Atazanavir Omeprazole 779

Reyataz label

Interaction Color Code
Clinical Bottom Line
Adjust dosing to avoid reduced levels of atazanavir
Drug 1
Drug 1 dose
300 mg daily with 100 mg ritonavir daily on d 7-16 then 400 mg atazanavir daily with 100 mg ritonavir daily on d 17-23
Drug 1 effect

Atazanavir AUC decreased 30%, Cmin decreased 31%, Cmax decreased 31%

Drug 2
Drug 2 dose
20 mg daily on d 17-23
Clinical Effects

Potential loss of antiretroviral efficacy

Management

Do not coadminister PPIs with unboosted atazanavir. PPIs may be administered 12 hours before atazanavir when boosted with ritonavir or cobicistat, in treatment naive patients. Doses should not exceed the equivalent of omeprazole 20 mg daily. PPIs are not recommended for treatment experienced patients.

Alternative Agents
H2 receptor antagonists
Import ID
779