentrations Clinical monitoring of therapeutic felodipine, nifedipine, effect and adverse reactions is nicardipine recommended. ANTI-INFECTIVES Antifungals Ketoconazole, itraconazole, ↑ serum concentrations Clinical monitoring is recommended. posaconazole, voriconazole Antimycobacterials Rifabutin ↑ serum concentrations Increased monitoring for rifabutin- associated adverse reactions including neutropenia and uveitis is recommended. HCV protease inhibitors Boceprevir, telaprevir ↑ serum concentrations Clinical monitoring is recommended. Macrolide antibiotics Clarithromycin, telithromycin ↑ serum concentrations No dose adjustment of clarithromycin is required for patients with normal renal function or mild renal impairment (creatinine clearance [CrCl] 60-90 mL/min). Clinical monitoring is recommended for patients with CrCl < 90 mL/min. For patients with CrCl < 60 mL/min, alternative antibacterials should be considered.

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): diltiazem (HOS-086288) nifedipine (HOS-086289) nicardipine (HOS-090619) protease (HOS-085623) ketoconazole (HOS-084513) felodipine (HOS-108908) carbamazepine (HOS-085618) rifabutin (HOS-086262) amlodipine (HOS-086287) creatinine (HOS-086273) voriconazole (HOS-084524) telaprevir (HOS-090618) telithromycin (HOS-084523) itraconazole (HOS-084516) trazodone (HOS-086251) boceprevir (HOS-090617) clarithromycin (HOS-084517) colchicine (HOS-086147) warfarin (HOS-085950) posaconazole (HOS-085622)

Vollständigen Kontext in der EMA-Fachinformation lesen →
Quellennachweis

Version 2024-10-21T17:52:00Z · SHA-256 f55f90ba278a87ef1c8e7162344ed4bd66ac7180deaf4c8fda3eca5bbf8e87e5 · Passage 5f9a56fd2cd08a1553975154a7af1dc43198c97641aafb1794cd76642177c219 · Zeichen 4000–7499 im Abschnitt

Wechselwirkungen · Genvoya

Genvoya 150 mg/150 mg/200 mg/10 mg film-coated tablets Genvoya 90 mg/90 mg/120 mg/6 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 19–20

HOS-134030 · Präparat HOS-097520

19 Medicinal product by Effects on medicinal product Recommendation concerning therapeutic areas levels. co-administration with Genvoya Mean percent change in AUC, Cmax, Cmin1 Tricyclic antidepressants (TCAs) Interaction not studied with any of Careful dose titration of the Trazodone the components of Genvoya. antidepressant and monitoring for Selective serotonin reuptake antidepressant response is inhibitors (SSRIs) Concentrations of antidepressant recommended. Escitalopram agents may be increased when co-administered with cobicistat. IMMUNOSUPPRESSANTS Ciclosporin Interaction not studied with any of Therapeutic monitoring is Sirolimus the components of Genvoya. recommended upon Tacrolimus co-administration with Genvoya. Concentrations of these immunosuppressant agents may be increased when administered with cobicistat. SEDATIVES/HYPNOTICS Buspirone Interaction not studied with any of Co-administration of Genvoya and Clorazepate the components of Genvoya. triazolam is contraindicated (see Diazepam section 4.3). With other Estazolam Triazolam is primarily metabolised sedatives/hypnotics, dose reduction Flurazepam by CYP3A. Co-administration may be necessary and concentration Lorazepam with Genvoya may result in monitoring is recommended. Triazolam increased plasma concentrations of Zolpidem this medicinal product, which is associated with the potential for serious or life-threatening adverse reactions.

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): estazolam (HOS-086165) clorazepate (HOS-086164) lorazepam (HOS-085981) diazepam (HOS-085904) zolpidem (HOS-086327) serotonin (HOS-085477) trazodone (HOS-086251) tacrolimus (HOS-085202) buspirone (HOS-086325) sirolimus (HOS-085172) escitalopram (HOS-129417) triazolam (HOS-086168) flurazepam (HOS-086166)

Vollständigen Kontext in der EMA-Fachinformation lesen →
Quellennachweis

Version 2022-11-28T16:51:00Z · SHA-256 5b1a306ad5f7dd33700254558ee14691810f4eafdcf9d1256ccc229ad5e01997 · Passage 5942209e475c796ef61c4b0bb67f6fad6953705ca4043b5a69de6960506043d8 · Zeichen 46301–48689 im Abschnitt

Wechselwirkungen · Darunavir Viatris (previously Darunavir Mylan)

Darunavir Viatris 75 mg film-coated tablets Darunavir Viatris 150 mg film-coated tablets Darunavir Viatris 300 mg film-coated tablets Darunavir Viatris 600 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 14–15

HOS-134494 · Präparat HOS-097580

14 INTERACTIONS AND DOSE RECOMMENDATIONS WITH OTHER MEDICINAL PRODUCTS Medicinal products by Interaction Geometric mean change Recommendations concerning co- therapeutic areas (%) administration ANTIDEPRESSANTS Paroxetine paroxetine AUC ↓ 39% If antidepressants are co- 20 mg once daily paroxetine Cmin ↓ 37% administered with darunavir with paroxetine Cmax ↓ 36% low dose ritonavir, the recommended approach is a dose # darunavir AUC ↔ titration of the antidepressant based # darunavir Cmin ↔ on a clinical assessment of # darunavir Cmax ↔ antidepressant response. In addition, Sertraline sertraline AUC ↓ 49% patients on a stable dose of these 50 mg once daily sertraline Cmin ↓ 49% antidepressants who start treatment sertraline Cmax ↓ 44% with darunavir with low dose # darunavir AUC ↔ ritonavir should be monitored for # darunavir Cmin ↓ 6% antidepressant response. # darunavir Cmax ↔ Clinical monitoring is recommended when co- Concomitant use of darunavir co- administering darunavir with low administered with low dose ritonavir dose ritonavir with these and these antidepressants may increase antidepressants and a dose concentrations of the antidepressant. adjustment of the antidepressant (CYP2D6 and/or CYP3A inhibition) may be needed. Amitriptyline Desipramine Imipramine Nortriptyline Trazodone ANTIEMETICS Domperidone Not studied. Co-administration of domperidone with boosted darunavir is contraindicated. ANTIFUNGALS Voriconazole Not studied. Ritonavir may decrease Voriconazole should not be plasma concentrations of voriconazole. combined with darunavir co- (induction of CYP450 enzymes) administered with low dose ritonavir unless an assessment of the benefit/risk ratio justifies the use of voriconazole. Fluconazole Not studied. Darunavir may increase Caution is warranted and clinical Isavuconazole antifungal plasma concentrations and monitoring is recommended. When Itraconazole posaconazole, isavuconazole, co-administration is required the Posaconazole itraconazole, or fluconazole may daily dose of itraconazole should increase darunavir concentrations. not exceed 200 mg. (CYP3A and/or P-gp inhibition)

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): paroxetine (HOS-086246) isavuconazole (HOS-085186) nortriptyline (HOS-086245) amitriptyline (HOS-085911) desipramine (HOS-086249) imipramine (HOS-085907) domperidone (HOS-114656) voriconazole (HOS-084524) itraconazole (HOS-084516) trazodone (HOS-086251) fluconazole (HOS-087945) sertraline (HOS-086247) ritonavir (HOS-084521) posaconazole (HOS-085622)

Vollständigen Kontext in der EMA-Fachinformation lesen →
Quellennachweis

Version 2026-10-20T12:32:00Z · SHA-256 50f4771a683f17214737463c6df88a158b1e699bbb9916413602e547e369e804 · Passage 0e227ba8a8f0b79d0adea0b25305dcec4671959e568e634634a5edd206310734 · Zeichen 29798–33588 im Abschnitt

Wechselwirkungen · Darunavir Viatris (previously Darunavir Mylan)

Darunavir Viatris 400 mg film-coated tablets Darunavir Viatris 800 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 57

HOS-134621 · Präparat HOS-097580

Amitriptyline Concomitant use of boosted Clinical monitoring is recommended Desipramine darunavir and these antidepressants when co-administering boosted Imipramine may increase concentrations of the darunavir with these antidepressants Nortriptyline antidepressant. and a dose adjustment of the Trazodone (CYP2D6 and/or CYP3A antidepressant may be needed. inhibition) ANTI-DIABETICS Metformin Not studied. Based on theoretical Careful patient monitoring and dose considerations darunavir co- adjustment of metformin is administered with cobicistat is recommended in patients who are expected to increase metformin taking darunavir co-administered plasma concentrations. with cobicistat. (MATE1 inhibition) (not applicable for darunavir co- administered with ritonavir) ANTIEMETICS Domperidone Not studied. Co-administration of domperidone with boosted darunavir is contraindicated. ANTIFUNGALS Voriconazole Not studied. Ritonavir may Voriconazole should not be decrease plasma concentrations of combined with boosted darunavir voriconazole. unless an assessment of the (induction of CYP450 enzymes) benefit/risk ratio justifies the use of voriconazole. Concentrations of voriconazole may increase or decrease when co- administered with darunavir co- administered with cobicistat. (inhibition of CYP450 enzymes)

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): nortriptyline (HOS-086245) amitriptyline (HOS-085911) desipramine (HOS-086249) imipramine (HOS-085907) cobicistat (HOS-088111) domperidone (HOS-114656) voriconazole (HOS-084524) trazodone (HOS-086251) ritonavir (HOS-084521) metformin (HOS-091032)

Vollständigen Kontext in der EMA-Fachinformation lesen →
Quellennachweis

Version 2026-10-20T12:32:00Z · SHA-256 50f4771a683f17214737463c6df88a158b1e699bbb9916413602e547e369e804 · Passage 27799a8d8e538324cfbdb7d65793ead639dfa85c24213e1e87ce9b2c7b4b1622 · Zeichen 37685–39889 im Abschnitt

Wechselwirkungen · Symtuza

Symtuza 800 mg/150 mg/200 mg/10 mg film-coated tablets Symtuza 675 mg/150 mg/200 mg/10 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 12

HOS-138484 · Präparat HOS-098200

Based on theoretical considerations Amitriptyline DRV/COBI is expected to increase Desipramine these anti-depressant plasma Imipramine concentrations. Nortriptyline (CYP2D6 and/or CYP3A Trazodone inhibition) ANTI-DIABETICS Metformin Based on theoretical considerations Careful clinical monitoring and DRV/COBI is expected to increase dose adjustment of metformin is metformin plasma concentrations. recommended in patients who are (MATE1 inhibition) taking Symtuza. ANTIEMETICS Domperidone Not studied. Co-administration of domperidone with Symtuza is contraindicated. ANTIFUNGALS Clotrimazole Based on theoretical considerations Caution is warranted and clinical Fluconazole DRV/COBI is expected to increase monitoring is recommended. Itraconazole these antifungal plasma When co-administration is concentrations, and darunavir, required, the daily dose of Isavuconazole cobicistat and/or tenofovir itraconazole should not exceed Posaconazole alafenamide plasma concentrations 200 mg. may be increased by the antifungals. (CYP3A and/or P-gp inhibition)

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): tenofovir (HOS-088083) isavuconazole (HOS-085186) nortriptyline (HOS-086245) amitriptyline (HOS-085911) desipramine (HOS-086249) imipramine (HOS-085907) clotrimazole (HOS-090574) domperidone (HOS-114656) itraconazole (HOS-084516) trazodone (HOS-086251) fluconazole (HOS-087945) posaconazole (HOS-085622) metformin (HOS-091032)

Vollständigen Kontext in der EMA-Fachinformation lesen →
Quellennachweis

Version 2026-09-16T11:21:00Z · SHA-256 542f840b29cc7afaff9940b20511550e8d35031b33d95efd774fd49f70f7819d · Passage 061584a4f2d3686461b02951b37d12cd2e74b66b2c1221794b17ed1d0cb7ecd1 · Zeichen 15577–17097 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.