Red: Avoid combination
| Interaction Color Code | Clinical Bottom Line | Clinical Effects | Drug 1 effect | Drug 2 dose | Drug 2 effect | Management | |
|---|---|---|---|---|---|---|---|
| Atazanavir RIF 837 | Red: Avoid combination | Do not coadminister: Reduced levels of atazanavir | Potential loss of antiretroviral efficacy |
Atazanavir AUC decreased 57%, Cmax decreased 56%, Cmin decreased 93%(compared to atazanavir 400 mg daily) |
600 mg daily x 10 d | Not reported |
Contraindicated. Use alternative agents. |
| Atazanavir RIF 836 | Red: Avoid combination | Do not coadminister: Reduced levels of atazanavir | Potential loss of antiretroviral efficacy |
Atazanavir AUC decreased 31%, Cmax decreased 40%, Cmin decreased 80%(compared to atazanavir 400 mg daily) |
600 mg daily x 10 d | Not reported |
Contraindicated. Use alternative agents. |
| Atazanavir CBZ 835 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of atazanavir | Potential loss of antiviral efficacy |
Contraindicated. Use alternative agents. |
|||
| Atazanavir Phenytoin 834 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of atazanavir | Potential loss of antiretroviral efficacy |
Contraindicated. Use alternative agents. |
|||
| Atazanavir Phenobarbital 833 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of atazanavir | Potential loss of antiretroviral efficacy |
Contraindicated. Use alternative agents. |
|||
| Atazanavir St. John's Wort (Hypericum perforatum) 832 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of atazanavir | Potential loss of antiretroviral efficacy |
Contraindicated. Use alternative agents. |
|||
| Atazanavir Simvastatin 831 | Red: Avoid combination | Do not coadminister: Potential for increased levels of simvastatin | Potential Increased simvastatin effects (eg, myopathy, rhabdomyolysis) |
Contraindicated. Use alternative agents. |
|||
| Atazanavir Salmeterol 830 | Red: Avoid combination | Do not coadminister: Potential for increased levels of salmeterol | QT prolongation, palpitations, and sinus tachycardia. |
Contraindicated. Use alternative agents. |
|||
| Atazanavir Ranolazine 829 | Red: Avoid combination | Do not coadminister: Potential for increased levels of ranolazine | Potential increase in ranolazine adverse effects (e.g. prolonged QT, cardiac arrythmias). |
Contraindicated. Use alternative agents. |
|||
| Atazanavir Quetiapine 828 | Red: Avoid combination | Do not coadminister: Potential for increased levels of quentiapine. If coadministration is necessary: reduce dose to 1 / 6 of current dose. | Increased quentiapine effects. |
Contraindicated. Use alternative agents. |
|||
| Atazanavir Pimozide 827 | Red: Avoid combination | Do not coadminister: Potential for increased levels of pimozide | Potential increased in pimozide adverse effects (eg, hypotension, cardiac arrhythmias) |
Contraindicated. Use alternative agents. |
|||
| Atazanavir Lurasidone 826 | Red: Avoid combination | Do not coadminister: Potential for increased levels of lurasidone | Potential increased in pimozide adverse effects (eg, hypotension, cardiac arrhythmias) |
Contraindicated. Use alternative agents. |
|||
| Atazanavir HMG-CoA Reductase Inhibitors 825 | Red: Avoid combination | Do not coadminister: Potential for increased levels of lovastatin | Increased lovastatin effects (eg, myopathy, rhabdomyolysis) |
Contraindicated. Use alternative agents. |
|||
| Atazanavir NVP 824 | Red: Avoid combination | Do not coadminister: Potential for increased levels of grazoprevir | May increase risk of ALT elevations due to a significant increase in grazoprevir plasma concentrations caused by OATP1B1 / 3 inhibition |
Elbasvir 50 mg daily with grazoprevir 200 mg daily | Elbasvir AUC increased by 4.76-fold, Grazoprevir AUC increased by 10.58-fold |
Contraindicated. Use alternative agents. |
|
| Atazanavir EBR/GZR 823 | Red: Avoid combination | Do not coadminister: Potential for increased levels of grazoprevir | May increase risk of ALT elevations due to a significant increase in grazoprevir plasma concentrations caused by OATP1B1 / 3 inhibition |
ATV AUC increased 43% by grazoprevir |
Elbasvir 50 mg daily with grazoprevir 200 mg daily | Elbasvir AUC increased by 4.76-fold, Grazoprevir AUC increased by 10.58-fold |
Contraindicated. Use alternative agents. |
| Atazanavir Ergotamine 822 | Red: Avoid combination | Do not coadminister: Potential for increased levels of ergotamine | Potential for increased ergotamine effects (eg, ergotism) |
Contraindicated. Use alternative agents. |
|||
| Atazanavir RTV 821 | Red: Avoid combination | Do not coadminister: Potential for increased levels of atazanavir | Potential atazanavir-associated adverse effects (hyperbilirubinemia, GI upset, etc.) |
Not studied; Potential increased atazanavir levels) |
Do not coadminister ritonavir or ritonavir containing products with atazanavir / cobicistat |
||
| Atazanavir Triazolam 820 | Red: Avoid combination | Do not coadminister: Potential for increased levels of triazolam | Potential for increased triazolam adverse effects (eg, increased sedation, confusion, respiratory depression) |
Contraindicated. Use alternative agents. |
|||
| Atazanavir SOF/VEL/VOX 819 | Red: Avoid combination | Do not coadminister: Increased levels of voxilaprevir | Contraindicated. Use alternative agents. |
||||
| Atazanavir Irinotecan 818 | Red: Avoid combination | Do not coadminister: Increased levels of irinotecan | Contraindicated. Use alternative agents. |
||||
| Atazanavir Alfuzosin 817 | Red: Avoid combination | Do not coadminister: Increased levels of alfuzosin | Contraindicated. Use alternative agents. |
||||
| Tenofovir disoproxil fumarate Adefovir 747 | Red: Avoid combination | Do not coadminister: Potential for increased levels of TDF | Potential for increased risk of TDF adverse effects and / or increased concentration of other renally eliminated drugs |
No significant change |
10 mg once daily | No significant change |
Avoid combination and use alternative agents |
| Tenofovir alafenamide CBZ 725 | Red: Avoid combination | Do not coadminister: Reduced levels of TAF | Potential decrease in antiretroviral efficacy |
Cmax decreased 57%, AUC decreased 55% |
300 mg BID | Not reported |
Contraindicated. Use alternative agents. |
| Tenofovir alafenamide St. John's Wort (Hypericum perforatum) 724 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of TAF | Potential decrease in antiretroviral efficacy |
Not studied |
Not studied |
Contraindicated. Use alternative agents. |
|
| Tenofovir alafenamide RPT 723 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of TAF | Potential decrease in antiretroviral efficacy |
Not studied |
Not studied |
Contraindicated. Use alternative agents. |
|
| Tenofovir alafenamide Primidone 722 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of TAF | Potential decrease in antiretroviral efficacy |
Not studied |
Not studied |
Contraindicated. Use alternative agents. |
|
| Tenofovir alafenamide Phenytoin 721 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of TAF | Potential decrease in antiretroviral efficacy |
Not studied |
Not studied |
Contraindicated. Use alternative agents. |
|
| Tenofovir alafenamide Phenobarbital 720 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of TAF | Potential decrease in antiretroviral efficacy |
Not studied |
Not studied |
Contraindicated. Use alternative agents. |
|
| Tenofovir alafenamide Oxcarbazepine 719 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of TAF | Potential decrease in antiretroviral efficacy |
Not studied |
Not studied |
Contraindicated. Use alternative agents. |
|
| Tenofovir alafenamide RIF 718 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of TAF | Potential decrease in antiretroviral efficacy |
Dosed once: AUC decreased 55%; dosed twice: AUC decreased 14% |
Not studied |
Contraindicated. Use alternative agents. |
|
| Tenofovir alafenamide RFB 717 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of TAF | Potential decrease in antiretroviral efficacy |
Not studied |
Not studied |
Contraindicated. Use alternative agents. |
|
| Tenofovir alafenamide Adefovir 716 | Red: Avoid combination | Do not coadminister: Potential for increased levels of TAF | Potential for increased renal adverse effects |
Not studied |
Not studied |
Contraindicated. Use alternative agents. |
|
| Rilpivirine RFB 665 | Red: Avoid combination | Do not coadminister: Reduced levels of rilpivirine | Decreased rilpivirine effects |
Rilpivirine AUC decreased 46%; Cmin decreased 49%; Cmax decreased 35% |
300 mg daily | Use alternative agents |
|
| Rilpivirine RIF 664 | Red: Avoid combination | Do not coadminister: Reduced levels of rilpivirine | Decreased rilpivirine effects |
Rilpivirine AUC decreased 80%; Cmin decreased 89%; Cmax decreased 69% |
600 mg daily | No significant change |
Use alternative agents |
| Rilpivirine Omeprazole 663 | Red: Avoid combination | Do not coadminister: Reduced levels of rilpivirine | Decreased rilpivirine effects |
Rilpivirine AUC decreased 40%; Cmin decreased 33%; Cmax decreased 40% |
20 mg daily | No significant change |
Contraindicated. Use alternative agents. |
| Rilpivirine Dasabuvir + Ombitasvir / Paritaprevir / Ritonavir 662 | Red: Avoid combination | Do not coadminister: Increased levels of rilpivirine | Potential for QT interval prolongation with higher concentrations of RPV. |
RPV increased 155%; AUC increased 225%; Cmin increased 262% |
paritaprevir 150 mg with ritonavir 100 mg with ombitasvir 25 mg daily + dasabuvir 250 mg BID | Dasabuvir Cmax increased 18%; AUC increased 17%; Cmin increased 10%. Ombitasvir AUC increased 9%. Paritaprevir Cmin increased 30%, AUC increased 23%; Cmin decreased 5%. |
Use alternative agents |
| Rilpivirine RPT 661 | Red: Avoid combination | Do not coadminister: Reduced levels of rilpivirine | |||||
| Rilpivirine St. John's Wort (Hypericum perforatum) 660 | Red: Avoid combination | Contraindicated | |||||
| Rilpivirine Oxcarbazepine 659 | Red: Avoid combination | Contraindicated | |||||
| Rilpivirine CBZ 658 | Red: Avoid combination | Contraindicated | |||||
| Nevirapine SOF/VEL 629 | Red: Avoid combination | Do not coadminister: potientially reduced levels of velpatasvir and voxilaprevir | Potential loss of anti-HCV efficacy |
Not studied (may decrease velpatasvir and voxilaprevirlevels) |
Contraindicated. Use alternative agents. |
||
| Nevirapine SOF/VEL 628 | Red: Avoid combination | Do not coadminister: potientially reduced levels of velpatasvir | Potential loss of anti-HCV efficacy |
Not studied (may decrease velpatasvir levels) |
Contraindicated. Use alternative agents. |
||
| Nevirapine Cariprazine 627 | Red: Avoid combination | Do not coadminister: potientially reduced levels of cariprazine | Potential decreased cariprazine effects |
Contraindicated. Use alternative agents. |
|||
| Nevirapine Pimavanserin 626 | Red: Avoid combination | Do not coadminister: Reduced levels of pimavanserin | Decreased pimavanserin levels |
Avoid combination and use alternative agents |
|||
| Nevirapine RIF 625 | Red: Avoid combination | Do not coadminister: Reduced levels of nevirapine | Decreased nevirapine effects |
600 mg daily | Use alternative agents |
||
| Nevirapine RIF 624 | Red: Avoid combination | Do not coadminister: Reduced levels of nevirapine | Decreased nevirapine effects |
450 mg if < 55 kg and 600 mg if > 55 kg x 7 days | Use alternative agents |
||
| Nevirapine RIF 623 | Red: Avoid combination | Do not coadminister: Reduced levels of nevirapine | Decreased nevirapine effects |
Not studied |
Use alternative agents |
||
| Nevirapine RIF 622 | Red: Avoid combination | Do not coadminister: Reduced levels of nevirapine | Decreased nevirapine effects |
600 mg daily | No significant change |
Use alternative agents |
|
| Nevirapine RPT 621 | Red: Avoid combination | Do not coadminister: Reduced levels of nevirapine | Decreased nevirapine effects |
Cmin decreased 27% |
Contraindicated. Use alternative agents. |
||
| Nevirapine Lumateperone 620 | Red: Avoid combination | Do not coadminister: Reduced levels of lumateperon | Decreased Lumateperon levels |
Avoid combination and use alternative agents |
|||
| Nevirapine LNG 619 | Red: Avoid combination | Do not coadminister: Reduced levels of levonorgestrel | Levonorgestrel AUC increased 35% |
||||
| Nevirapine Ketoconazole 618 | Red: Avoid combination | Do not coadminister: Reduced levels of ketoconazole | Decreased ketoconazole effects |
400 mg daily | Ketoconazole AUC decreased 72%; Cmax decreased 44% |
Use alternative agents |
|
| Nevirapine ETR 617 | Red: Avoid combination | Do not coadminister: Reduced levels of etravirine | Decreased etravirine and nevirapine effects |
levels): increased 15-30% |
Etravirine AUC decreased 55% |
Use alternative agents |
|
| Nevirapine Ethinyl estradiol / Norethindrone acetate 616 | Red: Avoid combination | Do not coadminister: Reduced levels of ethinyl estradiol and progesterone | Possible contraceptive failure |
Ethinyl estradiol 0.035 mg / Norethindrone 1 mg daily x 30 days | Ethinyl estradiol: AUC decreased 23%; half-life: decreased 44%; Norethindrone: AUC decreased 18%; half-life: decreased 15% |
Use alternative contraceptive method |
|
| Nevirapine Ethinyl estradiol / Norethindrone acetate 615 | Red: Avoid combination | Do not coadminister: Reduced levels of ethinyl estradiol and progesterone | Possible contraceptive failure |
Ethinyl estradiol 0.035 mg / Norethindrone 1 mg x 1 dose | Ethinyl estradiol AUC decreased 19%; Cmax no significant change. Norethindrone AUC decreased 18% |
Use alternative contraceptive method |
|
| Nevirapine ATV 614 | Red: Avoid combination | Do not coadminister: Reduced levels of atazanavir | Decreased atazanavir effects |
Not studied |
400 mg atazanavir daily with 100 mg ritonavir daily | Atazanavir AUC decreased 19%; Cmax no significant change; Cmin decreased 59% |
Use alternative agents |
| Nevirapine ATV 613 | Red: Avoid combination | Do not coadminister: Reduced levels of atazanavir | Decreased atazanavir effects |
No significant change |
300 mg atazanavir daily with 100 mg ritonavir daily | Atazanavir AUC decreased 42%; Cmax decreased 28%; Cmin decreased 72% |
Use alternative agents |
| Nevirapine Artemether / Lumefantrine 612 | Red: Avoid combination | Do not coadminister: Reduced levels of arthemether / lumifantrine | artemether / lumefantrine 80 mg / 480 mg x 6 doses | Lumefantrine AUC increased 56%; Cmax increased 24%; half-life: no significant change; clearance: decreased 36% |
Use alternative agents |
||
| Nevirapine Artemether / Lumefantrine 611 | Red: Avoid combination | Do not coadminister: Reduced levels of arthemether / lumifantrine | Potentially increased treatment failure |
artemether / lumefantrine 80 / 480 mg | Lumefantrine AUC decreased 21%; Cmax decreased 30% |
Use alternative agents |
|
| Nevirapine Artemether / Lumefantrine 610 | Red: Avoid combination | Do not coadminister: Reduced levels of arthemether / lumifantrine | Potentially increased treatment failure |
artemether / lumefantrine 80 / 480 mg | Artemether AUC decreased 72%; Cmax decreased 61%; Lumefantrine AUC decreased 21%; Cmax decreased 30% |
Use alternative agents |
|
| Nevirapine SOF/VEL 609 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of sofosbuvir | Potential loss of anti-HCV efficacy |
Nevirapine AUC decreased 79%; Cmax decreased 20%; Cmin decreased 60%; half-life: decreased 66% |
Potential decrease in sofosbuvir and velpatasvir levels). |
Use alternative agents |
|
| Nevirapine St. John's Wort (Hypericum perforatum) 608 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of NVP | loss of virologic response |
Not studied |
Contraindicated. Use alternative agents |
||
| Nevirapine Elvitegravir / cobicistat / emtricitabine / tenofovir alafenamide 607 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of elvitegravir / cobicistat | Potentially decreased or increased elvitegravir, cobicistat and / or nevirapine effects |
Not studied |
Not studied |
Use alternative agents |
|
| Nevirapine EBR/GZR 606 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of elbasvir / grazoprevir | Decreased elbasvir, grazoprevir levels expected |
Nevirapine AUC decreased 31%; Cmax decreased 36%; Cmin decreased 21% |
Not studied (may decrease grazprevir levels) |
Contraindicated. Use alternative agents. |
|
| Nevirapine EBR/GZR 605 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of elbasvir / grazoprevir | Potentially decreased elbasvir, grazoprevir levels expected |
Not studied (may decrease grazprevir levels) |
Avoid combination. Use alternative agents |
||
| Nevirapine Dasabuvir + Ombitasvir / Paritaprevir / Ritonavir 604 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of dasabuvir, ombitasvir, and paritaprevir | Potential decrease in HCV agent efficacy |
Nevirapine AUC decreased 27% (at week 4); Nevirapine AUC no significant change (at week 10)Nevirapine AUC with rifampicin approximates nevirapine baseline without rifampicin at week 10. |
Not studied (may decrease paritaprevir levels) |
Use alternative agents |
|
| Nevirapine Dasabuvir + Ombitasvir / Paritaprevir / Ritonavir 603 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of anti-HCV agents | Potential decrease in anti-HCV efficacy |
Not studied (may decrease paritaprevir levels) |
Use alternative agents |
||
| Etravirine Phenytoin 556 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of etravirine and phenytoin | Potential decreased etravirine effects; potential decreased anticonvulsants effects |
||||
| Etravirine CBZ 555 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of etravirine and carbamazepine | Potential decreased etravirine effects; potential decreased anticonvulsants effects |
||||
| Etravirine Phenobarbital 554 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of etravirine and phenobarbital | Potential decreased etravirine effects; potential decreased anticonvulsants effects |
Avoid combination and use alternative agents |
|||
| Etravirine NVP 553 | Red: Avoid combination | Do not coadminister: Reduced levels of etravirine | Avoid combination: :combining two NNRTIs has not been shown beneficial use alternate agents |
||||
| Etravirine EFV 552 | Red: Avoid combination | Do not coadminister: Reduced levels of etravirine | Avoid combination: combining two NNRTIs has not been shown beneficial; use alternate agents |
||||
| Etravirine SOF/VEL 551 | Red: Avoid combination | Do not coadminister: potientially reduced levels of velpatasvir and voxilaprevir | Potential loss of anti-HCV efficacy |
Not studied |
Not studied (may decrease velpatasvir and voxilaprevirlevels) |
Contraindicated. Use alternative agents. |
|
| Etravirine SOF/VEL 550 | Red: Avoid combination | Do not coadminister: potientially reduced levels of velpatasvir | Potential loss of anti-HCV efficacy |
Not studied |
Not studied (may decrease velpatasvir and sofosbuvir levels) |
Contraindicated. Use alternative agents. |
|
| Etravirine Pimavanserin 549 | Red: Avoid combination | Do not coadminister: potientially reduced levels of pimavanserin | Potential decreased pimavanserin effects |
Contraindicated. Use alternative agents. |
|||
| Etravirine Cariprazine 548 | Red: Avoid combination | Do not coadminister: potientially reduced levels of cariprazine | Potential decreased cariprazine effects |
Contraindicated. Use alternative agents. |
|||
| Etravirine Lumateperone 547 | Red: Avoid combination | Do not coadminister: Reduced levels of lumateperon | Decreased Lumateperon levels |
Avoid combination and use alternative agents |
|||
| Etravirine G/P 546 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of glecaprevir / Pibrentasvir | Potentially decreased glecaprevir / pibrentasvir levels expected |
Not studied (may decrease grazprevir levels) |
Avoid combination. Use alternative agents |
||
| Etravirine RIF 545 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of etravirine | Significant decrease in etravirine efficacy |
||||
| Etravirine RPT 544 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of etraviorine | Potential decreased etravirine effects |
||||
| Etravirine St. John's Wort (Hypericum perforatum) 543 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of ETR | loss of virologic response |
Not studied |
Not studied |
Contraindicated. Use alternative agents. |
|
| Etravirine EBR/GZR 542 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of elbasvir / grazoprevir | Potentially decreased elbasvir, grazoprevir levels expected |
Not studied |
Not studied (may decrease grazprevir levels) |
Avoid combination. Use alternative agents |
|
| Etravirine DTG 541 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of dolutegravir | Potentially reduced dolutegravir effectiveness |
50 mg daily | Dolutegravir AUC decreased 71%; Cmin decreased 88% |
Do not coadminister etravirine with dolutegravir unless atazanavir / ritonavir, darunavir / ritonavir, or lopinavir / ritonavir are also part of the regimen. If one of these boosted PIs is present and known or clinically suspected INSTI resistance, increase dolutegravir dosage to 50 mg BID. |
|
| Etravirine Bedaquiline 540 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of bedaquiline | potentially reduced levels of bedaquiline |
||||
| Etravirine ATV/c 539 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of atazanavir | Potential loss of antiviral efficacy |
Not studied |
Not studied; Potential decreased atazanavir and cobicistat levels) |
Use alternative agents |
|
| Etravirine Dasabuvir + Ombitasvir / Paritaprevir / Ritonavir 538 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of anti-HCV agents | Potential decrease in anti-HCV efficacy |
Not studied |
Not studied (may decrease paritaprevir levels) |
Use alternative agents |
|
| Etravirine DTG 537 | Red: Avoid combination | Administer standard doses | 50 mg daily | Dolutegravir AUC increased 11%; Cmin increased 28% |
Do not coadminister etravirine with dolutegravir unless atazanavir / ritonavir, darunavir / ritonavir, or lopinavir / ritonavir are also part of the regimen. When using this combo and there is known or clinically suspected INSTI resistance, increase dolutegravir dosage to 50 mg BID. |
||
| Etravirine DTG 536 | Red: Avoid combination | Administer standard doses | Potentially reduced dolutegravir effectiveness |
50 mg daily | Dolutegravir AUC decreased 25%; Cmin decreased 37% |
Do not coadminister etravirine with dolutegravir unless atazanavir / ritonavir, darunavir / ritonavir, or lopinavir / ritonavir are also part of the regimen. When using this combo and there is known or clinically suspected INSTI resistance, increase dolutegravir dosage to 50 mg BID. |
|
| Efavirenz Saquinavir 469 | Red: Avoid combination | Minimal data to guide interaction, weigh risks and benefits of using this combination | Potential loss of antiviral efficacy |
1200 mg every 8 hours for 10 days | AUC decreased 62%, Cmin decreased 56%, Cmax decreased %50 |
Use alternative agents |
|
| Efavirenz Saquinavir 468 | Red: Avoid combination | Minimal data to guide interaction, weigh risks and benefits of using this combination | Potential loss of antiviral efficacy |
1200 mg every 8 hours for 10 days | AUC decreased 62%, Cmin decreased 56%, Cmax decreased %50 |
Use alternative agents |
|
| Efavirenz SOF/VEL 467 | Red: Avoid combination | Do not coadminister: Reduced levels of velpatasvir and voxilapervir | Reduced levels of velapatasvir and voxilaprevir |
Velpatasvir Cmax decreased 37%; AUC decreased 43%; Cmin decreased 47% |
Contraindicated. Use alternative agents. |
||
| Efavirenz SOF/VEL 466 | Red: Avoid combination | Do not coadminister: Reduced levels of velpatasvir and voxilapervir | Reduced levels of velapatasvir and voxilaprevir |
Velpatasvir Cmax decreased 37%; AUC decreased 43%; Cmin decreased 47% |
Contraindicated. Use alternative agents. |
||
| Efavirenz SOF/VEL 465 | Red: Avoid combination | Do not coadminister: Reduced levels of velpatasvir and voxilapervir | Reduced levels of velapatasvir and voxilaprevir |
Velpatasvir Cmax decreased 37%; AUC decreased 43%; Cmin decreased 47% |
Contraindicated. Use alternative agents. |
||
| Efavirenz SOF/VEL 464 | Red: Avoid combination | Do not coadminister: Reduced levels of velpatasvir and voxilapervir | Reduced levels of velapatasvir |
400 / 100 mg daily x 14 days | Velpatasvir AUC decreased 53%, Cmin 57%, Cmax decreased 47%. Sofobuvir Cmax increased 38%. |
Contraindicated. Use alternative agents. |
|
| Efavirenz SOF/VEL 463 | Red: Avoid combination | Do not coadminister: Reduced levels of velpatasvir and voxilapervir | Reduced levels of velapatasvir |
400 / 100 mg daily x 14 days | Velpatasvir AUC decreased 53%, Cmin 57%, Cmax decreased 47%. Sofobuvir Cmax increased 38%. |
Contraindicated. Use alternative agents. |
|
| Efavirenz SOF/VEL 462 | Red: Avoid combination | Do not coadminister: Reduced levels of velpatasvir | Efavirenz Cmin decreased 19%; AUC decreased 15%; Cmax deceased 10% |
400 mg / 100 mg for 14 days | Sofosbuvir Cmax increased 38%. Velpatasvir Cmax decreased 47%; AUC decreased 53%; Cmin decreased 57% |
Contraindicated. Use alternative agents. |
|
| Efavirenz Ethinyl estradiol / Norethindrone acetate 461 | Red: Avoid combination | Do not coadminister: Reduced levels of progestin | No significant change |
Ethinyl estradiol 50 mcg x 1 dose | No significant change |
Use alternative contraceptive method |
|
| Efavirenz Etonogestrel 460 | Red: Avoid combination | Do not coadminister: Reduced levels of progestin | Decreased effects of etonogestrel |
Use alternative contraceptive method |
|||
| Efavirenz Etonogestrel 459 | Red: Avoid combination | Do not coadminister: Reduced levels of progestin | Decreased effects of etonogestrel |
Etonogestrel decreased 61% |
Use alternative contraceptive method |
||
| Efavirenz Etonogestrel 458 | Red: Avoid combination | Do not coadminister: Reduced levels of progestin | Decreased effects of etonogestrel |
Etonogestrel decreased 61% |
Use alternative contraceptive method |

