Red: Avoid combination

Label
Interaction expected – Do not coadminister
Color
Red
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Displaying 101 - 200 of 332
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