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.
Wechselwirkungen · Velphoro
Velphoro 125 mg oral powder in sachet · Abschnitt 4.5 · PDF-Seite 14
HOS-128630 · Präparat HOS-096593
In vitro studies with the following active substances did not show any relevant interaction:
acetylsalicylic acid, cephalexin, cinacalcet, ciprofloxacin, clopidogrel, enalapril, hydrochlorothiazide,
metformin, metoprolol, nifedipine, pioglitazone and quinidine.
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): nifedipine (HOS-086289) enalapril (HOS-085479) ciprofloxacin (HOS-085177) hydrochlorothiazide (HOS-086937) quinidine (HOS-085593) cinacalcet (HOS-128604) clopidogrel (HOS-087927) pioglitazone (HOS-089663) cephalexin (HOS-128603) metoprolol (HOS-090094) metformin (HOS-091032)
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Version 2026-03-24T02:00:00Z · SHA-256 1e5416d301655970abd63bd7dd9bc2b3e6c52e5764330496810361230bfa8aa9 · Passage 14d9de93e6ccbb806dd1a5e4183405f0f8b983c5316d2e9914d035156312e48c · Zeichen 1099–1360 im Abschnitt
Wechselwirkungen · Trulicity
Trulicity 0.75 mg solution for injection in pre-filled pen Trulicity 1.5 mg solution for injection in pre-filled pen Trulicity 3 mg solution for injection in pre-filled pen Trulicity 4.5 mg solution for injection in pre-filled pen · Abschnitt 4.5 · PDF-Seite 7
HOS-130051 · Präparat HOS-096833
Coadministration of multiple dulaglutide 1.5 mg doses with steady state lisinopril caused no clinically
relevant changes in the AUC or Cmax of lisinopril. Statistically significant delays in lisinopril tmax of
approximately 1 hour were observed on Days 3 and 24 of the study. When a single 1.5 mg dose of
dulaglutide and metoprolol were coadministered, the AUC and Cmax of metoprolol increased by19 %
and 32 %, respectively. While metoprolol tmax was delayed by 1 hour, this change was not statistically
significant. These changes were not clinically relevant; therefore, no dose adjustment of lisinopril or
metoprolol is necessary when administered with dulaglutide.
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): lisinopril (HOS-113010) metoprolol (HOS-090094)
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Version 2026-01-30T14:51:00Z · SHA-256 8f7c34e4753bded4db7c0494f49b503f91f5736e3b7e360143648c1ad38b32e3 · Passage 69a1b7a118dd40b33de77bbf18a56fd3e08a4dfd13d0371b3b7c2f13c97b0e45 · Zeichen 2987–3654 im Abschnitt
Wechselwirkungen · Mysimba
Mysimba 8 mg/90 mg prolonged-release tablets · Abschnitt 4.5 · PDF-Seite 8–9
HOS-130319 · Präparat HOS-096899
CYP2D6 substrates
In a clinical study, naltrexone/bupropion (32 mg naltrexone hydrochloride /360 mg bupropion
hydrochloride daily) was co-administered with a 50 mg dose of metoprolol (a CYP2D6 substrate).
Naltrexone/bupropion increased metoprolol AUC and Cmax by approximately 4- and 2-fold,
respectively, relative to metoprolol alone. Similar clinical drug interactions resulting in increased
8
pharmacokinetic exposure of CYP2D6 substrates have also been observed with bupropion as a single
medicinal product with desipramine and venlafaxine.
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): desipramine (HOS-086249) venlafaxine (HOS-086573) metoprolol (HOS-090094)
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Version 2026-10-07T14:58:00Z · SHA-256 8d91203fd1313606105ccfcfeb588970833594eb1edb4edb571e8c8ed61c515c · Passage 424640420c4333fd30187d1292939d0c3e30fe13de00f06e725523a84bd35e44 · Zeichen 1292–1887 im Abschnitt
Wechselwirkungen · Mysimba
Mysimba 8 mg/90 mg prolonged-release tablets · Abschnitt 4.5 · PDF-Seite 9
HOS-130320 · Präparat HOS-096899
Co-administration of bupropion with drugs that are metabolised by CYP2D6 isozyme including
certain antidepressants (SSRIs and many tricyclic antidepressants, e.g. desipramine, imipramine,
paroxetine), antipsychotics (e.g., haloperidol, risperidone and thioridazine), beta-blockers (e.g.,
metoprolol) and Type 1C antiarrhythmics (e.g., propafenone and flecainide), should be approached
with caution and should be initiated at the lower end of the dose range of the concomitant medicinal
product. Although citalopram is not primarily metabolised by CYP2D6, in one study, bupropion
increased the Cmax and AUC of citalopram by 30% and 40%, respectively.
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) citalopram (HOS-087802) propafenone (HOS-084530) desipramine (HOS-086249) flecainide (HOS-086203) imipramine (HOS-085907) risperidone (HOS-086280) thioridazine (HOS-086281) haloperidol (HOS-085602) metoprolol (HOS-090094)
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Version 2026-10-07T14:58:00Z · SHA-256 8d91203fd1313606105ccfcfeb588970833594eb1edb4edb571e8c8ed61c515c · Passage cd65a9952c510c78425f288878ffbcc66bc9158597a50f714a7a9b26d908a649 · Zeichen 1889–2538 im Abschnitt
Wechselwirkungen · Cerdelga
Cerdelga 21 mg hard capsules Cerdelga 84 mg hard capsules · Abschnitt 4.5 · PDF-Seite 7
HOS-130433 · Präparat HOS-096915
CYP2D6 substrates
After a single 50 mg dose of metoprolol, a CYP2D6 substrate, concomitant administration of repeated
127 mg twice daily doses of eliglustat resulted in a 1.5- and 2.1-fold increase in metoprolol Cmax and
AUC, respectively. Lower doses of medicinal products that are CYP2D6 substrates may be required.
These include certain antidepressants (tricyclic antidepressants, e.g. nortriptyline, amitriptyline,
imipramine, and desipramine), phenothiazines, dextromethorphan and atomoxetine).
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) atomoxetine (HOS-130436) desipramine (HOS-086249) imipramine (HOS-085907) dextromethorphan (HOS-109265) metoprolol (HOS-090094) eliglustat (HOS-130401)
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Version 2026-07-27T15:21:00Z · SHA-256 1c727ba97e10c9a78b07345b037b7efc3b42bce5b1ed72eaf8881cd34d7be69a · Passage 0cc854192b2ecc3c5146e676cab65796722073984135464e469ed711479f32b0 · Zeichen 6167–6666 im Abschnitt
Wechselwirkungen · Farydak
Farydak 10 mg hard capsules Farydak 15 mg hard capsules Farydak 20 mg hard capsules · Abschnitt 4.5 · PDF-Seite 12
HOS-130458 · Präparat HOS-096923
Panobinostat increased the Cmax and the AUC of dextromethorphan (a substrate of CYP2D6) by
1.8- and 1.6-fold, respectively, and it cannot be excluded that the effect may be larger on a more
sensitive CYP2D6 substrate. Avoid panobinostat use in patients who are taking CYP2D6 substrates
with a narrow therapeutic index (including, but not limited to, pimozide). When Farydak is
co-administered with sensitive CYP2D6 substrates (e.g. atomoxetine, dextromethorphan, metoprolol,
nebivolol, perphenazine and pimozide), dose titrate individual CYP2D6 substrates based on
tolerability and frequently monitor patients for 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): nebivolol (HOS-130459) atomoxetine (HOS-130436) perphenazine (HOS-116395) panobinostat (HOS-130447) pimozide (HOS-085600) dextromethorphan (HOS-109265) metoprolol (HOS-090094)
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Version 2025-10-01T17:42:00Z · SHA-256 58ca307f8694fb48a8bc74d8804d492564d6c11554c366f3220bc8e9fa2ab9be · Passage f7ad5b101ab18a174bbb416a6db89510d897b953d57589a4b7201ae26b46ae8d · Zeichen 1927–2559 im Abschnitt
Wechselwirkungen · Tadalafil Mylan
Tadalafil Mylan 2.5 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 6
HOS-131386 · Präparat HOS-097067
In clinical pharmacology studies, the potential for tadalafil to augment the hypotensive effects of
antihypertensive medicinal products was examined. Major classes of antihypertensive medicinal products
were studied, including calcium channel blockers (amlodipine), angiotensin converting enzyme (ACE)
inhibitors (enalapril), beta-adrenergic receptor blockers (metoprolol), thiazide diuretics
(bendroflumethiazide), and angiotensin II receptor blockers (various types and doses, alone or in
combination with thiazides, calcium channel blockers, beta-blockers, and/or alpha-blockers). Tadalafil
(10 mg except for studies with angiotensin II receptor blockers and amlodipine in which a 20 mg dose was
applied) had no clinically significant interaction with any of these classes. In another clinical pharmacology
study tadalafil (20 mg) was studied in combination with up to 4 classes of antihypertensives. In subjects
taking multiple antihypertensives, the ambulatory-blood-pressure changes appeared to relate to the degree of
blood-pressure control. In this regard, study subjects whose blood pressure was well controlled, the reduction
was minimal and similar to that seen in healthy subjects. In study subjects whose blood pressure was not
controlled, the reduction was greater although this reduction was not associated with hypotensive symptoms
in the majority of subjects. In patients receiving concomitant antihypertensive medicinal products, tadalafil
20 mg may induce a blood pressure decrease, which (with the exception of alpha blockers -see above-) is, in
general, minor and not likely to be clinically relevant. Analysis of phase 3 clinical trial data showed no
difference in adverse events in patients taking tadalafil with or without antihypertensive medicinal products.
However, appropriate clinical advice should be given to patients regarding a possible decrease in blood
pressure when they are treated with antihypertensive medicinal products.
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): angiotensin II (HOS-085480) enalapril (HOS-085479) bendroflumethiazide (HOS-131387) amlodipine (HOS-086287) calcium (HOS-085615) metoprolol (HOS-090094)
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Version 2026-06-15T12:38:00Z · SHA-256 2c06d7b4e73c05361baf5d12e4bb06aa9f06b0ce1a899ac34068fb6b554e7343 · Passage f01f1b24fecd1dd66fc31782f9cef974dd030c236d9de4e77a8ea95a72f6ff11 · Zeichen 3710–5670 im Abschnitt
Wechselwirkungen · Tadalafil Mylan
Tadalafil Mylan 5 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 20–21
HOS-131434 · Präparat HOS-097067
20
inhibitors (enalapril), beta-adrenergic receptor blockers (metoprolol), thiazide diuretics (bendrofluazide), and
angiotensin II receptor blockers (various types and doses, alone or in combination with thiazides, calcium
channel blockers, beta-blockers, and/or alpha-blockers). Tadalafil (10 mg except for studies with angiotensin
II receptor blockers and amlodipine in which a 20 mg dose was applied) had no clinically significant
interaction with any of these classes. In another clinical pharmacology study tadalafil (20 mg) was studied in
combination with up to 4 classes of antihypertensives. In subjects taking multiple antihypertensives, the
ambulatory-blood-pressure changes appeared to relate to the degree of blood-pressure control. In this regard,
study subjects whose blood pressure was well controlled, the reduction was minimal and similar to that seen
in healthy subjects. In study subjects whose blood pressure was not controlled, the reduction was greater
although this reduction was not associated with hypotensive symptoms in the majority of subjects. In patients
receiving concomitant antihypertensive medicinal products, tadalafil 20 mg may induce a blood pressure
decrease, which (with the exception of alpha blockers -see above-) is, in general, minor and not likely to be
clinically relevant. Analysis of phase 3 clinical trial data showed no difference in adverse events in patients
taking tadalafil with or without antihypertensive medicinal products. However, appropriate clinical advice
should be given to patients regarding a possible decrease in blood pressure when they are treated with
antihypertensive medicinal products.
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): angiotensin II (HOS-085480) enalapril (HOS-085479) amlodipine (HOS-086287) calcium (HOS-085615) metoprolol (HOS-090094)
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Version 2026-06-15T12:38:00Z · SHA-256 2c06d7b4e73c05361baf5d12e4bb06aa9f06b0ce1a899ac34068fb6b554e7343 · Passage fbffe39e190140e113b97e68b141a798fbe62d2472f6c5500bb99f0034e3338e · Zeichen 4008–5665 im Abschnitt
Wechselwirkungen · Tadalafil Mylan
Tadalafil Mylan 10 mg film-coated tablets Tadalafil Mylan 20 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 35
HOS-131479 · Präparat HOS-097067
In clinical pharmacology studies, the potential for tadalafil to augment the hypotensive effects of
antihypertensive medicinal products was examined. Major classes of antihypertensive medicinal products
were studied, including calcium channel blockers (amlodipine), angiotensin converting enzyme (ACE)
inhibitors (enalapril), beta-adrenergic receptor blockers (metoprolol), thiazide diuretics
(bendroflumethiazide), and angiotensin II receptor blockers (various types and doses, alone or in
combination with thiazides, calcium channel blockers, beta-blockers, and/or alpha-blockers). Tadalafil
(10 mg except for studies with angiotensin II receptor blockers and amlodipine in which a 20 mg dose was
applied) had no clinically significant interaction with any of these classes. In another clinical pharmacology
study tadalafil (20 mg) was studied in combination with up to 4 classes of antihypertensives. In subjects
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): angiotensin II (HOS-085480) enalapril (HOS-085479) bendroflumethiazide (HOS-131387) amlodipine (HOS-086287) calcium (HOS-085615) metoprolol (HOS-090094)
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Version 2026-06-15T12:38:00Z · SHA-256 2c06d7b4e73c05361baf5d12e4bb06aa9f06b0ce1a899ac34068fb6b554e7343 · Passage 27b82ffa3277aa1f27fdf38e283412d8dd7687d67a46638eccb552a008b9a330 · Zeichen 3708–4623 im Abschnitt
Wechselwirkungen · Duloxetine Zentiva
Duloxetine Zentiva 30 mg gastro-resistant hard capsules Duloxetine Zentiva 60 mg gastro-resistant hard capsules · Abschnitt 4.5 · PDF-Seite 8–9
HOS-133015 · Präparat HOS-097350
8
tricyclic antidepressants [TCAs] such as nortriptyline, amitriptyline, and imipramine) particularly if
they have a narrow therapeutic index (such as flecainide, propafenone and metoprolol).
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) propafenone (HOS-084530) amitriptyline (HOS-085911) flecainide (HOS-086203) imipramine (HOS-085907) metoprolol (HOS-090094)
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Version 2024-11-29T16:00:00Z · SHA-256 a6188d2978ea09f7e5b7445a447f5e2a57efdecb0d31b2c6eef34f98353221c3 · Passage 814abd189594280f7330ea382aaa8f1e6fe49f281a118c06d0fde91e5981b43c · Zeichen 3046–3238 im Abschnitt
Wechselwirkungen · Duloxetine Lilly
Duloxetine Lilly 30 mg hard gastro-resistant capsules Duloxetine Lilly 60 mg hard gastro-resistant capsules · Abschnitt 4.5 · PDF-Seite 8
HOS-133585 · Präparat HOS-097464
Medicinal products metabolised by CYP2D6: Duloxetine is a moderate inhibitor of CYP2D6. When
duloxetine was administered at a dose of 60 mg twice daily with a single dose of desipramine, a
CYP2D6 substrate, the AUC of desipramine increased 3-fold. The co-administration of duloxetine (40
mg twice daily) increases steady state AUC of tolterodine (2 mg twice daily) by 71 %, but does not
affect the pharmacokinetics of its active 5-hydroxyl metabolite and no dosage adjustment is
recommended. Caution is advised if Duloxetine Lilly is co-administered with medicinal products that
are predominantly metabolised by CYP2D6 (risperidone, tricyclic antidepressants [TCAs] such as
nortriptyline, amitriptyline, and imipramine) particularly if they have a narrow therapeutic index (such
as flecainide, propafenone and metoprolol).
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) propafenone (HOS-084530) tolterodine (HOS-087792) amitriptyline (HOS-085911) desipramine (HOS-086249) flecainide (HOS-086203) imipramine (HOS-085907) risperidone (HOS-086280) metoprolol (HOS-090094)
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Version 2024-07-09T15:33:00Z · SHA-256 61054d41822a6a0df108fca29fbebcc411cb952e97947b2c207af5bcdba0577a · Passage 7c7b25996f6a32c80fc33440a2dc74840f11c467175ef457a23ae83c3ba35d3b · Zeichen 2415–3237 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 16–17
HOS-134000 · Präparat HOS-097520
16
Medicinal product by Effects on medicinal product Recommendation concerning
therapeutic areas levels. co-administration with Genvoya
Mean percent change in AUC,
Cmax, Cmin1
ANTIARRHYTHMICS
Digoxin (0.5 mg single dose)/ Digoxin: It is recommended that digoxin
Cobicistat (150 mg multiple doses) AUC: ↔ levels be monitored when digoxin is
Cmax: ↑ 41% combined with Genvoya.
Disopyramide Interaction not studied with any of Caution is warranted and clinical
Flecainide the components of Genvoya. monitoring is recommended upon
Systemic lidocaine co-administration with Genvoya.
Mexiletine Concentrations of these
Propafenone antiarrhythmic drugs may be
increased when co-administered
with cobicistat.
ANTI-HYPERTENSIVES
Metoprolol Interaction not studied with any of Clinical monitoring is recommended
Timolol the components of Genvoya. and a dose decrease may be
necessary when these agents are
Concentrations of beta-blockers co-administered with Genvoya.
may be increased when
co-administered with cobicistat.
Amlodipine Interaction not studied with any of Clinical monitoring of therapeutic
Diltiazem the components of Genvoya. effects and adverse reactions is
Felodipine recommended when these medicinal
Nicardipine Concentrations of calcium channel products are concomitantly
Nifedipine blockers may be increased when administered with Genvoya.
Verapamil co-administered with cobicistat.
ENDOTHELIN RECEPTOR ANTAGONISTS
Bosentan Interaction not studied with any of Alternative endothelin receptor
the components of Genvoya. antagonists may 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) propafenone (HOS-084530) nicardipine (HOS-090619) felodipine (HOS-108908) flecainide (HOS-086203) lidocaine (HOS-108866) mexiletine (HOS-086341) amlodipine (HOS-086287) digoxin (HOS-086172) calcium (HOS-085615) disopyramide (HOS-085595) bosentan (HOS-086291) metoprolol (HOS-090094) timolol (HOS-090571) verapamil (HOS-090602)
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Version 2022-11-28T16:51:00Z · SHA-256 5b1a306ad5f7dd33700254558ee14691810f4eafdcf9d1256ccc229ad5e01997 · Passage fbc226f308d5b4a973e812dce29188ec92b05700c50154ad831ac93b6af736fa · Zeichen 32099–34742 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 9
HOS-134464 · Präparat HOS-097580
A clinical study utilising a cocktail of medicinal products that are metabolised by cytochromes
CYP2C9, CYP2C19 and CYP2D6 demonstrated an increase in CYP2C9 and CYP2C19 activity and
inhibition of CYP2D6 activity in the presence of darunavir/ritonavir, which may be attributed to the
presence of low dose ritonavir. Co-administration of darunavir and ritonavir with medicinal products
which are primarily metabolised by CYP2D6 (such as flecainide, propafenone, metoprolol) may result
in increased plasma concentrations of these medicinal products, which could increase or prolong their
therapeutic effect and adverse reactions. Co-administration of darunavir and ritonavir with medicinal
products primarily metabolised by CYP2C9 (such as warfarin) and CYP2C19 (such as methadone)
may result in decreased systemic exposure to such medicinal products, which could decrease or
shorten their therapeutic effect.
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): propafenone (HOS-084530) methadone (HOS-086198) flecainide (HOS-086203) ritonavir (HOS-084521) metoprolol (HOS-090094) warfarin (HOS-085950)
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Version 2026-10-20T12:32:00Z · SHA-256 50f4771a683f17214737463c6df88a158b1e699bbb9916413602e547e369e804 · Passage 1c69c1e904c5e45f21197cc74aaf3793a744795efd05ba12ed65d139c93b2ca1 · Zeichen 1476–2383 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 17–18
HOS-134507 · Präparat HOS-097580
17
INTERACTIONS AND DOSE RECOMMENDATIONS WITH OTHER MEDICINAL PRODUCTS
Medicinal products by Interaction Geometric mean change Recommendations concerning co-
therapeutic areas (%) administration
Perphenazine Not studied. Darunavir is expected to A dose decrease may be needed for
Risperidone increase these antipsychotic plasma these drugs when co-administered
Thioridazine concentrations. with darunavir co-administered with
(CYP3A, CYP2D6 and/or P-gp low dose ritonavir.
inhibition)
Lurasidone Pimozide Concomitant administration of
Sertindole darunavir with low dose ritonavir
and lurasidone, pimozide or
sertindole is contraindicated (see
section 4.3).
β-BLOCKERS
Carvedilol Not studied. Darunavir is expected to Clinical monitoring is
Metoprolol increase these β-blocker plasma recommended when co-
Timolol concentrations. administering darunavir with β-
(CYP2D6 inhibition) blockers. A lower dose of the β-
blocker should be considered.
CALCIUM CHANNEL BLOCKERS
Amlodipine Not studied. Darunavir co-administered Clinical monitoring of therapeutic
Diltiazem with low dose ritonavir can be and adverse effects is recommended
Felodipine expected to increase the plasma when these medicines are
Nicardipine concentrations of calcium channel concomitantly administered with
Nifedipine blockers. darunavir with low dose ritonavir.
Verapamil (CYP3A and/or CYP2D6 inhibition)
CORTICOSTEROIDS
Corticosteroids primarily Fluticasone: in a clinical study where Concomitant use of darunavir with
metabolised by CYP3A ritonavir 100 mg capsules twice daily low dose ritonavir and
(including betamethasone, were co-administered with 50 μg corticosteroids (all routes of
budesonide, fluticasone, intranasal fluticasone propionate (4 administration) that are metabolised
mometasone, prednisone, times daily) for 7 days in healthy by CYP3A may increase the risk of
triamcinolone) subjects, fluticasone propionate plasma development of systemic
concentrations increased significantly, corticosteroid effects, including
whereas the intrinsic cortisol levels Cushing’s syndrome and adrenal
decreased by approximately 86% (90% suppression.
CI 82-89%). Greater effects may be
expected when fluticasone is inhaled. Co-administration with CYP3A-
Systemic corticosteroid effects metabolised corticosteroids is not
including Cushing’s syndrome and recommended unless the potential
adrenal suppression have been reported benefit to the patient outweighs the
in patients receiving ritonavir and risk, in which case patients should
inhaled or intranasally administered be monitored for systemic
fluticasone. The effects of high corticosteroid effects.
fluticasone systemic exposure on
ritonavir plasma levels are unknown. Alternative corticosteroids which
are less dependent on CYP3A
Other corticosteroids: interaction not metabolism e.g. beclomethasone
studied. Plasma concentrations of these should be considered, particularly
medicinal products may be increased for long term use.
when co-administered with darunavir
with low dose ritonavir, resulting in
reduced serum cortisol concentrations.
Dexamethasone (systemic) Not studied. Dexamethasone may Systemic dexamethasone should be
decrease plasma concentrations of used with caution when combined
darunavir. (CYP3A induction) with darunavir co-administered with
low dose 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): sertindole (HOS-085601) diltiazem (HOS-086288) triamcinolone (HOS-086333) nifedipine (HOS-086289) fluticasone (HOS-108914) nicardipine (HOS-090619) felodipine (HOS-108908) fluticasone propionate (HOS-086331) carvedilol (HOS-115322) risperidone (HOS-086280) amlodipine (HOS-086287) thioridazine (HOS-086281) perphenazine (HOS-116395) calcium (HOS-085615) betamethasone (HOS-090066) dexamethasone (HOS-084535) budesonide (HOS-086332) pimozide (HOS-085600) mometasone (HOS-114048) ritonavir (HOS-084521) beclomethasone (HOS-086334) lurasidone (HOS-086148) prednisone (HOS-084526) metoprolol (HOS-090094) timolol (HOS-090571) verapamil (HOS-090602)
Vollständigen Kontext in der EMA-Fachinformation lesen →Quellennachweis
Version 2026-10-20T12:32:00Z · SHA-256 50f4771a683f17214737463c6df88a158b1e699bbb9916413602e547e369e804 · Passage 4d699252eaa8e454816efcf834725c875d4dc8037df504e7418d309238a96785 · Zeichen 43154–48076 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 49
HOS-134594 · Präparat HOS-097580
A clinical study utilising a cocktail of medicinal products that are metabolised by cytochromes
CYP2C9, CYP2C19 and CYP2D6 demonstrated an increase in CYP2C9 and CYP2C19 activity and
inhibition of CYP2D6 activity in the presence of darunavir/ritonavir, which may be attributed to the
presence of low dose ritonavir. Co-administration of darunavir and ritonavir with medicinal products
which are primarily metabolised by CYP2D6 (such as flecainide, propafenone, metoprolol) may result
in increased plasma concentrations of these medicinal products, which could increase or prolong their
therapeutic effect and adverse reactions. Co-administration of darunavir and ritonavir with medicinal
products primarily metabolised by CYP2C9 (such as warfarin) and CYP2C19 (such as methadone)
may result in decreased systemic exposure to such medicinal products, which could decrease or
shorten their therapeutic effect.
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): propafenone (HOS-084530) methadone (HOS-086198) flecainide (HOS-086203) ritonavir (HOS-084521) metoprolol (HOS-090094) warfarin (HOS-085950)
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Version 2026-10-20T12:32:00Z · SHA-256 50f4771a683f17214737463c6df88a158b1e699bbb9916413602e547e369e804 · Passage 1c69c1e904c5e45f21197cc74aaf3793a744795efd05ba12ed65d139c93b2ca1 · Zeichen 3812–4719 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 59–60
HOS-134627 · Präparat HOS-097580
59
INTERACTIONS AND DOSE RECOMMENDATIONS WITH OTHER MEDICINAL PRODUCTS
Medicinal products by Interaction Recommendations concerning co-
therapeutic areas Geometric mean change (%) administration
Perphenazine Not studied. Boosted darunavir is A dose decrease may be needed for
Risperidone expected to increase these these drugs when co-administered
Thioridazine antipsychotic plasma with boosted darunavir.
concentrations. (CYP3A, CYP2D6
and/or P-gp inhibition)
Lurasidone Concomitant administration of
Pimozide boosted darunavir and lurasidone,
Sertindole pimozide or sertindole is
contraindicated (see section 4.3).
β-BLOCKERS
Carvedilol Not studied. Boosted darunavir is Clinical monitoring is recommended
Metoprolol expected to increase these β-blocker when co-administering boosted
Timolol plasma concentrations. darunavir with β-blockers. A lower
(CYP2D6 inhibition) dose of the β-blocker should be
considered.
CALCIUM CHANNEL BLOCKERS
Amlodipine Not studied. Boosted darunavir can Clinical monitoring of therapeutic
Diltiazem be expected to increase the plasma and adverse effects is recommended
Felodipine concentrations of calcium channel when these medicines are
Nicardipine blockers. concomitantly administered with
Nifedipine (CYP3A and/or CYP2D6 boosted darunavir.
Verapamil inhibition)
CORTICOSTEROIDS
Corticosteroids primarily Fluticasone: in a clinical study Concomitant use of boosted
metabolised by CYP3A where ritonavir 100 mg capsules darunavir and corticosteroids (all
(including betamethasone, twice daily were co-administered routes of administration) that are
budesonide, fluticasone, with 50 μg intranasal fluticasone metabolised by CYP3A may increase
mometasone, prednisone, propionate (4 times daily) for 7 the risk of development of systemic
triamcinolone) days in healthy subjects, fluticasone corticosteroid effects, including
propionate plasma concentrations Cushing’s syndrome and adrenal
increased significantly, whereas the suppression.
intrinsic cortisol levels decreased
by approximately 86% (90% CI 82- Co-administration with CYP3A-
89%). Greater effects may be metabolised corticosteroids is not
expected when fluticasone is recommended unless the potential
inhaled. Systemic corticosteroid benefit to the patient outweighs the
effects including Cushing's risk, in which case patients should be
syndrome and adrenal suppression monitored for systemic corticosteroid
have been reported in patients effects.
receiving ritonavir and inhaled or
intranasally administered Alternative corticosteroids which are
fluticasone. The effects of high less dependent on CYP3A
fluticasone systemic exposure on metabolism
ritonavir plasma levels are e.g. beclomethasone should be
unknown. considered, particularly for long term
use.
Other corticosteroids: interaction
not studied. Plasma concentrations
of these medicinal products may be
increased when co-administered
with boosted darunavir, resulting in
reduced serum cortisol
concentrations.
Dexamethasone (systemic) Not studied. Dexamethasone may Systemic dexamethasone should be
decrease plasma concentrations of used with caution when combined
darunavir. with boosted darunavir.
(CYP3A induction)
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): sertindole (HOS-085601) diltiazem (HOS-086288) triamcinolone (HOS-086333) nifedipine (HOS-086289) fluticasone (HOS-108914) nicardipine (HOS-090619) felodipine (HOS-108908) carvedilol (HOS-115322) risperidone (HOS-086280) amlodipine (HOS-086287) thioridazine (HOS-086281) perphenazine (HOS-116395) calcium (HOS-085615) betamethasone (HOS-090066) dexamethasone (HOS-084535) budesonide (HOS-086332) pimozide (HOS-085600) mometasone (HOS-114048) propionate (HOS-108915) ritonavir (HOS-084521) beclomethasone (HOS-086334) lurasidone (HOS-086148) prednisone (HOS-084526) metoprolol (HOS-090094) timolol (HOS-090571) verapamil (HOS-090602)
Vollständigen Kontext in der EMA-Fachinformation lesen →Quellennachweis
Version 2026-10-20T12:32:00Z · SHA-256 50f4771a683f17214737463c6df88a158b1e699bbb9916413602e547e369e804 · Passage 5be93392fc9daddc5a4bddcaf5177effda2055057fdf350b6c14c2d3c31e17fc · Zeichen 49576–54404 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 14
HOS-138490 · Präparat HOS-098200
Lurasidone The combination of lurasidone,
Pimozide pimozide, quetiapine or sertindole
Quetiapine and Symtuza is contraindicated
Sertindole (see section 4.3).
β-BLOCKERS
Carvedilol Based on theoretical considerations Clinical monitoring is
Metoprolol DRV/COBI is expected to increase recommended when
Timolol these beta-blocker plasma co-administering Symtuza with
concentrations. beta-blockers and a lower dose of
(CYP2D6 inhibition) the beta-blocker should be
considered.
CALCIUM CHANNEL BLOCKERS
Amlodipine Based on theoretical considerations Clinical monitoring is
Diltiazem DRV/COBI is expected to increase recommended when these
Felodipine these calcium channel blocker medicinal products are
Nicardipine plasma concentrations. co-administered with Symtuza.
Nifedipine (CYP3A inhibition)
Verapamil
CORTICOSTEROIDS
Corticosteroids primarily Based on theoretical considerations Concomitant use of Symtuza and
metabolised by CYP3A DRV/COBI is expected to increase corticosteroids (all routes of
(including betamethasone, these corticosteroid plasma administration) that are
budesonide, fluticasone, concentrations. metabolised by CYP3A may
mometasone, prednisone, (CYP3A inhibition) increase the risk for development
triamcinolone) of systemic corticosteroid effects,
including Cushing’s syndrome
and adrenal suppression.
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): sertindole (HOS-085601) quetiapine (HOS-086150) diltiazem (HOS-086288) triamcinolone (HOS-086333) nifedipine (HOS-086289) fluticasone (HOS-108914) nicardipine (HOS-090619) felodipine (HOS-108908) carvedilol (HOS-115322) amlodipine (HOS-086287) calcium (HOS-085615) betamethasone (HOS-090066) budesonide (HOS-086332) pimozide (HOS-085600) mometasone (HOS-114048) lurasidone (HOS-086148) prednisone (HOS-084526) metoprolol (HOS-090094) timolol (HOS-090571) verapamil (HOS-090602)
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Version 2026-09-16T11:21:00Z · SHA-256 542f840b29cc7afaff9940b20511550e8d35031b33d95efd774fd49f70f7819d · Passage 93d51832ca83543fafde6c13b4aad3650a78fd53d8dfafa10a844085355fa52e · Zeichen 24581–26821 im Abschnitt
Wechselwirkungen · Tadalafil Lilly
Tadalafil Lilly 2.5 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 6
HOS-140432 · Präparat HOS-098526
In clinical pharmacology studies, the potential for tadalafil to augment the hypotensive effects of
antihypertensive medicinal products was examined. Major classes of antihypertensive medicinal
products were studied, including calcium channel blockers (amlodipine), angiotensin converting
enzyme (ACE) inhibitors (enalapril), beta-adrenergic receptor blockers (metoprolol), thiazide diuretics
(bendrofluazide), and angiotensin II receptor blockers (various types and doses, alone or in
combination with thiazides, calcium channel blockers, beta-blockers, and/or alpha-blockers). Tadalafil
(10 mg except for studies with angiotensin II receptor blockers and amlodipine in which a 20 mg dose
was applied) had no clinically significant interaction with any of these classes. In another clinical
pharmacology study tadalafil (20 mg) was studied in combination with up to 4 classes of
antihypertensives. In subjects taking multiple antihypertensives, the ambulatory-blood-pressure
changes appeared to relate to the degree of blood-pressure control. In this regard, study subjects whose
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): angiotensin II (HOS-085480) enalapril (HOS-085479) amlodipine (HOS-086287) calcium (HOS-085615) metoprolol (HOS-090094)
Vollständigen Kontext in der EMA-Fachinformation lesen →Quellennachweis
Version 2026-01-28T13:35:00Z · SHA-256 591c030e92917080839aac0522f89e39ae339bcc4be9e68371f7969a185b0857 · Passage 10c5a5e47efdaf35c48c86e2a7105e99cd462db2bc1c21babeba9747c683c1e6 · Zeichen 3743–4823 im Abschnitt
Wechselwirkungen · Tadalafil Lilly
Tadalafil Lilly 5 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 21
HOS-140485 · Präparat HOS-098526
In clinical pharmacology studies, the potential for tadalafil to augment the hypotensive effects of
antihypertensive medicinal products was examined. Major classes of antihypertensive medicinal
products were studied, including calcium channel blockers (amlodipine), angiotensin converting
enzyme (ACE) inhibitors (enalapril), beta-adrenergic receptor blockers (metoprolol), thiazide diuretics
(bendrofluazide), and angiotensin II receptor blockers (various types and doses, alone or in
combination with thiazides, calcium channel blockers, beta-blockers, and/or alpha-blockers). Tadalafil
(10 mg except for studies with angiotensin II receptor blockers and amlodipine in which a 20 mg dose
was applied) had no clinically significant interaction with any of these classes. In another clinical
pharmacology study tadalafil (20 mg) was studied in combination with up to 4 classes of
antihypertensives. In subjects taking multiple antihypertensives, the ambulatory-blood-pressure
changes appeared to relate to the degree of blood-pressure control. In this regard, study subjects whose
blood pressure was well controlled, the reduction was minimal and similar to that seen in healthy
subjects. In study subjects whose blood pressure was not controlled, the reduction was greater
although this reduction was not associated with hypotensive symptoms in the majority of subjects. In
patients receiving concomitant antihypertensive medicinal products, tadalafil 20 mg may induce a
blood pressure decrease, which (with the exception of alpha blockers -see above-) is, in general, minor
and not likely to be clinically relevant. Analysis of phase 3 clinical trial data showed no difference in
adverse events in patients taking tadalafil with or without antihypertensive medicinal products.
However, appropriate clinical advice should be given to patients regarding a possible decrease in
blood pressure when they are treated with antihypertensive medicinal products.
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): angiotensin II (HOS-085480) enalapril (HOS-085479) amlodipine (HOS-086287) calcium (HOS-085615) metoprolol (HOS-090094)
Vollständigen Kontext in der EMA-Fachinformation lesen →Quellennachweis
Version 2026-01-28T13:35:00Z · SHA-256 591c030e92917080839aac0522f89e39ae339bcc4be9e68371f7969a185b0857 · Passage c0ae8045aff7f8a7fd05a121cf691a3f593453fda4a2a84d3dbb9c19b2f51831 · Zeichen 3744–5699 im Abschnitt
Wechselwirkungen · Tadalafil Lilly
Tadalafil Lilly 10 mg film-coated tablets Tadalafil Lilly 20 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 35
HOS-140526 · Präparat HOS-098526
In clinical pharmacology studies, the potential for tadalafil to augment the hypotensive effects of
antihypertensive medicinal products was examined. Major classes of antihypertensive medicinal
products were studied, including calcium channel blockers (amlodipine), angiotensin converting
enzyme (ACE) inhibitors (enalapril), beta-adrenergic receptor blockers (metoprolol), thiazide diuretics
(bendrofluazide), and angiotensin II receptor blockers (various types and doses, alone or in
combination with thiazides, calcium channel blockers, beta-blockers, and/or alpha-blockers). Tadalafil
(10 mg except for studies with angiotensin II receptor blockers and amlodipine in which a 20 mg dose
was applied) had no clinically significant interaction with any of these classes. In another clinical
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): angiotensin II (HOS-085480) enalapril (HOS-085479) amlodipine (HOS-086287) calcium (HOS-085615) metoprolol (HOS-090094)
Vollständigen Kontext in der EMA-Fachinformation lesen →Quellennachweis
Version 2026-01-28T13:35:00Z · SHA-256 591c030e92917080839aac0522f89e39ae339bcc4be9e68371f7969a185b0857 · Passage 57be84187e4acfca3a70dac31089b839a7cb9e5e198d1c96d8c7b58e578ac0c5 · Zeichen 3741–4532 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.