Daclatasvir
| Interaction Color Code | Clinical Bottom Line | Clinical Effects | Drug 1 effect | Drug 2 dose | Drug 2 effect | Management | |
|---|---|---|---|---|---|---|---|
| Darunavir Daclatasvir 902 | Green: Administer standard doses | Administer standard doses | No significant change |
30 mg once daily | No significant change |
No dose adjustment necessary |
|
| Atazanavir Daclatasvir 759 | Yellow: Adjust dosing | Adjust dosing to avoid increased levels of daclatasvir | No significant change |
20 mg daily | AUC(tau) increased 110% |
Decrease daclatasvir dose to 30 mg daily when used with atazanavir / ritonavir. No dose adjustment necessary if used with unboosted atazanavir. |
|
| Atazanavir Daclatasvir 758 | Yellow: Adjust dosing | Adjust dosing to avoid increased levels of daclatasvir | Decrease daclatasvir dose to 30 mg daily |
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| Tenofovir disoproxil fumarate Daclatasvir 743 | Green: Administer standard doses | Administer standard doses | No significant change |
60 mg once daily | No significant change |
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| Nevirapine Daclatasvir 601 | Green: Administer standard doses | Administer standard doses | Cmin decreased 16% |
Rifabutin AUC increased 17%, metabolite AUC increased 24% |
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| Nevirapine Daclatasvir 576 | Yellow: Adjust dosing | Adjust dosing to avoid reduced levels of daclatasvir | Potential loss of anti-HCV efficacy |
Nevirapine Cmin decreased 16% |
Not studied (may decrease daclatasvir levels) |
Increase daclatasvir dose to 90 mg daily. |
|
| Nevirapine Daclatasvir 575 | Yellow: Adjust dosing | Adjust dosing to avoid reduced levels of daclatasvir | Potential loss of anti-HCV efficacy |
120 mg daily | AUC increased 37% and Cmin decreased 17%. |
Increase daclatasvir dose to 90 mg daily. |
|
| Etravirine Daclatasvir 515 | Yellow: Adjust dosing | Adjust dosing to avoid reduced levels of daclatasvir | Potential loss of anti-HCV efficacy |
Not studied |
120 mg daily | AUC increased 37% and Cmin decreased 17%. |
Increase daclatasvir dose to 90 mg daily. |
| Efavirenz Daclatasvir 361 | Yellow: Adjust dosing | Adjust dosing to avoid reduced levels of daclatasvir | Potential loss of anti-HCV efficacy |
120 mg daily | Daclatasvir Cmax increased 67%; AUC increased 37%. |
Increase daclatasvir dose to 90 mg daily. |
|
| Elvitegravir Daclatasvir 161 | Yellow: Adjust dosing | Adjust dosing to avoid increased levels of daclatasvir | Decrease daclatasvir dose to 30 mg daily |
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| Dolutegravir Daclatasvir 104 | Green: Administer standard doses | Administer standard doses | Cmax increased 29%, AUC increased 33%, Cmin increased 45% |
60 mg once daily | No significant change |

