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 · Prezista
PREZISTA 400 mg film-coated tablets PREZISTA 800 mg film-coated tablets · Abschnitt 4.3 · PDF-Seite 87
HOS-116580 · Präparat HOS-094447
Darunavir boosted with either ritonavir or cobicistat inhibits the elimination of active substances that
are highly dependent on CYP3A for clearance, which results in increased exposure to the
co-administered medicinal product. Therefore, concomitant treatment with such medicinal products
for which elevated plasma concentrations are associated with serious and/or life-threatening events is
contraindicated (applies to darunavir boosted with either ritonavir or cobicistat). These active
substances include e.g.:
- alfuzosin
- amiodarone, bepridil, dronedarone, ivabradine, quinidine, ranolazine
- astemizole, terfenadine
- colchicine when used in patients with renal and/or hepatic impairment (see section 4.5)
- ergot derivatives (e.g. dihydroergotamine, ergometrine, ergotamine, methylergonovine)
- elbasvir/grazoprevir
- cisapride
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) alfuzosin (HOS-086139) methylergonovine (HOS-086155) dronedarone (HOS-086144) cisapride (HOS-085610) cobicistat (HOS-088111) bepridil (HOS-085612) quinidine (HOS-085593) grazoprevir (HOS-108815) ivabradine (HOS-109426) colchicine (HOS-086147) astemizole (HOS-085608) ergotamine (HOS-086154) ritonavir (HOS-084521) amiodarone (HOS-085596) terfenadine (HOS-085607) ranolazine (HOS-086141) dihydroergotamine (HOS-086152)
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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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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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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 · Advagraf
Advagraf 0.5 mg prolonged-release hard capsules Advagraf 1 mg prolonged-release hard capsules Advagraf 3 mg prolonged-release hard capsules Advagraf 5 mg prolonged-release hard capsules · Abschnitt 4.5 · PDF-Seite 10–11
HOS-116802 · Präparat HOS-094481
10
Drug/Substance Class or Drug interaction effect Recommendations concerning
Name co-administration
Strong CYP3A4 inhibitors: May increase tacrolimus whole It is recommended that
antifungal agents (e.g., blood trough concentrations and concomitant use should be
ketoconazole, itraconazole, increase the risk of serious adverse avoided. If co-administration
posaconazole, voriconazole), reactions (e.g., nephrotoxicity, of a strong CYP3A4 inhibitor
the macrolide antibiotics neurotoxicity, QT prolongation) is unavoidable, consider
(e.g., telithromycin, which requires close monitoring omitting the dose of tacrolimus
troleandomycin, [see section 4.4]. the day the strong CYP3A4
clarithromycin, josamycin), Rapid and sharp increases in inhibitor is initiated. Reinitiate
HIV protease inhibitors tacrolimus levels may occur, as tacrolimus the next day at a
(e.g., ritonavir, nelfinavir, early as within 1-3 days after co- reduced dose based on
saquinavir), HCV protease administration, despite immediate tacrolimus blood
inhibitors (e.g., telaprevir, reduction of tacrolimus dose. concentrations. Changes in
boceprevir, and the Overall tacrolimus exposure may both tacrolimus dose and/or
combination of ombitasvir increase > 5 fold. When ritonavir dosing frequency should be
and paritaprevir with combinations are co-administered, individualized and adjusted as
ritonavir, when used with tacrolimus exposure may increase needed based on tacrolimus
and without dasabuvir), > 50 fold. Nearly all patients may trough concentrations, which
nefazodone, the require a reduction in tacrolimus should be assessed at initiation,
pharmacokinetic enhancer dose and temporary interruption of monitored frequently
cobicistat, and the kinase tacrolimus may also be necessary. throughout (starting within the
inhibitors idelalisib, The effect on tacrolimus blood first few days) and re-
ceritinib. concentrations may remain for evaluated on and after
Strong interactions have also several days after co-administration completion of the CYP3A4
been observed with the is completed. inhibitor. Upon completion,
macrolide antibiotic appropriate dose and dosing
erythromycin frequency of tacrolimus should
be guided by tacrolimus blood
concentrations. Monitor renal
function, ECG for QT
prolongation, and other side
effects closely.
Moderate or weak CYP3A4 May increase tacrolimus whole Monitor tacrolimus whole
inhibitors: blood trough concentrations and blood trough concentrations
antifungal agents (e.g., increase the risk of serious adverse frequently, starting within the
fluconazole, isavuconazole, reactions (e.g., neurotoxicity, QT first few days of co-
clotrimazole, miconazole), prolongation) [see section 4.4]. A administration. Reduce
the macrolide antibiotics rapid increase in tacrolimus level tacrolimus dose if needed [see
(e.g., azithromycin), calcium may occur. section 4.2]. Monitor renal
channel blockers (e.g., function, ECG for QT
nifedipine, nicardipine, prolongation, and other side
diltiazem, verapamil), effects closely.
amiodarone, danazol,
ethinylestradiol,
lansoprazole, omeprazole,
the HCV antivirals
elbasvir/grazoprevir and
glecaprevir/pibrentasvir, the
CMV antiviral letermovir,
and the tyrosine kinase
inhibitors nilotinib,
crizotinib and imatinib and
(Chinese) herbal remedies
containing extracts of
Schisandra sphenanthera
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): lansoprazole (HOS-085166) letermovir (HOS-090621) ceritinib (HOS-086215) josamycin (HOS-113844) diltiazem (HOS-086288) nefazodone (HOS-084519) elbasvir (HOS-108814) isavuconazole (HOS-085186) nifedipine (HOS-086289) nelfinavir (HOS-084520) nicardipine (HOS-090619) protease (HOS-085623) ketoconazole (HOS-084513) pibrentasvir (HOS-086298) crizotinib (HOS-116818) cobicistat (HOS-088111) glecaprevir (HOS-086297) azithromycin (HOS-088112) clotrimazole (HOS-090574) calcium (HOS-085615) imatinib (HOS-110212) dasabuvir (HOS-110302) voriconazole (HOS-084524) telaprevir (HOS-090618) telithromycin (HOS-084523) grazoprevir (HOS-108815) itraconazole (HOS-084516) saquinavir (HOS-084522) danazol (HOS-085473) fluconazole (HOS-087945) ombitasvir (HOS-110300) boceprevir (HOS-090617) clarithromycin (HOS-084517) erythromycin (HOS-084514) troleandomycin (HOS-090575) ritonavir (HOS-084521) amiodarone (HOS-085596) paritaprevir (HOS-110301) tyrosine (HOS-108875) posaconazole (HOS-085622) nilotinib (HOS-086218) miconazole (HOS-115630) idelalisib (HOS-116811) omeprazole (HOS-085912) verapamil (HOS-090602)
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Gegenanzeigen · Intelence
INTELENCE 25 mg tablets INTELENCE 100 mg tablets INTELENCE 200 mg tablets · Abschnitt 4.3 · PDF-Seite 4
HOS-119724 · Präparat HOS-095005
Co-administration with elbasvir/grazoprevir (see section 4.5).
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) grazoprevir (HOS-108815)
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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)
Vollständigen Kontext in der EMA-Fachinformation lesen →Quellennachweis
Version 2024-08-13T16:37:00Z · SHA-256 b6b2c3fd3d600c0f1fd17ddc8f6c1da50bcb8b2181089113d0397c5ec46864c4 · Passage b4ae62f3b56de12cf8406dcb55d38bc3538cd806a08b537965c6bb7ead0cc339 · Zeichen 24913–29265 im Abschnitt
Wechselwirkungen · Modigraf
Modigraf 0.2 mg granules for oral suspension Modigraf 1 mg granules for oral suspension · Abschnitt 4.5 · PDF-Seite 11–12
HOS-209751 · Präparat HOS-154375
11
Drug/Substance Class or Drug interaction effect Recommendations concerning co-
Name administration
The effect on tacrolimus
blood concentrations may
remain for several days after
co-administration is
completed.
Moderate or weak CYP3A4 May increase tacrolimus Monitor tacrolimus whole blood
inhibitors: whole blood trough trough concentrations frequently,
antifungal agents (e.g., concentrations and increase starting within the first few days
fluconazole, isavuconazole, the risk of serious adverse of co-administration. Reduce
clotrimazole, miconazole), reactions (e.g., neurotoxicity, tacrolimus dose if needed [see
the macrolide antibiotics QT prolongation) [see section 4.2]. Monitor renal
(e.g., azithromycin), calcium section 4.4]. A rapid increase function, ECG for QT
channel blockers (e.g., in tacrolimus level may prolongation, and other side
nifedipine, nicardipine, occur. effects closely.
diltiazem, verapamil),
amiodarone, danazol,
ethinylestradiol, lansoprazole,
omeprazole, the HCV
antivirals elbasvir/grazoprevir
and glecaprevir/pibrentasvir,
the CMV antiviral letermovir,
and the tyrosine kinase
inhibitors nilotinib, crizotinib
and imatinib and (Chinese)
herbal remedies containing
extracts of Schisandra
sphenanthera
In vitro the following May increase tacrolimus Monitor tacrolimus whole blood
substances have been shown whole blood trough trough concentrations and reduce
to be potential inhibitors of concentrations and increase tacrolimus dose if needed [see
tacrolimus metabolism: the risk of serious adverse section 4.2].
bromocriptine, cortisone, reactions (e.g., neurotoxicity, Monitor renal function, ECG for
dapsone, ergotamine, QT prolongation) [see QT prolongation, and other side
gestodene, lidocaine, section 4.4]. effects closely.
mephenytoin, midazolam,
nilvadipine, norethisterone,
quinidine, tamoxifen
Strong CYP3A4 inducers: May decrease tacrolimus It is recommended that
rifampicin, phenytoin whole blood trough concomitant use should be
carbamazepine, apalutamide, concentrations and increase avoided. If unavoidable, patients
enzalutamide, mitotane or St. the risk of rejection [see may require an increase in
John’s wort (Hypericum section 4.4]. tacrolimus dose. Changes in
perforatum) Maximal effect on tacrolimus tacrolimus dose should be
blood concentrations may be individualized and adjusted as
achieved 1-2 weeks after co- needed based on tacrolimus
administration. The effect trough concentrations, which
may remain 1-2 weeks after should be assessed at initiation,
completion of the treatment. monitored frequently throughout
(starting within the first few days)
and re-evaluated on and after
completion of the CYP3A4
inducer. After use of the CYP3A4
inducer has ended, tacrolimus
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): lansoprazole (HOS-085166) letermovir (HOS-090621) diltiazem (HOS-086288) elbasvir (HOS-108814) isavuconazole (HOS-085186) nifedipine (HOS-086289) cortisone (HOS-114161) nicardipine (HOS-090619) pibrentasvir (HOS-086298) lidocaine (HOS-108866) carbamazepine (HOS-085618) crizotinib (HOS-116818) apalutamide (HOS-086212) tamoxifen (HOS-088380) quinidine (HOS-085593) glecaprevir (HOS-086297) azithromycin (HOS-088112) clotrimazole (HOS-090574) mephenytoin (HOS-109801) calcium (HOS-085615) imatinib (HOS-110212) grazoprevir (HOS-108815) danazol (HOS-085473) mitotane (HOS-112479) fluconazole (HOS-087945) bromocriptine (HOS-090620) nilvadipine (HOS-116826) gestodene (HOS-116824) ergotamine (HOS-086154) amiodarone (HOS-085596) tyrosine (HOS-108875) dapsone (HOS-088141) phenytoin (HOS-084531) enzalutamide (HOS-116829) nilotinib (HOS-086218) miconazole (HOS-115630) midazolam (HOS-086167) omeprazole (HOS-085912) verapamil (HOS-090602)
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Version 2025-03-03T17:00:00Z · SHA-256 1a464ac051c5783e49ce08a9d103d0d319997aa4add60584450928c1b11144a7 · Passage 1e7cc303a6d0d182851c23281c6a79a17f96d714a9cddc0ab3d6ada78ab947ab · Zeichen 6985–10993 im Abschnitt
Gegenanzeigen · Efavirenz Teva
Efavirenz Teva 600 mg film-coated tablets · Abschnitt 4.3 · PDF-Seite 3
HOS-215254 · Präparat HOS-155418
Co-administration with elbasvir (EBR) and grazoprevir (GZR) due to the potential for significant
decreases in plasma concentrations of EBR and GZR (see section 4.5).
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) grazoprevir (HOS-108815)
Vollständigen Kontext in der EMA-Fachinformation lesen →Quellennachweis
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Wechselwirkungen · Efavirenz Teva
Efavirenz Teva 600 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 7
HOS-215270 · Präparat HOS-155418
Elbasvir/grazoprevir
Concomitant administration of efavirenz with elbasvir/grazoprevir is contraindicated because it may
lead to loss of virologic response to elbasvir/grazoprevir. This loss is due to significant decreases in
elbasvir and grazoprevir plasma concentrations caused by CYP3A4 induction. (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): elbasvir (HOS-108814) lead (HOS-085592) grazoprevir (HOS-108815)
Vollständigen Kontext in der EMA-Fachinformation lesen →Quellennachweis
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Wechselwirkungen · Efavirenz Teva
Efavirenz Teva 600 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 11–12
HOS-215282 · Präparat HOS-155418
11
Medicinal product by Effects on drug levels Recommendation concerning
therapeutic areas Mean percent change in AUC, co-administration with
(dose) Cmax, Cmin with confidence efavirenz
intervals if availablea
(mechanism)
Velpatasvir/sofosbuvir/voxilap ↓velpatasvir Concomitant administration of
revir ↓voxilaprevir velpatasvir/sofosbuvir/
voxilaprevir with efavirenz is
not recommended, as it may
decrease concentrations of
velpatasvir and voxilaprevir.
Refer to the prescribing
information for
velpatasvir/sofosbuvir/
voxilaprevir for more
information.
Protease inhibitor : ↓elbasvir Concomitant administration of
Elbasvir/grazoprevir ↓grazoprevir efavirenz with
elbasvir/grazoprevir is
↔efavirenz
contraindicated because it may
lead to loss of virologic
response to
elbasvir/grazoprevir. This loss
is due to significant decreases
in elbasvir and grazoprevir
plasma concentrations caused
by CYP3A4 induction. Refer
to the prescribing information
for elbasvir/grazoprevir for
more information.
Glecaprevir/pibrentasvir ↓glecaprevir Concomitant administration of
↓ pibrentasvir glecaprevir/pibrentasvir with
efavirenz may significantly
decrease plasma
concentrations of glecaprevir
and pibrentasvir, leading to
reduced therapeutic effect.
Coadministration of
glecaprevir/pibrentasvir with
efavirenz is not recommended.
Refer to the prescribing
information for
glecaprevir/pibrentasvir for
more information.
Antibiotics
Azithromycin/efavirenz No clinically significant No dose adjustment is necessary
(600 mg single dose/400 mg once pharmacokinetic interaction for either medicinal product.
daily)
Clarithromycin/efavirenz Clarithromycin: The clinical significance of these
(500 mg q12h/400 mg once daily) AUC: ↓ 39% (↓ 30 to ↓ 46) changes in clarithromycin plasma
Cmax: ↓ 26% (↓ 15 to ↓ 35) levels is not known. Alternatives
to clarithromycin (e.g.
Clarithromycin azithromycin) may be considered.
14-hydroxymetabolite: No dose adjustment is necessary
AUC: ↑ 34% (↑ 18 to ↑ 53) for efavirenz.
Cmax: ↑ 49% (↑ 32 to ↑ 69)
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) sofosbuvir (HOS-108928) protease (HOS-085623) pibrentasvir (HOS-086298) glecaprevir (HOS-086297) azithromycin (HOS-088112) lead (HOS-085592) voxilaprevir (HOS-108930) grazoprevir (HOS-108815) clarithromycin (HOS-084517) velpatasvir (HOS-108929)
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Version 2023-03-03T18:18:00Z · SHA-256 d2c4a637bb18ba1e0c98c69218ce14671957659a5aa55fba40e74b1bf5620382 · Passage 310c6908c5167c5c566d1779df72c19d73a6e857af22bb69c467f9646bad659d · Zeichen 23908–28723 im Abschnitt
Gegenanzeigen · Cholib
Cholib 145 mg/40 mg film-coated tablets · Abschnitt 4.3 · PDF-Seite 25
HOS-127022 · Präparat HOS-096355
• Hypersensitivity to the active substances, peanut, soya or to any of the excipients listed in
section 6.1 (see also section 4.4)
• Known photoallergy or phototoxic reaction during treatment with fibrates or ketoprofen
• Active liver disease or unexplained persistent elevations of serum transaminases
• Known gallbladder disease
• Chronic or acute pancreatitis with the exception of acute pancreatitis due to severe
hypertriglyceridaemia
• Moderate to severe renal insufficiency (estimated glomerular filtration rate
< 60 mL/min/1.73 m2)
• Concomitant administration of potent CYP3A4 inhibitors (agents that increase AUC
approximately 5 fold or greater) (e.g. itraconazole, ketoconazole, posaconazole, voriconazole,
HIV protease inhibitors (e.g. nelfinavir), boceprevir, telaprevir, erythromycin, clarithromycin,
telithromycin, nefazodone, and medicinal products containing cobicistat) (see sections 4.4 and
4.5)
• Concomitant administration of gemfibrozil, ciclosporin, or danazol (see sections 4.4 and 4.5)
• Concomitant administration of glecaprevir, pibrentasvir, elbasvir or grazoprevir (see section
4.5)
• Paediatric population (age below 18 years)
• Pregnancy and breast-feeding (see section 4.6)
• Personal history of myopathy and/or rhabdomyolysis with statins and/or fibrates or confirmed
creatine phosphokinase elevation above 5 times the upper limit of normal (ULN) under previous
statin treatment (see section 4.4)
Concomitant administration of amiodarone, verapamil, amlodipine or diltiazem (see section 4.5)
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) ketoprofen (HOS-089671) nefazodone (HOS-084519) elbasvir (HOS-108814) nelfinavir (HOS-084520) protease (HOS-085623) ketoconazole (HOS-084513) pibrentasvir (HOS-086298) cobicistat (HOS-088111) amlodipine (HOS-086287) creatine (HOS-123819) gemfibrozil (HOS-088403) glecaprevir (HOS-086297) voriconazole (HOS-084524) telaprevir (HOS-090618) telithromycin (HOS-084523) grazoprevir (HOS-108815) itraconazole (HOS-084516) danazol (HOS-085473) boceprevir (HOS-090617) clarithromycin (HOS-084517) erythromycin (HOS-084514) amiodarone (HOS-085596) posaconazole (HOS-085622) verapamil (HOS-090602)
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Wechselwirkungen · Cholib
Cholib 145 mg/20 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 8
HOS-126966 · Präparat HOS-096355
Inhibitors of Breast Cancer Resistant Protein (BCRP)
Concomitant administration of medicinal products that are inhibitors of BCRP, including products
containing elbasvir or grazoprevir, may lead to increased plasma concentrations of simvastatin and an
increased risk of myopathy (see sections 4.2 and 4.4).
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) lead (HOS-085592) grazoprevir (HOS-108815)
Vollständigen Kontext in der EMA-Fachinformation lesen →Quellennachweis
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Wechselwirkungen · Cholib
Cholib 145 mg/20 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 10
HOS-126998 · Präparat HOS-096355
Interacting substances Prescribing recommendations
Potent CYP 3A4 inhibitors:
Itraconazole
Ketoconazole
Fluconazole
Posaconazole
Erythromycin Contraindicated with Cholib
Clarithromycin
Telithromycin
HIV protease inhibitors (e.g. nelfinavir)
Nefazodone
Cobicistat
Danazol
Contraindicated with Cholib
Ciclosporin
Gemfibrozil, Other statins and fibrates Contraindicated with Cholib
Amiodarone
Verapamil Do not exceed one Cholib 145 mg/20 mg per
Diltiazem day, unless clinical benefit outweigh the risk
Amlodipine
Elbasvir Do not exceed one Cholib 145 mg/20 mg per
Grazoprevir day
Glecaprevir
Contraindicated with Cholib
Pibrentasvir
Avoid with Cholib unless clinical benefit
Niacin (nicotinic acid) ≥ 1 g/day
outweigh the risk
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) nefazodone (HOS-084519) elbasvir (HOS-108814) nelfinavir (HOS-084520) protease (HOS-085623) ketoconazole (HOS-084513) pibrentasvir (HOS-086298) cobicistat (HOS-088111) amlodipine (HOS-086287) gemfibrozil (HOS-088403) glecaprevir (HOS-086297) niacin (HOS-126975) telithromycin (HOS-084523) grazoprevir (HOS-108815) itraconazole (HOS-084516) danazol (HOS-085473) fluconazole (HOS-087945) clarithromycin (HOS-084517) erythromycin (HOS-084514) amiodarone (HOS-085596) posaconazole (HOS-085622) verapamil (HOS-090602)
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Version 2026-08-06T10:28:00Z · SHA-256 348750d8a2030faed77c9c061fe6342a446d1448175630ef5f5390d9ff5afaad · Passage e0d38b712e1242faa215e464aecc01b778cbd894151f3fb6e0a8a225fb75b5e1 · Zeichen 10739–11977 im Abschnitt
Wechselwirkungen · Cholib
Cholib 145 mg/40 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 30
HOS-127039 · Präparat HOS-096355
Inhibitors of Breast Cancer Resistant Protein (BCRP)
Concomitant administration of medicinal products that are inhibitors of BCRP, including products
containing elbasvir or grazoprevir, may lead to increased plasma concentrations of simvastatin and an
increased risk of myopathy (see sections 4.2 and 4.4).
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) lead (HOS-085592) grazoprevir (HOS-108815)
Vollständigen Kontext in der EMA-Fachinformation lesen →Quellennachweis
Version 2026-08-06T10:28:00Z · SHA-256 348750d8a2030faed77c9c061fe6342a446d1448175630ef5f5390d9ff5afaad · Passage 1760a2e65123d536db791d97cbb96f70573b5b8eac1829020d184678500206b5 · Zeichen 3536–3842 im Abschnitt
Wechselwirkungen · Cholib
Cholib 145 mg/40 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 32
HOS-127062 · Präparat HOS-096355
Interacting substances Prescribing recommendations
Potent CYP 3A4 inhibitors:
Itraconazole
Ketoconazole
Fluconazole
Posaconazole
Erythromycin Contraindicated with Cholib
Clarithromycin
Telithromycin
HIV protease inhibitors (e.g. nelfinavir)
Nefazodone
Cobicistat
Danazol
Contraindicated with Cholib
Ciclosporin
Gemfibrozil, Other statins and fibrates Contraindicated with Cholib
Amiodarone
Verapamil
Contraindicated with Cholib 145 mg/40 mg
Diltiazem
Amlodipine
Elbasvir
Contraindicated with Cholib 145 mg/40 mg
Grazoprevir
Glecaprevir
Contraindicated with Cholib
Pibrentasvir
Avoid with Cholib unless clinical benefit
outweigh the risk
Niacin (nicotinic acid) ≥ 1 g/day
Monitor patients for any signs and symptoms of
muscle pain, tenderness or weakness
Patients should be closely monitored.
Fusidic acid Temporary suspension of Cholib treatment may
be considered
Grapefruit juice Avoid when taking Cholib
Adjust the dose of these oral anticoagulants
Vitamin K antagonists
according to INR monitoring
Monitor HDL-C and stop either therapy
Glitazones
(glitazone or Cholib) if HDL-C is too low
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) nefazodone (HOS-084519) elbasvir (HOS-108814) nelfinavir (HOS-084520) protease (HOS-085623) fusidic acid (HOS-086146) ketoconazole (HOS-084513) pibrentasvir (HOS-086298) cobicistat (HOS-088111) vitamin K (HOS-091176) amlodipine (HOS-086287) gemfibrozil (HOS-088403) glecaprevir (HOS-086297) grapefruit juice (HOS-088787) niacin (HOS-126975) telithromycin (HOS-084523) grazoprevir (HOS-108815) itraconazole (HOS-084516) danazol (HOS-085473) fluconazole (HOS-087945) clarithromycin (HOS-084517) erythromycin (HOS-084514) amiodarone (HOS-085596) posaconazole (HOS-085622) verapamil (HOS-090602)
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Gegenanzeigen · 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 4.3 · PDF-Seite 5
HOS-134441 · Präparat HOS-097580
Co-administration of darunavir with low dose ritonavir, with active substances that are highly
dependent on CYP3A for clearance and for which elevated plasma concentrations are associated with
serious and/or life-threatening events. These active substances include e.g.:
- alfuzosin
- amiodarone, bepridil, dronedarone, ivabradine, quinidine, ranolazine
- astemizole, terfenadine
- colchicine when used in patients with renal and/or hepatic impairment (see section 4.5)
- ergot derivatives (e.g. dihydroergotamine, ergometrine, ergotamine, methylergonovine)
- elbasvir/grazoprevir
- cisapride
- dapoxetine
- domperidone
- naloxegol
- lurasidone, pimozide, quetiapine, sertindole (see section 4.5)
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) elbasvir (HOS-108814) alfuzosin (HOS-086139) methylergonovine (HOS-086155) dronedarone (HOS-086144) cisapride (HOS-085610) bepridil (HOS-085612) quinidine (HOS-085593) domperidone (HOS-114656) naloxegol (HOS-109428) grazoprevir (HOS-108815) ivabradine (HOS-109426) pimozide (HOS-085600) colchicine (HOS-086147) astemizole (HOS-085608) ergotamine (HOS-086154) ritonavir (HOS-084521) amiodarone (HOS-085596) terfenadine (HOS-085607) lurasidone (HOS-086148) ranolazine (HOS-086141) dihydroergotamine (HOS-086152)
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Gegenanzeigen · Darunavir Viatris (previously Darunavir Mylan)
Darunavir Viatris 400 mg film-coated tablets Darunavir Viatris 800 mg film-coated tablets · Abschnitt 4.3 · PDF-Seite 44
HOS-134580 · Präparat HOS-097580
Darunavir boosted with either ritonavir or cobicistat inhibits the elimination of active substances that
are highly dependent on CYP3A for clearance, which results in increased exposure to the co-
administered medicinal product. Therefore, concomitant treatment with such medicinal products for
which elevated plasma concentrations are associated with serious and/or life-threatening events is
contraindicated (applies to darunavir boosted with either ritonavir or cobicistat). These active
substances include e.g.:
- alfuzosin
- amiodarone, bepridil, dronedarone, ivabradine, quinidine, ranolazine
- astemizole, terfenadine
- colchicine when used in patients with renal and/or hepatic impairment (see section 4.5)
- ergot derivatives (e.g. dihydroergotamine, ergometrine, ergotamine, methylergonovine)
- elbasvir/grazoprevir
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) alfuzosin (HOS-086139) methylergonovine (HOS-086155) dronedarone (HOS-086144) cobicistat (HOS-088111) bepridil (HOS-085612) quinidine (HOS-085593) grazoprevir (HOS-108815) ivabradine (HOS-109426) colchicine (HOS-086147) astemizole (HOS-085608) ergotamine (HOS-086154) ritonavir (HOS-084521) amiodarone (HOS-085596) terfenadine (HOS-085607) ranolazine (HOS-086141) dihydroergotamine (HOS-086152)
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Version 2026-10-20T12:32:00Z · SHA-256 50f4771a683f17214737463c6df88a158b1e699bbb9916413602e547e369e804 · Passage dc54d993409459377eca2778cf25b8655b8f68649a72da054ab0f0fc3b77b4d4 · Zeichen 1379–2234 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 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
Version 2026-10-20T12:32:00Z · SHA-256 50f4771a683f17214737463c6df88a158b1e699bbb9916413602e547e369e804 · Passage 7b1edfe850fde2a2a949b44430e70ed99d603382b1e03aaa3d8a57534a62b67e · Zeichen 48130–53015 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 60–61
HOS-134628 · Präparat HOS-097580
60
INTERACTIONS AND DOSE RECOMMENDATIONS WITH OTHER MEDICINAL PRODUCTS
Medicinal products by Interaction Recommendations concerning co-
therapeutic areas Geometric mean change (%) administration
ENDOTHELIN RECEPTOR ANTAGONISTS
Bosentan Not studied. Concomitant use of When administered concomitantly
bosentan and boosted darunavir with darunavir and low dose
may increase plasma concentrations ritonavir, the patient's tolerability of
of bosentan. bosentan should be monitored.
Bosentan is expected to decrease
plasma concentrations of darunavir Co-administration of darunavir co-
and/or its pharmacoenhancer. administered with cobicistat and
(CYP3A induction) bosentan is not recommended.
HEPATITIS C VIRUS (HCV) DIRECT-ACTING ANTIVIRALS
NS3-4A protease inhibitors
Elbasvir/grazoprevir Boosted darunavir may increase the Concomitant use of boosted
exposure to grazoprevir. darunavir and elbasvir/grazoprevir is
(CYP3A and OATP1B inhibition). 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 Boosted darunavir must not be used
(Hypericum perforatum) expected to decrease the plasma concomitantly with products
concentrations of darunavir or its containing St John's wort (Hypericum
pharmacoenhancers. perforatum) (see section 4.3). If a
(CYP450 induction) 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 Increased plasma concentrations of
Simvastatin simvastatin are expected to have lovastatin or simvastatin may cause
markedly increased plasma myopathy, including rhabdomyolysis.
concentrations when co- Concomitant use of boosted
administered with boosted darunavir with lovastatin and
darunavir. simvastatin is therefore
(CYP3A inhibition) 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 boosted darunavir is desired, it is
atorvastatin Cmax ↑ ≈2 fold recommended to start with an
#
darunavir/ritonavir atorvastatin dose of 10 mg once
daily. A gradual dose increase of
atorvastatin AUC ↑ 290% Ω atorvastatin may be tailored to the
atorvastatin Cmax ↑ 319% Ω clinical response.
atorvastatin Cmin ND Ω
Ω
with darunavir/cobicistat 800/150 mg
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)
Vollständigen Kontext in der EMA-Fachinformation lesen →Quellennachweis
Version 2026-10-20T12:32:00Z · SHA-256 50f4771a683f17214737463c6df88a158b1e699bbb9916413602e547e369e804 · Passage f66edf1b3f3cfbd4637db6965ebe86d3757f4304c50a485b30a8dd4fa4ed1608 · Zeichen 54456–59041 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.