| Strength | Formulation | Image | Description | Boosted |
|---|---|---|---|---|
|
DRV 800 mg, COBI 150 mg
|
Film-Coated Tablets
|
Pink, oval-shaped, film-coated tablets debossed with "800" on one side and "TG" on the other side
|
Yes
|
|
|
800 mg
|
Film-Coated Tablets
|
Dark red oval tablet with imprint of 800 on one side and T on the other
|
No
|
|
|
600 mg
|
Film-Coated Tablets
|
Orange oval tablet with imprint of 600MG on one side and TMC on the other.
|
No
|
|
|
150 mg
|
Film-Coated Tablets
|
White oval tablet with imprint of 150 one side and TMC on the other.
|
No
|
|
|
75 mg
|
Film-Coated Tablets
|
White oval tablet with imprint of 75 on one side and TMC on the other.
|
No
|
|
|
100 mg in 1 mL
|
Oral Suspension
|
White to off-white strawberry-flavored solution, 200 mL/bottle
|
No
|
Darunavir
| Interaction Color Code | Clinical Bottom Line | Clinical Effects | Drug 1 effect | Drug 2 dose | Drug 2 effect | Management | |
|---|---|---|---|---|---|---|---|
| Darunavir Alfuzosin 934 | Red: Avoid combination | Do not coadminister: Potential for increased levels of alfuzosin | Potential for increased risk of alfuzosin adverse effects (e.g. hypotension) |
Contraindicated. Use alternative agents. |
|||
| Darunavir Ivabradine 933 | Red: Avoid combination | Do not coadminister: Potential for increased ivabradine levels | Potential for increased risk of ivabradine adverse effects (e.g. prolonged QT, cardiac arrythmias) |
Use alternative agents |
|||
| Darunavir Irinotecan 932 | Red: Avoid combination | Do not coadminister: Potential for increased irinotecan levels | Potential for increased risk of irinotecan adverse effects |
Discontinue DRV / c at least 1wk prior to starting irinotecan. Do not coadminister unless there are no therapeutic alternatives |
|||
| Darunavir G/P 931 | Red: Avoid combination | Do not coadminister: Potential for increased glecaprevir / pibrentasvir levels | Potential for increased glecaprevir / pibrentasvir adverse effects |
Use alternative agents |
|||
| Darunavir Flibanserin 930 | Red: Avoid combination | Do not coadminister: Potential for increased flibanserin levels | Potential for increased risk of flibanserin adverse effects |
Contraindicated. Use alternative agents. |
|||
| Darunavir Everolimus 929 | Red: Avoid combination | Do not coadminister: Potential for increased everolimus levels | Potential for increased risk of everolimus adverse effects |
Not studied |
Not studied (may increase everolimus levels) |
Use alternative agents |
|
| Darunavir Eplerenone 928 | Red: Avoid combination | Do not coadminister: Potential for increased eplerenone levels | Potential for increased risk of eplerenone adverse effects |
Contraindicated. Use alternative agents. |
|||
| Darunavir Dronedarone 927 | Red: Avoid combination | Do not coadminister: Potential for increased dronedarone levels | Potential for increased risk of dronedarone adverse effects |
Use alternative agents |
|||
| Darunavir Dihydroergotamine 926 | Red: Avoid combination | Do not coadminister: Potential for increased dihydroergotamine levels | Potential for increased risk of dihydroergotamine adverse effects (e.g. peripheral vasospasm, ischemia) |
Contraindicated. Use alternative agents. |
|||
| Darunavir Bedaquiline 925 | Red: Avoid combination | Do not coadminister: Potential for increased bedaquiline levels | Potential for increased risk of bedaquiline adverse effects |
Avoid combination and use alternative agents. If coadministering, monitor liver function and QTc interval |
|||
| Darunavir Avanafil 924 | Red: Avoid combination | Do not coadminister: Potential for increased avanafil levels | Potential for increased risk of avanafil adverse effects |
Use alternative agents |
|||
| Darunavir RPT 923 | Red: Avoid combination | Do not coadminister: Potential for decreased darunavir levels | Potential loss of antiviral efficacy |
Use alternative agents |
|||
| Darunavir Clopidogrel 922 | Red: Avoid combination | Do not coadminister: Potential for decreased clopidogrel levels | Potential for increased bleeding risk |
Use alternative agents |
|||
| Darunavir Propafenone 921 | Red: Avoid combination | Do not coadminister: Increased levels of propafenone | Potential for increased risk of propafenone adverse effects |
Use alternative agents |
|||
| Darunavir EBR/GZR 920 | Red: Avoid combination | Do not coadminister: Increased levels of grazoprevir | Potential for increased risk of ALT elevations due to a significant increase in grazoprevir plasma concentrations caused by OATP1B1 / 3 inhibition |
No significant change |
50 / 100 mg once daily | Elbasvir AUC increase 66%; Grazoprevir AUC increase 7.5 fold |
Contraindicated. Use alternative agents. |
| Darunavir Flecainide 919 | Red: Avoid combination | Do not coadminister: Increased levels of flecainide | Potential for increased risk of flecainide adverse effects |
Use alternative agents |
|||
| Darunavir Z-Pak 918 | Green: Administer standard doses | Administer standard doses | |||||
| Darunavir ETR 917 | Green: Administer standard doses | Administer standard doses | 200 mg twice daily | ||||
| Darunavir SOF/VEL 916 | Green: Administer standard doses | Administer standard doses | Cmax decrease 10%, AUC decrease 8%, Cmin decrease 13%. |
400 / 100 mg | Sofosbuvir Cmax decrease 38%, AUC decrease 28%; Velpatasvir Cmax decrease 24%, AUC decrease 16%. |
||
| Darunavir Omeprazole 915 | Green: Administer standard doses | Administer standard doses | No significant change |
20 mg once daily | Not reported |
||
| Darunavir Ranitidine 914 | Green: Administer standard doses | Administer standard doses | No significant change |
150 mg BID | Not reported |
||
| Darunavir LDV/SOF 913 | Green: Administer standard doses | Administer standard doses | No significant change |
90 / 400 mg once daily | Ledipasvir Cmax increase 45%, AUC increase 39%, Cmin increase 39%; Sofosbuvir Cmax increase 45%, AUC increase 34% |
||
| Darunavir SOF 912 | Green: Administer standard doses | Administer standard doses | No significant change |
400 mg x 1 | Cmax increase 45%, AUC increase 34% |
||
| Darunavir TDF 911 | Green: Administer standard doses | Administer standard doses | Cmax increase 16%, AUC increase 21%, Cmin increase 24% |
300 mg once daily | Cmax increase 24%, AUC increase 22%, Cmin increase 37% |
||
| Darunavir NVP 910 | Green: Administer standard doses | Administer standard doses | Cmax increase 40%, AUC increase 24%, Cmin increase 2% |
200 mg BID | Cmax increase 18%, AUC increase 27%, Cmin increase 47% |
||
| Darunavir EFV 909 | Green: Administer standard doses | Administer standard doses | Cmax decrease 15%, AUC decrease 13%, Cmin decrease 31% |
600 mg once daily | Cmax increase 15%, AUC increase 21%, Cmin increase 17% |
||
| Darunavir ETR 908 | Green: Administer standard doses | Administer standard doses | Not reported |
100 mg BID | Cmax decrease 32%, AUC decrease 37%, Cmin decrease 49% |
||
| Darunavir DTG 907 | Green: Administer standard doses | Administer standard doses | No significant change |
30 mg once daily | Cmax decrease 11%, AUC decrease 22%, Cmin decrease 38% |
||
| Darunavir ATV 906 | Green: Administer standard doses | Administer standard doses | No significant change |
300 mg once daily | Cmax decrease 11%, AUC increase 8%, Cmin increase 52% |
||
| Darunavir Pitavastatin 905 | Green: Administer standard doses | Administer standard doses | No significant change |
4 mg once daily | AUC decreased 26% |
||
| Darunavir RPV 904 | Green: Administer standard doses | Administer standard doses | Potential for increased rilpivirine adverse effects |
No significant change |
150 mg once daily | Cmax decrease 21%, AUC increase 130%, Cmin increase 178% |
|
| Darunavir Beclomethasone 903 | Green: Administer standard doses | Administer standard doses | Not reported |
160 mcg inhaled BID | No change in AUC of active metabolite |
Use lowest possible dose and titrate to effect |
|
| Darunavir Daclatasvir 902 | Green: Administer standard doses | Administer standard doses | No significant change |
30 mg once daily | No significant change |
No dose adjustment necessary |
|
| Darunavir Edoxaban 901 | Green: Administer standard doses | Administer standard doses | No dose adjustment if CrCL < 50 ml / min. Avoid concomitant use if CrCl > 50ml / min. |
||||
| Darunavir Dabigatran 900 | Green: Administer standard doses | Administer standard doses | No dose adjustment if CrCL < 50 ml / min. Avoid concomitant use if CrCl > 50ml / min. |
||||
| Darunavir Warfarin 899 | Yellow: Adjust dosing | Adjust dosing to avoid reduced levels of warfarin | Decreased warfarin effects (e.g. decreased INR, increased risk of clotting) |
Not reported |
10 mg x 1 | S-warfarin Cmax decrease 8%, AUC decrease 21% |
If coadministering, monitor INR and adjust warfarin as indicated. Monitor for signs and symptons of bleeding. |
| Darunavir Sertraline 898 | Yellow: Adjust dosing | Adjust dosing to avoid reduced levels of sertraline | Potential decreased sertraline effects |
No significant change |
50 mg once daily | Cmax decrease 44%, AUC decrease 49%, Cmin decrease 49% |
Titrate sertraline to effect; monitor to ensure continued response if darunavir / ritonavir initiated |
| Darunavir Paroxetine 897 | Yellow: Adjust dosing | Adjust dosing to avoid reduced levels of paroxetine | Potential decreased paroxetine effects |
No significant change |
20 mg once daily | Cmax decrease 36%, AUC decrease 39%, Cmin decrease 37% |
Titrate paroxetine to effect; monitor for continued antidepressant response if darunavir / ritonavir initiated |
| Darunavir Methadone 896 | Yellow: Adjust dosing | Adjust dosing to avoid reduced levels of methadone | May decrease methadone effects (e.g. withdrawal) |
Not reported |
55-200 mg once daily (stable dose) | R-methadone: Cmax decrease 24%, AUC decrease 16%, Cmin decrease 15%; S-methadone: Cmax decrease 44%, AUC decrease 36%, Cmin decrease 40% |
If coadministering monitor for signs and symptoms of methadone withdrawal. Some patients may require an increased methadone dose |
| Darunavir Solifenacin 895 | Yellow: Adjust dosing | Adjust dosing to avoid increased solifenacin levels | Potential for increased risk of zolpidem adverse effects |
If coadministering, do not exceed solifenacin 5 mg once daily |
|||
| Darunavir Saxagliptin 894 | Yellow: Adjust dosing | Adjust dosing to avoid increased saxagliptin levels | Potential for increased saxagliptin adverse effects |
If coadministering, do not exceed saxagliptin dose of 2.5 mg once daily |
|||
| Darunavir Pimavanserin 893 | Yellow: Adjust dosing | Adjust dosing to avoid increased pimavanserin levels | Potential for increased risk of pimavanserin adverse effects |
If coadministering, decrease dose of pimavanserin to 10 mg once daily |
|||
| Darunavir Vardenafil 892 | Yellow: Adjust dosing | Adjust dosing to avoid increased levels of vardenafil | Increased risk of vardenafil adverse effects (e.g. hypotension, priapism) |
Do not exceed 2.5 mg dose in 72 hours |
|||
| Darunavir Thioridazine 891 | Yellow: Adjust dosing | Adjust dosing to avoid increased levels of thioridazine | Potential for increased risk of thioridazine adverse effects |
If coadministering, dose reduction may be necessary |
|||
| Darunavir Tadalafil 890 | Yellow: Adjust dosing | Adjust dosing to avoid increased levels of tadalafil | Increased risk of tadalafil adverse effects (e.g. hypotension, priapism) |
Not studied |
Not studied (may increase tadalafil levels) |
For erectile dysfunction, initiate tadalafil 5 mg dose and do not exceed 10 mg every 72 hours. Monitor adverse effects. For patients taking a protease inhibitor (stable > 7 days) requiring tadalafil for pulmonary arterial hypertension, initiate 20 mg once daily and increase to 40 mg once daily based on tolerability. Patients currently on tadalafil who require a PI should stop tadalafil ³24 hours before PI initiation, take the PI for 7 days, then resume tadalafil at 20 mg. Maximum recommended daily dose for treatment of BPH is 2.5 mg daily. |
|
| Darunavir Sildenafil 889 | Yellow: Adjust dosing | Adjust dosing to avoid increased levels of sildenafil. (Do not coadminister for pulmonary hypertension) | Increased risk of sildenafil adverse effects (e.g. hypotension, priapism) |
Not reported |
25 mg x 1 | Cmax decrease 38% (compared to sildenafil 100 mg x 1 without darunavir / ritonavir) |
For erectile dysfunction, do not exceed sildenafil 25 mg every 48 hours and monitor for adverse effects. Contraindicated if using sildenafil for pulmonary arterial hypertension. |
| Darunavir Rosuvastatin 888 | Yellow: Adjust dosing | Adjust dosing to avoid increased levels of rosuvastatin | Increased risk of rosuvastatin adverse effects (e.g. myopathy, rhabdomyolysis); No change in lipid lowering ability within 35 day study period |
No significant change |
10 mg once daily | Cmax increase 144%,AUC increase 48% |
Consider using alternative agents. If coadministering, consider initiating low dose rosuvastatin 5 mg daily |
| Darunavir Risperidone 887 | Yellow: Adjust dosing | Adjust dosing to avoid increased levels of risperidone | Potential for increased risk of risperidone adverse effects |
If coadministering, dose reduction may be necessary |
|||
| Darunavir RFB 886 | Yellow: Adjust dosing | Adjust dosing to avoid increased levels of rifabutin | Increased darunavir and rifabutin effects. Note that lower rifabutin exposure has been reported in HIV- infected patients as compared to healthy study participants. |
Darunavir Cmax increase 42%, AUC increase 57%, Cmin increase 75%; Ritonavir Cmax increase 68%, AUC increase 66%, Cmin increase 31% |
150 mg every other day | Rifabutin: Cmax decrease 28%, AUC decrease 7%, Cmin increase 64%; 25-O-desacetylrifabutin: Cmax increase 377%, AUC increase 881%, Cmin increase 2610% |
Dose reduction of RFB by 75% of usual dose is recommended, such as rifabutin 150 mg every other day. Monitor for antimycobacterial activity and adverse events. Consider therapeutic drug monitoring. |
| Darunavir Pravastatin 885 | Yellow: Adjust dosing | Adjust dosing to avoid increased levels of pravastatin | Increased risk of pravastatin adverse effects (e.g. myopathy, rhabdomyolysis) |
Not studied |
40 mg x 1 | Cmax increase 63%, AUC increase 81% |
Use lowest possible starting dose, monitor for toxicity and titrate. |
| 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 |
| Darunavir Digoxin 882 | Yellow: Adjust dosing | Adjust dosing to avoid increased levels of digoxin | Increased risk of digoxin adverse effects |
Not reported |
0.4 mg x 1 | Cmax increase 15%, AUC increase 36% |
Initiate lowest dose digoxin and titrate to desired clinical effect |
| Darunavir Colchicine 881 | Yellow: Adjust dosing | Adjust dosing to avoid increased levels of colchicine | Increased risk of colchicine adverse effects |
For treatment of gout, reduce colchicine dosage to 0.6 mg x 1 then 0.3 mg one hour later. Dose should not be repeated earlier than 3 days after. For gout prophylaxis, reduce colchicine dose to 0.3 mg daily if on 0.6 mg BID prior to PI therapy or reduce colchicine dose to 0.3 mg every other day if on 0.6 mg daily prior to PI therapy. For treatment of familial Mediterranean fever do not exceed colchicine 0.6 mg once daily or 0.3 mg BID. Do not coadminister in patients with hepatic or renal impairment. |
|||
| Darunavir Clarithromycin 880 | Yellow: Adjust dosing | Adjust dosing to avoid increased levels of clarithromycin | Increased risk of antibacterial adverse effects |
Cmax decrease 17%, AUC decrease 13%, Cmin increase 1% |
500 mg BID | Cmax increase 26%, AUC increased 57%, Cmin increase 174% |
In patients with CrCl 30-60 mL / min, reduce dose of clarithromycin by 50%. In patients with CrCl <30 mL / min, reduce clarithromycin dose by 75%. Monitor for clarithromycin-related toxicities and / or consider alternative macrolide. |
| Darunavir Brexpiprazole 879 | Yellow: Adjust dosing | Adjust dosing to avoid increased levels of brexpiprazole | Potential for increased risk of brexpiprazole adverse effects |
Administer 25% of the usual brexpiprazole dose. Titrate dose based on clinical monitoring for efficacy / adverse events. |
|||
| Darunavir Bosentan 878 | Yellow: Adjust dosing | Adjust dosing to avoid increased levels of bosentan | Potential for increased risk of bosentan adverse effects |
Start low and titrate bosentan to effect. If patient has been on protease inhibitor (other than unboosted atazanavir) for more than 10 days, start bosentan at 62.5 mg daily or every other day. If patient is currently on bosentan and requires a PI (other than unboosted atazanavir), stop bosentan for at least 36 hours prior to initiating ART. Wait 10 days and then resume bosentan starting with 62.5 mg daily or every other day. |
|||
| Darunavir Aripiprazole 877 | Yellow: Adjust dosing | Adjust dosing to avoid increased levels of aripiprazole | Potential for increased risk of aripiprazole adverse effects |
Administer 25% of the usual aripiprazole dose. Titrate dose based on clinical monitoring for efficacy / adverse events. |
|||
| Darunavir Iloperidone 876 | Yellow: Adjust dosing | Adjust dosing to avoid increased levels of iloperidone | Potential for increased risk of iloperidone adverse effects |
If coadministering, decrease dose of iloperidone by 50% |
|||
| Darunavir Fluvastatin 875 | Yellow: Adjust dosing | Adjust dosing to avoid increased levels of fluvastatin | Potential for increased risk of fluvastatin adverse effects |
Consider using alternative agents. If coadministering, initate lowest recommended dose and titrate while monitoring |
|||
| Darunavir Fesoterodine 874 | Yellow: Adjust dosing | Adjust dosing to avoid increased levels of fesoterodine | Potential for increased risk of zolpidem adverse effects |
If coadministering, do not exceed fesoterodine 4 mg once daily |
|||
| Darunavir Cariprazine 873 | Yellow: Adjust dosing | Adjust dosing to avoid increased levels of cariprazine | Potential for increased risk of cariprazine adverse effects |
If starting cariprazine in a patient on a protease inhibitor, administer cariprazine 1.5 mg on Day 1 and Day 3, with no dose given on Day 2. From Day 4 onward, administer cariprazine 1.5 mg daily. Dose may be increased to a maximum of cariprazine 3 mg daily. If starting a protease inhibitor for a patient already taking cariprazine 3-6mg, reduce dose by half. For patients taking cariprazine 4.5 mg daily, reduced cariprazine dose to 1.5 - 3 mg daily. For patients taking cariprazine 1.5 mg daily, reduce to cariprazine 1.5 mg every other day. If PI is withdrawn, cariprazine dose may need to be increased. |
|||
| Darunavir Calcifediol 872 | Yellow: Adjust dosing | Adjust dosing to avoid increased levels of calcifediol | Potential for increased risk of calcifediol adverse effects |
If coadministering, dose adjustment may be required. Monitor serum 25-hydroxyvitamin D, intact PTH, and serum calcium concentrations |
|||
| Darunavir Atorvastatin 871 | Yellow: Adjust dosing | Adjust dosing to avoid increased levels of atorvastatin | Increased risk of atorvastatin adverse effects (e.g. myopathy, rhabdomyolysis) |
Not reported |
40 mg once daily on days 1-4, then 10 mg once daily on days 4-7 | Cmax decrease 44%, AUC decrease 15%, Cmin increase 81% (10 mg daily with darunavir / ritonavir compared to atorvastatin 40 mg daily alone) |
Consider using alternative agents. If coadministering, consider low dose atorvastatin and doses < 20 mg. Monitor for myopathy |
| Darunavir Valproic Acid 870 | Yellow: Adjust dosing | Adjust dosing to avoid decreased levels of valproic acid | Potential for decreased anticonvulsant effects |
Monitor anticonvulsant level and adjust accordingly |
|||
| Darunavir Omeprazole 869 | Yellow: Adjust dosing | Adjust dosing to avoid decreased levels of omeprazole | Potential decreased omeprazole efficacy |
No significant change |
40 mg x 1 | Cmax decrease 34%, AUC decrease 42% |
Consider using alternative agents. If coadministering, monitor for omeprazole efficacy. If no symptomatic relief, increase dose to no more than 40 mg once daily |
| Darunavir Lamotrigine 868 | Yellow: Adjust dosing | Adjust dosing to avoid decreased levels of lamotrigine | Potential for decreased anticonvulsant effects |
Monitor anticonvulsant level and adjust accordingly |
|||
| Darunavir Canagliflozin 867 | Yellow: Adjust dosing | Adjust dosing to avoid decreased levels of canagliflozin | Potential for decreased glucose lowering effect |
If a patient is already tolerating canagliflozin 100 mg daily, increase canagliflozin dose to 200 mg daily. If a patient is already tolerating canagliflozin 200 mg daily and requires additional glycemic control, management strategy is based on renal function, 300 mg if eGFR>60 or add another agent if eGFR<60 |
|||
| Darunavir Buprenorphine / naloxone 866 | Yellow: Adjust dosing | Adjust dosing to avoid increased levels of buprenorphine / naloxone | Potential for increased buprenorphine / naloxone effects |
Not studied |
8-16 / 2-4 mg | Norbuprenorphine: Cmax increase 36%, AUC increase 46%, Cmin increase 71% |
If initiating buprenorphine / naloxone in patients taking DRV / r or DRV / c, carefully titrate dose to desired effect |
| Atazanavir DRV 754 | Yellow: Adjust dosing | Adjust dosing to avoid increased levels of antiretrovirals | Atazanavir Cmin increased 52% |
400 mg BID with ritonavir 100 mg BID | No significant change |
If used in combination, atazanavir may be given in conjunction with darunavir / ritonavir at study doses (300mg daily plus 400 / 100 mg daily) |
|
| Tenofovir disoproxil fumarate DRV 752 | Orange: Minimal data to guide interaction | Minimal data to guide interaction: weigh risks and benefits of using this combination | Increased risk of TDF and / or darunavir adverse effects |
Cmax increase 24%, AUC increase 22%, Cmin increase 37% |
300 mg BID with ritonavir 100 mg BID | Cmax increase 16%, AUC increase 21%, Cmin increase 24% |
If coadministering, monitor for TDF adverse effects (e.g. renal function decline) |
| Tenofovir alafenamide DRV/c 707 | Green: Administer standard doses | Administer standard doses | Cmax decreased 7%, AUC decreased 2% |
800 / 150 mg once daily | Cmax increased 2%, AUC decreased 1%, Cmin decreased 3% |
||
| Tenofovir alafenamide DRV/r 702 | Green: Administer standard doses | Administer standard doses | Cmax increased 42%, AUC increased 6% |
800 / 100 mg once daily | Cmax decreased 1%, AUC increased 1%, Cmin increased 13% |
||
| Nevirapine DRV 639 | Orange: Minimal data to guide interaction | Minimal data to guide interaction: weigh risks and benefits of using this combination | Increased Nevirapine effects, increased risk of hepatotoxcity |
AUC increased 110% |
Use alternative agents |
||
| Nevirapine DRV 597 | Green: Administer standard doses | Administer standard doses | Potential for increased darunavir effects; Potential for increased nevirapine effects |
Nevirapine AUC increased 110%; Cmax increased 115%; Cmin increased 135%; half-live: decreased 52% (data compared to historical controls) |
400 mg BID with ritonavir 100 mg BID | Darunavir AUC increased 24%; Cmax increased 40% |
|
| Etravirine DRV 529 | Green: Administer standard doses | Administer standard doses | Etravirine AUC increased 80%; Cmax increased 81%; Cmin increased 67% (compared to etravirine 100 mg BID) |
Darunavir AUC increased 15% |
|||
| Etravirine DRV 528 | Green: Administer standard doses | Administer standard doses | Etravirine AUC decreased 37%; Cmax decreased 32%; Cmin decreased 49% |
600 mg BID with 100 mg ritonavir BID | No significant change |
||
| Efavirenz DRV 396 | Green: Administer standard doses | Administer standard doses | Potential for increased efavirenz effects |
Efavirenz AUC increased 21%; Cmin increased 17% |
300 mg BID with ritonavir 100 mg BID | Darunavir Cmin decreased 31%; Cmax decreased 15%; AUC decreased 13% |
Monitor for increased risk of efavirenz related side effects. Consider monitoring drug levels |
| Raltegravir DRV 315 | Green: Administer standard doses | Administer standard doses | Raltegravir AUC decreased 29%; Cmin increased 38%; Cmax decreased 33% |
600 mg Q12H with 100 mg ritonavir Q12H | |||
| Dolutegravir DRV/r 111 | Green: Administer standard doses | Administer standard doses | Cmax decreased 11%, AUC decreased 22%, Cmin decreased 38% |
600 / 100 mg once daily | Not studied |
||
| Dolutegravir ETR + DRV/r 106 | Green: Administer standard doses | Administer standard doses | Cmax decreased 12%, AUC decreased 25%, Cmin decreased 37% |
200 mg + 600 / 100 mg BID | Not studied |
||
| 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/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 |
| Fostemsavir DRV/r + ETR 8 | Green: Administer standard doses | Administer standard doses | Temsavir Cmax increased 53%, AUC increased 34%, Cmin increased 33% |
DRV 600mg twice daily, / r 100mg twice daily, ETR 200mg twice daily | DRV and ritonavir no significant changes. Etravirine Cmax increased 18%, AUC increased 28%, Cmin increased 28%. |
||
| Fostemsavir DRV/r 7 | Green: Administer standard doses | Administer standard doses | Temsavir Cmax increased 52%, AUC increased 63%, Cmin increased 88% |
DRV 600mg twice daily, / r 100mg twice daily | DRV no significant change. Ritonavir AUC increased 15%, Cmin increased 19% |
||
| Darunavir |

