Elvitegravir Aluminum and magnesium hydroxide antacid 143

Interaction Color Code
Clinical Bottom Line
Adjust dosing to avoid decreased elvitegravir efficacy
Drug 1
Drug 1 dose
Not reported
Drug 1 effect

AUC decreased 40-50% when administered simultaneously with antacid; AUC decreased 15-20% when administered 2 hours before or after antacid. No change in AUC if separated by 4-hour interval.

Drug 2 dose
Not reported
Drug 2 effect

Not reported

Clinical Effects

Potential decrease in antiretroviral efficacy

Management

Administer elvitegravir at least 2 hours before or at least 6 hours after supplements that contain polyvalent cations.

Import ID
143