Maraviroc

ARV U.S. Brand Name
Selzentry
ARV Abbreviation(s)
MVC
First U.S. Approval
Formulations
Strength Formulation Image Description Boosted
150 mg
Tablet
oval blue pill with 150 MVC
No
300 mg
Tablet
oval blue tablet with 300MVC imprinted
No
Generic Available?
No
Displaying 1 - 45 of 45
Interaction Color Code Clinical Bottom Line Clinical Effects Drug 1 effect Drug 2 dose Drug 2 effect Management
Ritonavir MVC 1042 Yellow: Adjust dosing Adjust dosing to avoid increased levels of maraviroc

Increased maraviroc effects

100 mg BID

Maraviroc AUC increased 161%; Cmin increased 355%; Cmax increased 28%

Reduce dose of maraviroc to 150 mg BID with strong CYP3A4 inhibitors

Darunavir MVC 884 Yellow: Adjust dosing Adjust dosing to avoid increased levels of maraviroc

Potential for increased maraviroc adverse effects

Not reported

150 mg BID

Cmax increase 77%, AUC increase 210%, Cmin increase 427%

Use maraviroc 150 mg BID when combined with darunavir / ritonavir

Darunavir MVC 883 Yellow: Adjust dosing Adjust dosing to avoid increased levels of maraviroc

Potential for increased maraviroc adverse effects

Not reported

150 mg BID

Cmax increase 129%, AUC increase 305%, Cmin increase 700%

Use maraviroc 150 mg BID when combined with darunavir / ritonavir

Atazanavir MVC 764 Yellow: Adjust dosing Adjust dosing to avoid increased levels of maraviroc

Potential increase in maraviroc adverse effects

Not reported

300 mg BID

Maraviroc AUC increased 388%, Cmax increased 167%, Cmin increased 567%

Decrease maraviroc dose to 150 mg BID

Atazanavir MVC 763 Yellow: Adjust dosing Adjust dosing to avoid increased levels of maraviroc

Potential increase in maraviroc adverse effects

Not reported

300 mg BID

Maraviroc AUC increased 257%, Cmax increased 109%, Cmin increased 319%

Decrease maraviroc dose to 150 mg BID

Nevirapine MVC 594 Green: Administer standard doses Administer standard doses

Nevirapine AUC no significant change

300 mg single dose

Maraviroc Cmax increased 54%

Use standard dose maraviroc. If coadministering with nevirapine plus a protease inhibitor, reduce dose of maraviroc to 150 mg BID

Etravirine MVC 519 Yellow: Adjust dosing Adjust dosing to avoid reduced levels of maraviroc

No significant change

300 mg BID

Maraviroc AUC decreased 53%; Cmax decreased 60%; Cmin decreased 39%

Increase maraviroc to 600 mg BID when combined with etravirine. When etravirine and maraviroc are coadministered with a strong CYP3A4 inhibitor, decrease maraviroc dose to 150 mg BID

Etravirine MVC 518 Yellow: Adjust dosing Adjust dosing to avoid reduced levels of maraviroc

Increased maraviroc effects

150 mg BID

Maraviroc AUC increased 3.10 fold; Cmax increased 1.76 fold; Cmin increased 5.27 fold

Increase maraviroc to 600 mg BID when combined with etravirine. When etravirine and maraviroc are coadministered with a strong CYP3A4 inhibitor, decrease maraviroc dose to 150 mg BID

Etravirine MVC 517 Yellow: Adjust dosing Adjust dosing to avoid reduced levels of maraviroc

Increased maraviroc effects

No significant change on etravirine, darunavir or ritonavir pharmacokinetics

300 mg BID

Maraviroc AUC increased 210%; Cmax increased 77%; Cmin increased 430%

Increase maraviroc to 600 mg BID when combined with etravirine. When etravirine and maraviroc are coadministered with a strong CYP3A4 inhibitor, decrease maraviroc dose to 150 mg BID

Etravirine MVC 516 Yellow: Adjust dosing Adjust dosing to avoid reduced levels of maraviroc

Decreased maraviroc effects

300 mg BID

Maraviroc AUC decreased 53%; Cmax decreased 60%; Cmin decreased 39%

Increase maraviroc to 600 mg BID when combined with etravirine. When etravirine and maraviroc are coadministered with a strong CYP3A4 inhibitor, decrease maraviroc dose to 150 mg BID

Efavirenz MVC 364 Yellow: Adjust dosing Adjust dosing to avoid reduced levels of maraviroc

Decreased maraviroc effects

100 mg BID

Maraviroc AUC decreased 45%; Cmax decreased 51%; Cmin decreased 45%

Increase maraviroc dose to 600 mg BID

Efavirenz MVC 363 Yellow: Adjust dosing Adjust dosing to avoid reduced levels of maraviroc

Decreased maraviroc effects

100 mg BID

Maraviroc AUC decreased 45%; Cmax decreased 51%; Cmin decreased 45%

Increase maraviroc dose to 600 mg BID

Raltegravir MVC 300 Green: Administer standard doses Administer standard doses

Raltegravir AUC decreased 37%; Cmin decreased 28%; Cmax decreased 33%

300 mg Q12H

Maraviroc Cmin decreased 21%; Cmax decreased 20%

Maraviroc Oxcarbazepine 62 Orange: Minimal data to guide interaction Minimal data to guide interaction: risks likely to outweigh benefits

Potential decrease in antiretroviral efficacy

Use alternative agents

Maraviroc Eslicarbazepine 61 Orange: Minimal data to guide interaction Minimal data to guide interaction: risks likely to outweigh benefits

Potential decrease in antiretroviral efficacy

Use alternative agents

Maraviroc St. John's Wort (Hypericum perforatum) 60 Red: Avoid combination Do not coadminister: Potential for reduced levels of maraviroc

Potential decrease in antiretroviral efficacy

Use alternative agents

Maraviroc Dasabuvir + Ombitasvir / Paritaprevir / Ritonavir 59 Red: Avoid combination Do not coadminister: Potential for increased levels of maraviroc

Potential maraviroc-associated adverse effects

Use alternative agents

Maraviroc RPT 58 Green: Administer standard doses Do not coadminister: Potential for reduced levels of maraviroc

Potential decrease in antiretroviral efficacy

Use alternative agents

Maraviroc RAL 57 Green: Administer standard doses Administer standard doses

Maraviroc AUC decreased 14%; Cmax decreased 21%

400 mg BID

Raltegravir AUC decreased 37%; Cmin decreased 27%

Maraviroc NVP 56 Green: Administer standard doses Administer standard doses

Maraviroc AUC no change; Cmax increased 54%

200 mg BID

Not reported

Maraviroc RFB 55 Green: Administer standard doses Administer standard doses

Maraviroc AUC no change; Cmin decreased 30%

300 mg daily

Not reported

Maraviroc Voriconazole 54 Yellow: Adjust dosing Adjust dosing to avoid increased levels of maraviroc

Potential maraviroc-associated adverse effects

Reduce maraviroc dose to 150 mg BID

Maraviroc Voriconazole 53 Yellow: Adjust dosing Adjust dosing to avoid increased levels of maraviroc

Potential maraviroc-associated adverse effects

Reduce maraviroc dose to 150 mg BID

Maraviroc Posaconazole 52 Yellow: Adjust dosing Adjust dosing to avoid increased levels of maraviroc

Potential maraviroc-associated adverse effects

Reduce maraviroc dose to 150 mg BID

Maraviroc Itraconazole 51 Yellow: Adjust dosing Adjust dosing to avoid increased levels of maraviroc

Potential maraviroc-associated adverse effects

Reduce maraviroc dose to 150 mg BID

Maraviroc Clarithromycin 50 Yellow: Adjust dosing Adjust dosing to avoid increased levels of maraviroc

Potential maraviroc-associated adverse effects

Reduce maraviroc dose to 150 mg BID

Maraviroc DRV 49 Yellow: Adjust dosing Adjust dosing to avoid increased levels of maraviroc

Maraviroc Cmin increased 16%; Cmax no significant change (when compared to maraviroc 300 mg BID without darunavir / ritonavir in separate control arm)

800 / 100 mg BID

Not reported

Reduce dose of maraviroc to 150 mg BID

Maraviroc DRV/c 48 Yellow: Adjust dosing Adjust dosing to avoid increased levels of maraviroc

Reduce dose of maraviroc to 150 mg BID

Maraviroc RTV 47 Yellow: Adjust dosing Adjust dosing to avoid increased levels of maraviroc

Potential maraviroc-associated adverse effects

Maraviroc AUC increased 161%; Cmax increased 28%

100 mg BID

Not reported

Reduce dose of maraviroc to 150 mg BID

Maraviroc DRV/r 46 Yellow: Adjust dosing Adjust dosing to avoid increased levels of maraviroc

Potential maraviroc-associated adverse effects

Maraviroc AUC increased 305%; Cmax increased 129%

600 mg / 100 mg BID

Not reported

Reduce dose of maraviroc to 150 mg BID

Maraviroc ATV/r 45 Yellow: Adjust dosing Adjust dosing to avoid increased levels of maraviroc

Potential maraviroc-associated adverse effects

Maraviroc AUC increased 388%; Cmax increased 167%

300 mg / 100 mg daily

Not reported

Reduce dose of maraviroc to 150 mg BID

Maraviroc ATV 44 Yellow: Adjust dosing Adjust dosing to avoid increased levels of maraviroc

Potential maraviroc-associated adverse effects

Maraviroc AUC increased 257%; Cmax increased 109%

400 mg daily

Not reported

Reduce dose of maraviroc to 150 mg BID

Maraviroc Elvitegravir / Cobicistat / Emtricitabine / Tenofovir alafenamide 43 Yellow: Adjust dosing Adjust dosing to avoid increased levels of maraviroc

Potential maraviroc-associated adverse effects

Reduce dose of maraviroc to 150 mg BID

Maraviroc ATV/c 42 Yellow: Adjust dosing Adjust dosing to avoid increased levels of maraviroc

Potential maraviroc-associated adverse effects

Reduce dose of maraviroc to 150 mg BID

Maraviroc Ketoconazole 41 Yellow: Adjust dosing Adjust dosing to avoid increased levels of maraviroc

Increased maraviroc effects

Maraviroc AUC increased 400%; Cmax increased 238%; Cmin increased 275%

400 mg daily

Not reported

Reduce dose of maraviroc to 150 mg BID

Maraviroc Phenytoin 40 Yellow: Adjust dosing Adjust dosing to avoid decreased levels of maraviroc

Potential decrease in antiretroviral efficacy

Increase maraviroc dose to 600 mg BID. If including MVC, ETR plus a strong CYP3A4 inhibitor in the regimen, reduce maraviroc dose to 150 mg BID

Maraviroc Phenobarbital 39 Yellow: Adjust dosing Adjust dosing to avoid decreased levels of maraviroc

Potential decrease in antiretroviral efficacy

Increase maraviroc dose to 600 mg BID. If including MVC, ETR plus a strong CYP3A4 inhibitor in the regimen, reduce maraviroc dose to 150 mg BID

Maraviroc ETR 38 Yellow: Adjust dosing Adjust dosing to avoid decreased levels of maraviroc

Potential decrease in antiretroviral efficacy

Maraviroc AUC decreased 53%; Cmin decreased 39%

200 mg BID

Not reported

Increase maraviroc dose to 600 mg BID. If including MVC, ETR plus a strong CYP3A4 inhibitor in the regimen, reduce maraviroc dose to 150 mg BID

Maraviroc CBZ 37 Yellow: Adjust dosing Adjust dosing to avoid decreased levels of maraviroc

Potential decrease in antiretroviral efficacy

Increase maraviroc dose to 600 mg BID. If including MVC, ETR plus a strong CYP3A4 inhibitor in the regimen, reduce maraviroc dose to 150 mg BID

Maraviroc EFV 36 Yellow: Adjust dosing Adjust dosing to avoid decreased levels of maraviroc

Maraviroc AUC increased 15%; Cmax increased 16% when compared to maraviroc 100 mg BID given alone.

600 mg daily

Not reported

Increase maraviroc dose to 600 mg BID. If including MVC, EFV plus a strong CYP3A4 inhibitor in the regimen, reduce maraviroc dose to 150 mg BID

Maraviroc EFV 35 Yellow: Adjust dosing Adjust dosing to avoid decreased levels of maraviroc

Potential decrease in antiretroviral efficacy

Maraviroc AUC decreased 45%; Cmax decreased 51%

600 mg daily

Not reported

Increase maraviroc dose to 600 mg BID. If including MVC, EFV plus a strong CYP3A4 inhibitor in the regimen, reduce maraviroc dose to 150 mg BID

Maraviroc RIF 34 Yellow: Adjust dosing Adjust dosing to avoid decreased levels of maraviroc

Maraviroc AUC increased 4%; Cmax decreased 3% when compared to maraviroc 100 mg BID given alone.

600 mg daily

Not reported

Increase maraviroc dose to 600 mg BID. If also including a strong CYP3A4 inhibitor in the regimen, consider using an alternative agent due to difficulty predicting maraviroc concentrations.

Maraviroc RIF 33 Yellow: Adjust dosing Adjust dosing to avoid decreased levels of maraviroc

Potential decrease in antiretroviral efficacy

Maraviroc AUC decreased 63%; Cmax decreased 66%; Cmin decreased 78%

600 mg daily

Not reported

Increase maraviroc dose to 600 mg BID. If also including a strong CYP3A4 inhibitor in the regimen, consider using an alternative agent due to difficulty predicting maraviroc concentrations.

Fostemsavir MVC 13 Green: Administer standard doses Administer standard doses

Temsavir Cmax increased 13%, AUC increased 10%, Cmin decreased 10%

300 mg BID

Maraviroc AUC increased 25%, Cmin increased 37%

Maraviroc