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.
Gegenanzeigen · Kaletra
Kaletra (80 mg + 20 mg) / ml oral solution · Abschnitt 4.3 · PDF-Seite 5–6
HOS-108805 · Präparat HOS-093083
5
Quetiapine Increased plasma concentrations of
quetiapine which may lead to coma. The
concomitant administration with
quetiapine is contraindicated (see section
4.5).
Ergot alkaloids Dihydroergotamine, ergonovine, Increased plasma concentrations of ergot
ergotamine, methylergonovine derivatives leading to acute ergot
toxicity, including vasospasm and
ischaemia (see section 4.5).
GI motility agent Cisapride Increased plasma concentrations of
cisapride. Thereby, increasing the risk
of serious arrhythmias from this agent
(see section 4.5).
Hepatitis C virus Elbasvir/grazoprevir Increased risk of alanine transaminase
direct acting antivirals (ALT) elevations (see section 4.5).
Lipid-modifying agents
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): quetiapine (HOS-086150) elbasvir (HOS-108814) methylergonovine (HOS-086155) cisapride (HOS-085610) hepatitis C virus (HOS-108813) ergot alkaloids (HOS-108807) lead (HOS-085592) grazoprevir (HOS-108815) ergotamine (HOS-086154) ergonovine (HOS-086153) dihydroergotamine (HOS-086152) alanine (HOS-088949)
Vollständigen Kontext in der EMA-Fachinformation lesen →Quellennachweis
Version 2025-12-02T16:00:00Z · SHA-256 441d9e5f9e4b42d645e4bd802abc892cef6574b0be5b3f18d2a96678774ae365 · Passage 934f0c869d4eb7fb92ca0e883845051ee128887490b86522224a9c2b8bcd0d0c · Zeichen 4803–6185 im Abschnitt
Gegenanzeigen · Kaletra
Kaletra 200 mg/50 mg film-coated tablets · Abschnitt 4.3 · PDF-Seite 42–43
HOS-108988 · Präparat HOS-093083
42
Antihistamines Astemizole, terfenadine Increased plasma concentrations of
astemizole and terfenadine. Thereby,
increasing the risk of serious
arrhythmias from these agents (see
section 4.5).
Antipsychotics/ Lurasidone Increased plasma concentrations of
Neuroleptics lurasidone which may increase the
potential for serious and/or life-
threatening reactions (see section 4.5).
Pimozide Increased plasma concentrations of
pimozide. Thereby, increasing the risk
of serious haematologic abnormalities,
or other serious adverse effects from
this agent (see section 4.5).
Quetiapine Increased plasma concentrations of
quetiapine which may lead to coma.
The concomitant administration with
quetiapine is contraindicated (see
section 4.5).
Ergot alkaloids Dihydroergotamine, ergonovine, Increased plasma concentrations of
ergotamine, methylergonovine ergot derivatives leading to acute ergot
toxicity, including vasospasm and
ischaemia (see section 4.5).
GI motility agent Cisapride Increased plasma concentrations of
cisapride. Thereby, increasing the risk
of serious arrhythmias from this agent
(see section 4.5).
Hepatitis C virus Elbasvir/grazoprevir Increased risk of alanine transaminase
direct acting antivirals (ALT) elevations (see section 4.5).
Lipid-modifying agents
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): quetiapine (HOS-086150) elbasvir (HOS-108814) methylergonovine (HOS-086155) cisapride (HOS-085610) hepatitis C virus (HOS-108813) ergot alkaloids (HOS-108807) lead (HOS-085592) grazoprevir (HOS-108815) pimozide (HOS-085600) astemizole (HOS-085608) ergotamine (HOS-086154) terfenadine (HOS-085607) lurasidone (HOS-086148) ergonovine (HOS-086153) dihydroergotamine (HOS-086152) alanine (HOS-088949)
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Version 2025-12-02T16:00:00Z · SHA-256 441d9e5f9e4b42d645e4bd802abc892cef6574b0be5b3f18d2a96678774ae365 · Passage 513868d9cbc220f8b16283ba405e7ae3a7eba9be191b93bb320faa5cdf17028c · Zeichen 3976–6635 im Abschnitt
Gegenanzeigen · Kaletra
Kaletra 100 mg/25 mg film-coated tablets · Abschnitt 4.3 · PDF-Seite 77–78
HOS-109062 · Präparat HOS-093083
77
Venetoclax Increased plasma concentrations of
venetoclax. Increased risk of tumor lysis
syndrome at the dose initiation and during
the ramp-up phase (see section 4.5).
Anti-gout Colchicine Increased plasma concentrations of
colchicine. Potential for serious and/or
life-threatening reactions in patients with
renal and/or hepatic impairment (see
sections 4.4 and 4.5).
Antihistamines Astemizole, terfenadine Increased plasma concentrations of
astemizole and terfenadine. Thereby,
increasing the risk of serious arrhythmias
from these agents (see section 4.5).
Antipsychotics/ Lurasidone Increased plasma concentrations of
Neuroleptics lurasidone which may increase the
potential for serious and/or life-
threatening reactions (see section 4.5).
Pimozide Increased plasma concentrations of
pimozide. Thereby, increasing the risk of
serious haematologic abnormalities, or
other serious adverse effects from this
agent (see section 4.5).
Quetiapine Increased plasma concentrations of
quetiapine which may lead to coma. The
concomitant administration with
quetiapine is contraindicated (see section
4.5).
Ergot alkaloids Dihydroergotamine, ergonovine, Increased plasma concentrations of ergot
ergotamine, methylergonovine derivatives leading to acute ergot toxicity,
including vasospasm and ischaemia (see
section 4.5).
GI motility agent Cisapride Increased plasma concentrations of
cisapride. Thereby, increasing the risk of
serious arrhythmias from this agent (see
section 4.5).
Hepatitis C virus direct Elbasvir/grazoprevir Increased risk of alanine transaminase
acting antivirals (ALT) elevations (see section 4.5).
Lipid-modifying agents
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): quetiapine (HOS-086150) elbasvir (HOS-108814) methylergonovine (HOS-086155) cisapride (HOS-085610) hepatitis C virus (HOS-108813) ergot alkaloids (HOS-108807) venetoclax (HOS-086143) lead (HOS-085592) grazoprevir (HOS-108815) pimozide (HOS-085600) colchicine (HOS-086147) astemizole (HOS-085608) ergotamine (HOS-086154) terfenadine (HOS-085607) lurasidone (HOS-086148) ergonovine (HOS-086153) dihydroergotamine (HOS-086152) alanine (HOS-088949)
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Version 2025-12-02T16:00:00Z · SHA-256 441d9e5f9e4b42d645e4bd802abc892cef6574b0be5b3f18d2a96678774ae365 · Passage deedafd686f2a7856b9535fd14424479a75da74b88007e447ddb2a759abcc3fe · Zeichen 2941–6504 im Abschnitt
Wechselwirkungen · Evra
EVRA 203 micrograms/24 hours + 33.9 micrograms/24 hours transdermal patch · Abschnitt 4.5 · PDF-Seite 11
HOS-110304 · Präparat HOS-093363
Pharmacodynamic interactions
During clinical trials with patients treated for hepatitis C virus infections (HCV) with medicinal
products containing ombitasvir/paritaprevir/ritonavir and dasabuvir with or without ribavirin,
transaminase (ALT) elevations higher than 5 times the upper limit of normal (ULN) occurred
significantly more frequently in women using ethinyl estradiol-containing medications such as
combined hormonal contraceptives (CHCs). Additionally, also in patients treated with
glecaprevir/pibrentasvir or sofosbuvir/velpatasvir/voxilaprevir, ALT elevations were observed in
women using ethinyl estradiol-containing medications such as CHCs (see section 4.3).
Therefore, EVRA-users must switch to an alternative method of contraception (e.g., progestagen-only
contraception or non-hormonal methods) prior to starting therapy with these combination drug
regimens. EVRA can be restarted 2 weeks following completion of treatment with these combination
drug regimens.
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): sofosbuvir (HOS-108928) pibrentasvir (HOS-086298) glecaprevir (HOS-086297) hepatitis C virus (HOS-108813) ribavirin (HOS-088127) dasabuvir (HOS-110302) voxilaprevir (HOS-108930) ombitasvir (HOS-110300) velpatasvir (HOS-108929) ritonavir (HOS-084521) paritaprevir (HOS-110301)
Vollständigen Kontext in der EMA-Fachinformation lesen →Quellennachweis
Version 2025-04-22T17:22:00Z · SHA-256 08ee5b4a9562d12725bc2847cb5a881102ab4ddbaaf7c1a2e28b65b78fd2ab5d · Passage a2c9d2476ababdf6aa70cd37d7f709e3b0de8b4455edc5193e41c8ca51311e4e · Zeichen 125–1104 im Abschnitt
Wechselwirkungen · Viread
Viread 123 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 9–10
HOS-110492 · Präparat HOS-093385
9
Medicinal product by Effects on drug levels Recommendation concerning
therapeutic areas Mean percent change in AUC, co-administration with 245 mg
(dose in mg) Cmax, Cmin tenofovir disoproxil
Adefovir dipivoxil AUC: ↔ Tenofovir disoproxil should not be
Cmax: ↔ administered concurrently with
adefovir dipivoxil
(see section 4.4).
Hepatitis C virus antiviral agents
Ledipasvir/Sofosbuvir Ledipasvir: Increased plasma concentrations
(90 mg/400 mg q.d.) + AUC: ↑ 96% of tenofovir resulting from
Atazanavir/Ritonavir Cmax: ↑ 68% co-administration of tenofovir
(300 mg q.d./100 mg q.d.) + Cmin: ↑ 118% disoproxil, ledipasvir/sofosbuvir
Emtricitabine/Tenofovir disoproxil and atazanavir/ritonavir may
(200 mg/245 mg q.d.)1 Sofosbuvir: increase adverse reactions related
AUC: ↔ to tenofovir disoproxil, including
Cmax: ↔ renal disorders. The safety of
tenofovir disoproxil when used
GS-3310072: with ledipasvir/sofosbuvir and a
AUC: ↔ pharmacokinetic enhancer (e.g.
Cmax: ↔ ritonavir or cobicistat) has not
Cmin: ↑ 42% been established.
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) adefovir dipivoxil (HOS-110478) atazanavir (HOS-086180) sofosbuvir (HOS-108928) ledipasvir (HOS-110493) cobicistat (HOS-088111) hepatitis C virus (HOS-108813) ritonavir (HOS-084521) emtricitabine (HOS-085840)
Vollständigen Kontext in der EMA-Fachinformation lesen →Quellennachweis
Version 2024-02-29T16:34:00Z · SHA-256 ab427f9266bbb81991653ebf14729e0d885f7cb9014fd47e3b3ee4fc69589ee0 · Passage 824f9677703ef0bd8736160366b3629ad69b12899569fa4edf1bdab9fd603c0c · Zeichen 7039–9028 im Abschnitt
Wechselwirkungen · Viread
Viread 163 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 49–50
HOS-110596 · Präparat HOS-093385
49
Medicinal product by Effects on drug levels Recommendation
therapeutic areas Mean percent change in AUC, Cmax, Cmin concerning
(dose in mg) co-administration with
245 mg tenofovir disoproxil
Hepatitis C virus antiviral agents
Ledipasvir/Sofosbuvir Ledipasvir: Increased plasma
(90 mg/400 mg q.d.) + AUC: ↑ 96% concentrations of tenofovir
Atazanavir/Ritonavir Cmax: ↑ 68% resulting from
(300 mg q.d./100 mg q.d.) + Cmin: ↑ 118% co-administration of tenofovir
Emtricitabine/Tenofovir disoproxil,
disoproxil Sofosbuvir: ledipasvir/sofosbuvir and
(200 mg/245 mg q.d.)1 AUC: ↔ atazanavir/ritonavir may
Cmax: ↔ increase adverse reactions
related to tenofovir disoproxil,
GS-3310072: including renal disorders. The
AUC: ↔ safety of tenofovir disoproxil
Cmax: ↔ when used with
Cmin: ↑ 42% ledipasvir/sofosbuvir and a
pharmacokinetic enhancer
Atazanavir: (e.g. ritonavir or cobicistat)
AUC: ↔ has not been established.
Cmax: ↔
Cmin: ↑ 63% The combination should be
used with caution with
Ritonavir: frequent renal monitoring, if
AUC: ↔ other alternatives are not
Cmax: ↔ available (see section 4.4).
Cmin: ↑ 45%
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) atazanavir (HOS-086180) sofosbuvir (HOS-108928) ledipasvir (HOS-110493) cobicistat (HOS-088111) hepatitis C virus (HOS-108813) ritonavir (HOS-084521) emtricitabine (HOS-085840)
Vollständigen Kontext in der EMA-Fachinformation lesen →Quellennachweis
Version 2024-02-29T16:34:00Z · SHA-256 ab427f9266bbb81991653ebf14729e0d885f7cb9014fd47e3b3ee4fc69589ee0 · Passage 6c5102c58c0a5342683c6dffc2f5f0ed4e9e471a1d14b33916f9bf2e1e1b3bb9 · Zeichen 8813–11440 im Abschnitt
Wechselwirkungen · Viread
Viread 204 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 89–90
HOS-110686 · Präparat HOS-093385
89
Medicinal product by Effects on drug levels Recommendation
therapeutic areas Mean percent change in AUC, Cmax, Cmin concerning
(dose in mg) co-administration with
245 mg tenofovir disoproxil
Hepatitis C virus antiviral agents
Ledipasvir/Sofosbuvir Ledipasvir: Increased plasma
(90 mg/400 mg q.d.) + AUC: ↑ 96% concentrations of tenofovir
Atazanavir/Ritonavir Cmax: ↑ 68% resulting from
(300 mg q.d./100 mg q.d.) + Cmin: ↑ 118% co-administration of tenofovir
Emtricitabine/Tenofovir disoproxil,
disoproxil Sofosbuvir: ledipasvir/sofosbuvir and
(200 mg/245 mg q.d.)1 AUC: ↔ atazanavir/ritonavir may
Cmax: ↔ increase adverse reactions
related to tenofovir disoproxil,
GS-3310072: including renal disorders. The
AUC: ↔ safety of tenofovir disoproxil
Cmax: ↔ when used with
Cmin: ↑ 42% ledipasvir/sofosbuvir and a
pharmacokinetic enhancer
Atazanavir: (e.g. ritonavir or cobicistat)
AUC: ↔ has not been established.
Cmax: ↔
Cmin: ↑ 63% The combination should be
used with caution with
Ritonavir: frequent renal monitoring, if
AUC: ↔ other alternatives are not
Cmax: ↔ available (see section 4.4).
Cmin: ↑ 45%
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) atazanavir (HOS-086180) sofosbuvir (HOS-108928) ledipasvir (HOS-110493) cobicistat (HOS-088111) hepatitis C virus (HOS-108813) ritonavir (HOS-084521) emtricitabine (HOS-085840)
Vollständigen Kontext in der EMA-Fachinformation lesen →Quellennachweis
Version 2024-02-29T16:34:00Z · SHA-256 ab427f9266bbb81991653ebf14729e0d885f7cb9014fd47e3b3ee4fc69589ee0 · Passage d322424ba6614c086cbb2bf3a6d9af968d8cf3f991cc6f4ee228b30a77ed726c · Zeichen 8813–11440 im Abschnitt
Wechselwirkungen · Viread
Viread 245 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 131–132
HOS-110776 · Präparat HOS-093385
131
Medicinal product by Effects on drug levels Recommendation
therapeutic areas Mean percent change in AUC, Cmax, concerning
(dose in mg) Cmin co-administration with
245 mg tenofovir disoproxil
Entecavir AUC: ↔ No clinically significant
Cmax: ↔ pharmacokinetic interactions
when tenofovir disoproxil was
co-administered with
entecavir.
Hepatitis C virus antiviral agents
Ledipasvir/Sofosbuvir Ledipasvir: Increased plasma
(90 mg/400 mg q.d.) + AUC: ↑ 96% concentrations of tenofovir
Atazanavir/Ritonavir Cmax: ↑ 68% resulting from
(300 mg q.d./100 mg q.d.) + Cmin: ↑ 118% co-administration of tenofovir
Emtricitabine/Tenofovir disoproxil,
disoproxil Sofosbuvir: ledipasvir/sofosbuvir and
(200 mg/245 mg q.d.)1 AUC: ↔ atazanavir/ritonavir may
Cmax: ↔ increase adverse reactions
related to tenofovir disoproxil,
GS-3310072: including renal disorders. The
AUC: ↔ safety of tenofovir disoproxil
Cmax: ↔ when used with
Cmin: ↑ 42% ledipasvir/sofosbuvir and a
pharmacokinetic enhancer
Atazanavir: (e.g. ritonavir or cobicistat)
AUC: ↔ has not been established.
Cmax: ↔
Cmin: ↑ 63% The combination should be
used with caution with
Ritonavir: frequent renal monitoring, if
AUC: ↔ other alternatives are not
Cmax: ↔ available (see section 4.4).
Cmin: ↑ 45%
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) atazanavir (HOS-086180) sofosbuvir (HOS-108928) ledipasvir (HOS-110493) cobicistat (HOS-088111) entecavir (HOS-088124) hepatitis C virus (HOS-108813) ritonavir (HOS-084521) emtricitabine (HOS-085840)
Vollständigen Kontext in der EMA-Fachinformation lesen →Quellennachweis
Version 2024-02-29T16:34:00Z · SHA-256 ab427f9266bbb81991653ebf14729e0d885f7cb9014fd47e3b3ee4fc69589ee0 · Passage a376c1607a42c4d6676b873fefa06418f25403bd43d4f4dc6508670201d13343 · Zeichen 8834–11900 im Abschnitt
Wechselwirkungen · Viread
Viread 33 mg/g granules · Abschnitt 4.5 · PDF-Seite 173–174
HOS-110865 · Präparat HOS-093385
173
Medicinal product by Effects on drug levels Recommendation concerning
therapeutic areas Mean percent change in AUC, co-administration with 245 mg
(dose in mg) Cmax, Cmin tenofovir disoproxil
Adefovir dipivoxil AUC: ↔ Tenofovir disoproxil should not be
Cmax: ↔ administered concurrently with
adefovir dipivoxil
(see section 4.4).
Entecavir AUC: ↔ No clinically significant
Cmax: ↔ pharmacokinetic interactions when
tenofovir disoproxil was
co-administered with entecavir.
Hepatitis C virus antiviral agents
Ledipasvir/Sofosbuvir Ledipasvir: Increased plasma concentrations
(90 mg/400 mg q.d.) + AUC: ↑ 96% of tenofovir resulting from
Atazanavir/Ritonavir Cmax: ↑ 68% co-administration of tenofovir
(300 mg q.d./100 mg q.d.) + Cmin: ↑ 118% disoproxil, ledipasvir/sofosbuvir
Emtricitabine/Tenofovir disoproxil and atazanavir/ritonavir may
(200 mg/245 mg q.d.)1 Sofosbuvir: increase adverse reactions related
AUC: ↔ to tenofovir disoproxil, including
Cmax: ↔ renal disorders. The safety of
tenofovir disoproxil when used
GS-3310072: with ledipasvir/sofosbuvir and a
AUC: ↔ pharmacokinetic enhancer (e.g.
Cmax: ↔ ritonavir or cobicistat) has not
Cmin: ↑ 42% been established.
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) adefovir dipivoxil (HOS-110478) atazanavir (HOS-086180) sofosbuvir (HOS-108928) ledipasvir (HOS-110493) cobicistat (HOS-088111) entecavir (HOS-088124) hepatitis C virus (HOS-108813) ritonavir (HOS-084521) emtricitabine (HOS-085840)
Vollständigen Kontext in der EMA-Fachinformation lesen →Quellennachweis
Version 2024-02-29T16:34:00Z · SHA-256 ab427f9266bbb81991653ebf14729e0d885f7cb9014fd47e3b3ee4fc69589ee0 · Passage 5ef9605cacd3719bbe8a65be19e2de178afff577f46d271dfc383395175fe284 · Zeichen 7036–9416 im Abschnitt
Wechselwirkungen · Truvada
Truvada 200 mg/245 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 12
HOS-113726 · Präparat HOS-093961
Tenofovir:
AUC: ↓ 2% (↓ 5 to ↑ 0)
Cmax: ↓ 1% (↓ 7 to ↑ 6)
Cmin: NC
Hepatitis C virus (HCV) antiviral agents
Ledipasvir/Sofosbuvir Ledipasvir: Increased plasma concentrations
(90 mg/400 mg q.d.) + AUC: ↑ 96% (↑ 74 to ↑ 121) of tenofovir resulting from
Atazanavir/Ritonavir Cmax: ↑ 68% (↑ 54 to ↑ 84) co-administration of tenofovir
(300 mg q.d./100 mg q.d.) + Cmin: ↑ 118% (↑ 91 to ↑ 150) disoproxil, ledipasvir/sofosbuvir
Emtricitabine/Tenofovir disoproxil and atazanavir/ritonavir may
(200 mg/245 mg q.d.)1 Sofosbuvir: increase adverse reactions related
AUC: ↔ to tenofovir disoproxil, including
Cmax: ↔ renal disorders. The safety of
tenofovir disoproxil when used
GS-3310072: with ledipasvir/sofosbuvir and a
AUC: ↔ pharmacokinetic enhancer (e.g.
Cmax: ↔ ritonavir or cobicistat) has not
Cmin: ↑ 42% (↑ 34 to ↑ 49) been established.
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) atazanavir (HOS-086180) sofosbuvir (HOS-108928) ledipasvir (HOS-110493) cobicistat (HOS-088111) hepatitis C virus (HOS-108813) ritonavir (HOS-084521)
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Version 2024-02-29T18:10:00Z · SHA-256 c649f98085684f03838a5e69a1a4e7a871850d61dfdc001f745e6b31db212087 · Passage 036f429b643f0e27b6cbf765f88080762e068efbc27b6624fbf75c16b828aa67 · Zeichen 10432–11945 im Abschnitt
Wechselwirkungen · Prezista
PREZISTA 100 mg/ml oral suspension · Abschnitt 4.5 · PDF-Seite 20–21
HOS-116410 · Präparat HOS-094447
20
ENDOTHELIN RECEPTOR ANTAGONISTS
Bosentan Not studied. Concomitant use of bosentan When administered concomitantly
and boosted PREZISTA may increase with PREZISTA and low dose
plasma concentrations of bosentan. ritonavir, the patient’s tolerability
of bosentan should be monitored.
Bosentan is expected to decrease plasma
concentrations of darunavir and/or its Co-administration of PREZISTA
pharmacoenhancer. co-administered with cobicistat
(CYP3A induction) and bosentan is not recommended.
HEPATITIS C VIRUS (HCV) DIRECT-ACTING ANTIVIRALS
NS3-4A protease inhibitors
Elbasvir/grazoprevir Boosted PREZISTA may increase the Concomitant use of boosted
exposure to grazoprevir. PREZISTA and
(CYP3A and OATP1B inhibition) elbasvir/grazoprevir is
contraindicated (see section 4.3).
Glecaprevir/pibrentasvir Based on theoretical considerations It is not recommended to
boosted PREZISTA may increase the co-administer boosted PREZISTA
exposure to glecaprevir and pibrentasvir. with glecaprevir/pibrentasvir.
(P-gp, BCRP and/or OATP1B1/3
inhibition)
HERBAL PRODUCTS
St John's Wort Not studied. St John’s Wort is expected Boosted PREZISTA must not be
(Hypericum perforatum) to decrease the plasma concentrations of used concomitantly with products
darunavir or its pharmacoenhancers. containing St John’s Wort
(CYP450 induction) (Hypericum perforatum) (see
section 4.3). If a patient is already
taking St John’s Wort, stop
St John’s Wort and if possible
check viral levels. Darunavir
exposure (and also ritonavir
exposure) may increase on
stopping St John’s Wort. The
inducing effect may persist for at
least 2 weeks after cessation of
treatment with St John’s Wort.
HMG CO-A REDUCTASE INHIBITORS
Lovastatin Not studied. Lovastatin and simvastatin Increased plasma concentrations of
Simvastatin are expected to have markedly increased lovastatin or simvastatin may
plasma concentrations when cause myopathy, including
co-administered with boosted rhabdomyolysis. Concomitant use
PREZISTA. of boosted PREZISTA with
(CYP3A inhibition) lovastatin and simvastatin is
therefore contraindicated (see
section 4.3).
Atorvastatin atorvastatin AUC ↑ 3-4 fold When administration of
10 mg once daily atorvastatin Cmin ↑ ≈5.5-10 fold atorvastatin and boosted
atorvastatin Cmax ↑ ≈2 fold PREZISTA is desired, it is
#
darunavir/ritonavir recommended to start with an
atorvastatin dose of 10 mg once
atorvastatin AUC ↑ 290% Ω daily. A gradual dose increase of
atorvastatin may be tailored to the
atorvastatin Cmax ↑ 319% Ω
clinical response.
atorvastatin Cmin ND Ω
Ω
with darunavir/cobicistat 800/150 mg
Pravastatin pravastatin AUC ↑ 81%¶ When administration of pravastatin
40 mg single dose pravastatin Cmin ND and boosted PREZISTA is
pravastatin Cmax ↑ 63% required, it is recommended to
¶
an up to five-fold increase was seen in a start with the lowest possible dose
limited subset of subjects of pravastatin and titrate up to the
desired clinical effect while
monitoring for safety.
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): elbasvir (HOS-108814) protease (HOS-085623) lovastatin (HOS-086157) atorvastatin (HOS-086304) pibrentasvir (HOS-086298) cobicistat (HOS-088111) simvastatin (HOS-086158) glecaprevir (HOS-086297) hepatitis C virus (HOS-108813) grazoprevir (HOS-108815) ritonavir (HOS-084521) bosentan (HOS-086291) pravastatin (HOS-086306)
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Version 2024-07-26T09:44:00Z · SHA-256 457dafbe8b3b9cee45b9ca7b46919ded598e0d0cd16715525d161e54f80b9117 · Passage 6c740a1d89386aee87cf1f30365ea4ce6beb0a0dc719c309b037ce4e6094f9e7 · Zeichen 57628–63489 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 62–63
HOS-116528 · Präparat HOS-094447
62
ENDOTHELIN RECEPTOR ANTAGONISTS
Bosentan Not studied. Concomitant use of bosentan When administered concomitantly
and PREZISTA co-administered with with PREZISTA and low dose
low dose ritonavir may increase plasma ritonavir, the patient’s tolerability
concentrations of bosentan. of bosentan should be monitored.
Bosentan is expected to decrease plasma
concentrations of darunavir and/or its
pharmacoenhancer.
(CYP3A induction)
HEPATITIS C VIRUS (HCV) DIRECT-ACTING ANTIVIRALS
NS3-4A protease inhibitors
Elbasvir/grazoprevir PREZISTA with low dose ritonavir may Concomitant use of PREZISTA
increase the exposure to grazoprevir. with low dose ritonavir and
(CYP3A and OATP1B inhibition) elbasvir/grazoprevir is
contraindicated (see section 4.3).
Glecaprevir/pibrentasvir Based on theoretical considerations It is not recommended to
boosted PREZISTA may increase the co-administer boosted PREZISTA
exposure to glecaprevir and pibrentasvir. with glecaprevir/pibrentasvir.
(P-gp, BCRP and/or OATP1B1/3
inhibition)
HERBAL PRODUCTS
St John's Wort Not studied. St John’s Wort is expected PREZISTA co-administered with
(Hypericum perforatum) to decrease the plasma concentrations of low dose ritonavir must not be
darunavir and ritonavir. used concomitantly with products
(CYP450 induction) containing St John’s Wort
(Hypericum perforatum) (see
section 4.3). If a patient is already
taking St John’s Wort, stop
St John’s Wort and if possible
check viral levels. Darunavir
exposure (and also ritonavir
exposure) may increase on
stopping St John’s Wort. The
inducing effect may persist for at
least 2 weeks after cessation of
treatment with St John’s Wort.
HMG CO-A REDUCTASE INHIBITORS
Lovastatin Not studied. Lovastatin and simvastatin Increased plasma concentrations of
Simvastatin are expected to have markedly increased lovastatin or simvastatin may
plasma concentrations when cause myopathy, including
co-administered with rhabdomyolysis. Concomitant use
PREZISTAco-administered with low of PREZISTA co-administered
dose ritonavir. with low dose ritonavir with
(CYP3A inhibition) lovastatin and simvastatin is
therefore contraindicated (see
section 4.3).
Atorvastatin atorvastatin AUC ↑ 3-4 fold When administration of
10 mg once daily atorvastatin Cmin ↑ ≈5.5-10 fold atorvastatin and PREZISTA
atorvastatin Cmax ↑ ≈2 fold co-administered with low dose
#
darunavir/ritonavir ritonavir is desired, it is
recommended to start with an
atorvastatin dose of 10 mg once
daily. A gradual dose increase of
atorvastatin may be tailored to the
clinical response.
Pravastatin pravastatin AUC ↑ 81%¶ When administration of pravastatin
40 mg single dose pravastatin Cmin ND and PREZISTA co-administered
pravastatin Cmax ↑ 63% with low dose ritonavir is required,
¶
an up to five-fold increase was seen in a it is recommended to start with the
limited subset of subjects lowest possible dose of pravastatin
and titrate up to the desired clinical
effect while monitoring for safety.
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): elbasvir (HOS-108814) protease (HOS-085623) lovastatin (HOS-086157) atorvastatin (HOS-086304) pibrentasvir (HOS-086298) simvastatin (HOS-086158) glecaprevir (HOS-086297) hepatitis C virus (HOS-108813) grazoprevir (HOS-108815) ritonavir (HOS-084521) bosentan (HOS-086291) pravastatin (HOS-086306)
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Version 2024-07-26T09:44:00Z · SHA-256 457dafbe8b3b9cee45b9ca7b46919ded598e0d0cd16715525d161e54f80b9117 · Passage f0e95b466409a0cf2f8a9197f2461639fabe461c2c18b467893f52ceb3fe5916 · Zeichen 48435–54296 im Abschnitt
Wechselwirkungen · Prezista
PREZISTA 400 mg film-coated tablets PREZISTA 800 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 102–103
HOS-116618 · Präparat HOS-094447
102
ENDOTHELIN RECEPTOR ANTAGONISTS
Bosentan Not studied. Concomitant use of bosentan When administered concomitantly
and boosted PREZISTA may increase with PREZISTA and low dose
plasma concentrations of bosentan. ritonavir, the patient’s tolerability
Bosentan is expected to decrease plasma of bosentan should be monitored.
concentrations of darunavir and/or its
pharmacoenhancer. Co-administration of PREZISTA
(CYP3A induction) co-administered with cobicistat
and bosentan is not recommended.
HEPATITIS C VIRUS (HCV) DIRECT-ACTING ANTIVIRALS
NS3-4A protease inhibitors
Elbasvir/grazoprevir Boosted PREZISTA may increase the Concomitant use of boosted
exposure to grazoprevir. PREZISTA and
(CYP3A and OATP1B inhibition) elbasvir/grazoprevir is
contraindicated (see section 4.3).
Glecaprevir/pibrentasvir Based on theoretical considerations It is not recommended to
boosted PREZISTA may increase the co-administer boosted PREZISTA
exposure to glecaprevir and pibrentasvir. with glecaprevir/pibrentasvir.
(P-gp, BCRP and/or OATP1B1/3
inhibition)
HERBAL PRODUCTS
St John's Wort Not studied. St John’s Wort is expected Boosted PREZISTA must not be
(Hypericum perforatum) to decrease the plasma concentrations of used concomitantly with products
darunavir or its pharmacoenhancers. containing St John’s Wort
(CYP450 induction) (Hypericum perforatum) (see
section 4.3). If a patient is already
taking St John’s Wort, stop
St John’s Wort and if possible
check viral levels. Darunavir
exposure (and also ritonavir
exposure) may increase on
stopping St John’s Wort. The
inducing effect may persist for at
least 2 weeks after cessation of
treatment with St John’s Wort.
HMG CO-A REDUCTASE INHIBITORS
Lovastatin Not studied. Lovastatin and simvastatin Increased plasma concentrations of
Simvastatin are expected to have markedly increased lovastatin or simvastatin may
plasma concentrations when cause myopathy, including
co-administered with boosted rhabdomyolysis. Concomitant use
PREZISTA. of boosted PREZISTA with
(CYP3A inhibition) lovastatin and simvastatin is
therefore contraindicated (see
section 4.3).
Atorvastatin atorvastatin AUC ↑ 3-4 fold When administration of
10 mg once daily atorvastatin Cmin ↑ ≈5.5-10 fold atorvastatin and boosted
atorvastatin Cmax ↑ ≈2 fold PREZISTA is desired, it is
#
darunavir/ritonavir recommended to start with an
atorvastatin dose of 10 mg once
atorvastatin AUC ↑ 290% Ω daily. A gradual dose increase of
atorvastatin Cmax ↑ 319% Ω atorvastatin may be tailored to the
clinical response.
atorvastatin Cmin ND Ω
Ω
with darunavir/cobicistat 800/150 mg
Pravastatin pravastatin AUC ↑ 81%¶ When administration of pravastatin
40 mg single dose pravastatin Cmin ND and boosted PREZISTA is
pravastatin Cmax ↑ 63% required, it is recommended to
¶
an up to five-fold increase was seen in a start with the lowest possible dose
limited subset of subjects of pravastatin and titrate up to the
desired clinical effect while
monitoring for safety.
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): elbasvir (HOS-108814) protease (HOS-085623) lovastatin (HOS-086157) atorvastatin (HOS-086304) pibrentasvir (HOS-086298) cobicistat (HOS-088111) simvastatin (HOS-086158) glecaprevir (HOS-086297) hepatitis C virus (HOS-108813) grazoprevir (HOS-108815) ritonavir (HOS-084521) bosentan (HOS-086291) pravastatin (HOS-086306)
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Wechselwirkungen · Intelence
INTELENCE 25 mg tablets INTELENCE 100 mg tablets INTELENCE 200 mg tablets · Abschnitt 4.5 · PDF-Seite 12–13
HOS-119741 · Präparat HOS-095005
12
OESTROGEN-BASED CONTRACEPTIVES
Ethinylestradiol ethinylestradiol The combination of
0.035 mg once daily AUC ↑ 1.22 (1.13-1.31) oestrogen- and/or
Norethindrone Cmin ↔ 1.09 (1.01-1.18) progesterone-based
1 mg once daily Cmax ↑ 1.33 (1.21-1.46) contraceptives and
norethindrone INTELENCE can be used
AUC ↔ 0.95 (0.90-0.99) without dose adjustment.
Cmin ↓ 0.78 (0.68-0.90)
Cmax ↔ 1.05 (0.98-1.12)
etravirine
AUC ↔a
Cmin ↔a
Cmax ↔a
HEPATITIS C VIRUS (HCV) DIRECT-ACTING ANTIVIRALS
Ribavirin Not studied, but no interaction expected based The combination of
on the renal elimination pathway of ribavirin. INTELENCE and ribavirin
can be used without dose
adjustments.
Daclatasvir Not studied. Co-administration of etravirine Co-administration of
with daclatasvir may decrease daclatasvir INTELENCE and daclatasvir
concentrations. is not recommended.
Elbasvir/grazoprevir Not studied. Co-administration of etravirine Co-administration is
with elbasvir/grazoprevir may decrease elbasvir contraindicated (see
and grazoprevir concentrations, leading to section 4.3).
reduced therapeutic effect of
elbasvir/grazoprevir.
HERBAL PRODUCTS
St John’s wort Not studied. St John’s wort is expected to Combination not
(Hypericum perforatum)
decrease the plasma concentrations of recommended.
etravirine.
HMG CO-A REDUCTASE INHIBITORS
Atorvastatin atorvastatin The combination of
40 mg once daily AUC ↓ 0.63 (0.58-0.68) INTELENCE and
Cmin ND atorvastatin can be given
Cmax ↑ 1.04 (0.84-1.30) without any dose
2-OH-atorvastatin adjustments, however, the
AUC ↑ 1.27 (1.19-1.36) dose of atorvastatin may
Cmin ND need to be altered based on
Cmax ↑ 1.76 (1.60-1.94) clinical response.
etravirine
AUC ↔ 1.02 (0.97-1.07)
Cmin ↔ 1.10 (1.02-1.19)
Cmax ↔ 0.97 (0.93-1.02)
Fluvastatin Not studied. No interaction between pravastatin Dose adjustments for these
Lovastatin and etravirine is expected. HMG Co-A reductase
Pravastatin Lovastatin, rosuvastatin and simvastatin are inhibitors may be necessary.
Rosuvastatin CYP3A4 substrates and co-administration with
Simvastatin etravirine may result in lower plasma
concentrations of the HMG Co-A reductase
inhibitor. Fluvastatin, and rosuvastatin are
metabolised by CYP2C9 and co-administration
with etravirine may result in higher plasma
concentrations of the HMG Co-A reductase
inhibitor.
H2-RECEPTOR ANTAGONISTS
Ranitidine etravirine INTELENCE can be
150 mg twice daily AUC ↓ 0.86 (0.76-0.97) co-administered with
Cmin ND H2-receptor antagonists
Cmax ↓ 0.94 (0.75-1.17) without dose adjustments.
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): elbasvir (HOS-108814) daclatasvir (HOS-119742) lovastatin (HOS-086157) atorvastatin (HOS-086304) simvastatin (HOS-086158) rosuvastatin (HOS-086307) fluvastatin (HOS-086305) hepatitis C virus (HOS-108813) ribavirin (HOS-088127) grazoprevir (HOS-108815) ranitidine (HOS-085660) norethindrone (HOS-088136) pravastatin (HOS-086306)
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Wechselwirkungen · Adjupanrix (previously Pandemic influenza vaccine (H5N1) (split virion, inactivated, adjuvanted) GlaxoSmithKline Biologicals)
Adjupanrix suspension and emulsion for emulsion for injection. Pandemic influenza vaccine (H5N1) (split virion, inactivated, adjuvanted) · Abschnitt 4.5 · PDF-Seite 5
HOS-212692 · Präparat HOS-154960
Following influenza vaccination, false-positive serology test results may be obtained by the ELISA
method for antibody to human immunodeficiency virus-1 (HIV-1), hepatitis C virus and, especially,
HTLV-1. In such cases, the Western blot method is negative. These transitory false-positive results
may be due to IgM production in response to the vaccine.
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): hepatitis C virus (HOS-108813)
Vollständigen Kontext in der EMA-Fachinformation lesen →Quellennachweis
Version 2025-12-17T01:00:00Z · SHA-256 336e8653754d4ede45edd66dee9c0f9a4f8e73b2206a4806ebd9d39bb5fe137a · Passage 59e4ee9ef249a10cd3ea448a9bbad3192a20650c923fb6c49dd21f0efc7d27b5 · Zeichen 408–761 im Abschnitt
Wechselwirkungen · Zoely
Zoely 2.5 mg/1.5 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 11–12
HOS-123116 · Präparat HOS-095645
Hepatic metabolism: Interactions can occur with substances that induce CYP450 enzymes, resulting in
reduced concentrations of sex hormones and decreased effectiveness of combined oral contraceptives,
including Zoely. These substances are represented mostly with anticonvulsants (e.g. carbamazepine,
topiramate, phenytoin, phenobarbital, primidone, oxcarbazepine, felbamate); anti-infective drugs (e.g.
rifampicin, rifabutin, griseofulvin); St. John’s wort; bosentan and HIV or Hepatitis C virus (HCV)
protease inhibitors (e.g. ritonavir, boceprevir, telaprevir) and non-nucleoside reverse transcriptase
inhibitors (e.g. efavirenz).
Enzyme induction can occur after a few days of treatment. Maximal enzyme induction is generally
11
observed within a few weeks. After drug therapy is discontinued, enzyme induction can last for about
28 days.
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): felbamate (HOS-110308) protease (HOS-085623) topiramate (HOS-110310) phenobarbital (HOS-085617) carbamazepine (HOS-085618) rifabutin (HOS-086262) hepatitis C virus (HOS-108813) telaprevir (HOS-090618) boceprevir (HOS-090617) griseofulvin (HOS-091156) efavirenz (HOS-087947) oxcarbazepine (HOS-110224) ritonavir (HOS-084521) bosentan (HOS-086291) phenytoin (HOS-084531) primidone (HOS-090551)
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Version 2025-02-19T01:25:00Z · SHA-256 dc49cf8021f816c4c7a796f72b78aa51d7e7cdb416565d60506c315b6ddcb3e2 · Passage f5dcfc8d38c2cd7a898cac819176553092ce45a5a5a7f2de510ba2c6181b7ca9 · Zeichen 330–1223 im Abschnitt
Wechselwirkungen · Eviplera
Eviplera 200 mg/25 mg/245 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 20
HOS-214424 · Präparat HOS-155326
Rilpivirine:
AUC: ↔
Vardenafil2 Cmin: ↔
Tadalafil2 Cmax: ↔
Sildenafil/Tenofovir disoproxil Interaction not studied.
N/A = not applicable
1 This interaction study has been performed with a dose higher than the recommended dose for rilpivirine hydrochloride
assessing the maximal effect on the co-administered medicinal product. The dosing recommendation is applicable to the
recommended dose of rilpivirine of 25 mg once daily.
2 These are medicinal products within class where similar interactions could be predicted.
3 This interaction study has been performed with a dose higher than the recommended dose for rilpivirine hydrochloride
assessing the maximal effect on the co-administered medicinal product.
4 The predominant circulating metabolite of sofosbuvir.
5 Study conducted with additional voxilaprevir 100 mg to achieve voxilaprevir exposures expected in hepatitis C virus
(HCV) infected patients.
6 Study conducted with emtricitabine/rilpivirine/tenofovir alafenamide fixed-dose combination tablet.
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): sofosbuvir (HOS-108928) tenofovir alafenamide (HOS-110476) hepatitis C virus (HOS-108813) voxilaprevir (HOS-108930) sildenafil (HOS-086162)
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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 9–10
HOS-133938 · Präparat HOS-097520
9
Medicinal product by Effects on medicinal product Recommendation concerning
therapeutic areas levels. co-administration with Genvoya
Mean percent change in AUC,
Cmax, Cmin1
Anti-hepatitis C virus medicinal products
Ledipasvir (90 mg once daily)/ Ledipasvir: No dose adjustment of
Sofosbuvir (400 mg once daily)/ AUC: ↑ 79% ledipasvir/sofosbuvir and Genvoya
Elvitegravir (150 mg once daily)/ Cmin: ↑ 93% is warranted upon co-administration.
Cobicistat (150 mg once daily)/ Cmax: ↑ 65%
Emtricitabine (200 mg once daily)/
Tenofovir alafenamide (10 mg Sofosbuvir:
once daily)5 AUC: ↑ 47%
Cmin: N/A
Cmax: ↑ 28%
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): sofosbuvir (HOS-108928) ledipasvir (HOS-110493) hepatitis C virus (HOS-108813)
Vollständigen Kontext in der EMA-Fachinformation lesen →Quellennachweis
Version 2022-11-28T16:51:00Z · SHA-256 5b1a306ad5f7dd33700254558ee14691810f4eafdcf9d1256ccc229ad5e01997 · Passage f6708b7101bab9f5a39b99b4d18f06c592957e9df7db80f1c081aeb9f9d338d9 · Zeichen 10833–11772 im Abschnitt
Wechselwirkungen · Emtricitabine/Tenofovir disoproxil Mylan
Emtricitabine/Tenofovir disoproxil Mylan 200 mg/245 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 13–14
HOS-134216 · Präparat HOS-097542
13
Medicinal product by Effects on drug Recommendation concerning
therapeutic areas levels co-administration with
Mean percent emtricitabine/tenofovir disoproxil
change in AUC, (emtricitabine 200 mg, tenofovir disoproxil
Cmax, Cmin with 245 mg)
90% confidence
intervals if
available
(mechanism)
Hepatitis C virus (HCV) antiviral agents
Ledipasvir/Sofosbuvir Ledipasvir: Increased plasma concentrations of tenofovir
(90 mg/400 mg q.d.) + AUC: ↑ 96% (↑ resulting from co-administration of tenofovir
Atazanavir/Ritonavir 74 to ↑ 121) disoproxil, ledipasvir/sofosbuvir and
(300 mg q.d. /100 mg q.d.) + Cmax: ↑ 68% (↑ 54 atazanavir/ritonavir may increase adverse
Emtricitabine/Tenofovir disoproxil to ↑ 84)
(200 mg/245 mg q.d.)1 reactions related to tenofovir disoproxil,
Cmin: ↑ 118% (↑ including renal disorders. The safety of
91 to ↑ 150) tenofovir disoproxil when used with
ledipasvir/sofosbuvir and a pharmacokinetic
Sofosbuvir: enhancer (e.g. ritonavir or cobicistat) has not
AUC: ↔
Cmax: ↔ been established.
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) atazanavir (HOS-086180) sofosbuvir (HOS-108928) ledipasvir (HOS-110493) cobicistat (HOS-088111) tenofovir disoproxil (HOS-108843) hepatitis C virus (HOS-108813) ritonavir (HOS-084521)
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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 18–19
HOS-134512 · Präparat HOS-097580
18
INTERACTIONS AND DOSE RECOMMENDATIONS WITH OTHER MEDICINAL PRODUCTS
Medicinal products by Interaction Geometric mean change Recommendations concerning co-
therapeutic areas (%) administration
ENDOTHELIN RECEPTOR ANTAGONISTS
Bosentan Not studied. Concomitant use of When administered concomitantly
bosentan and darunavir co- with darunavir and low dose
administered with low dose ritonavir ritonavir, the patient’s tolerability of
may increase plasma concentrations of bosentan should be monitored.
bosentan.
Bosentan is expected to decrease
plasma concentrations of darunavir
and/or its pharmacoenhancer. (CYP3A
induction)
HEPATITIS C VIRUS (HCV) DIRECT-ACTING ANTIVIRALS
NS3-4A protease inhibitors
Elbasvir/grazoprevir Darunavir with low dose ritonavir may Concomitant use of darunavir with
increase the exposure to grazoprevir. low dose ritonavir and
(CYP3A and OATP1B inhibition). elbasvir/grazoprevir is
contraindicated (see section 4.3).
Glecaprevir/pibrentasvir Based on theoretical considerations It is not recommended to co-
boosted darunavir may increase the administer boosted darunavir with
exposure to glecaprevir and glecaprevir/pibrentasvir.
pibrentasvir.
(P-gp, BCRP and/or OATP1B1/3
inhibition)
HERBAL PRODUCTS
St John's wort Not studied. St John’s wort is expected Darunavir co-administered with low
(Hypericum perforatum) to decrease the plasma concentrations dose ritonavir must not be used
of darunavir and ritonavir. concomitantly with products
(CYP450 induction) containing St John’s wort
(Hypericum perforatum) (see
section 4.3). If a patient is already
taking St John’s wort, stop St
John’s wort and if possible check
viral levels. Darunavir exposure
(and also ritonavir exposure) may
increase on stopping St John’s wort.
The inducing effect may persist for
at least 2 weeks after cessation of
treatment with St John’s wort.
HMG CO-A REDUCTASE INHIBITORS
Lovastatin Not studied. Lovastatin and simvastatin Increased plasma concentrations of
Simvastatin are expected to have markedly lovastatin or simvastatin may cause
increased plasma concentrations when myopathy, including
co-administered with darunavir co- rhabdomyolysis. Concomitant use
administered with low dose ritonavir. of darunavir co-administered with
(CYP3A inhibition) low dose ritonavir with lovastatin
and simvastatin is therefore
contraindicated (see section 4.3).
Atorvastatin atorvastatin AUC ↑ 3-4 fold When administration of atorvastatin
10 mg once daily atorvastatin Cmin ↑ ≈5.5-10 fold and darunavir co- administered with
atorvastatin Cmax ↑ ≈2 fold low dose ritonavir is desired, it is
#
darunavir/ritonavir recommended to start with an
atorvastatin dose of 10 mg once
daily. A gradual dose increase of
atorvastatin may be tailored to the
clinical response.
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): elbasvir (HOS-108814) protease (HOS-085623) lovastatin (HOS-086157) atorvastatin (HOS-086304) pibrentasvir (HOS-086298) simvastatin (HOS-086158) glecaprevir (HOS-086297) hepatitis C virus (HOS-108813) grazoprevir (HOS-108815) ritonavir (HOS-084521) bosentan (HOS-086291)
Vollständigen Kontext in der EMA-Fachinformation lesen →Quellennachweis
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