Red: Avoid combination
| Interaction Color Code | Clinical Bottom Line | Clinical Effects | Drug 1 effect | Drug 2 dose | Drug 2 effect | Management | |
|---|---|---|---|---|---|---|---|
| Efavirenz EE/NGM 457 | Red: Avoid combination | Do not coadminister: Reduced levels of progestin | Decreased effects of ethinyl estradiol and norgestimate |
0.035 mg ethinyl estradiol / 0.25 mg norgestimate x 14 days | Ethinyl estradiol: no significant change; Norgestromin AUC decreased 64%; Cmax decreased 46%; Cmin decreased 82% |
Use alternative contraceptive method |
|
| Efavirenz EE/NGM 456 | Red: Avoid combination | Do not coadminister: Reduced levels of progestin | Decreased effects of ethinyl estradiol and norgestimate |
0.035 mg ethinyl estradiol / 0.25 mg norgestimate x 14 days | Ethinyl estradiol: no significant change; Norgestromin AUC decreased 64%; Cmax decreased 46%; Cmin decrased 82% |
Use alternative contraceptive method |
|
| Efavirenz EE/NGM 455 | Red: Avoid combination | Do not coadminister: Reduced levels of progestin | Decreased effects of ethinyl estradiol and norgestimate |
0.025 mg ethinyl estradiol / 0.25 mg norgestimate | Ethinyl estradiol: no significant change; Norgestromin AUC decreased 64%; Cmax decreased 46%; Cmin decrased 82% |
Use alternative contraceptive method |
|
| Efavirenz Pimavanserin 454 | Red: Avoid combination | Do not coadminister: Reduced levels of pimavanserin | Decreased pimavanserin levels |
Avoid combination and use alternative agents |
|||
| Efavirenz G/P 453 | Red: Avoid combination | Do not coadminister: Reduced levels of Pibrenatasvir / Glecaprevir | decreased pibrenatasvir / glecaprevir effects |
Contraindicated. Use alternative agents. |
|||
| Efavirenz Lumateperone 452 | Red: Avoid combination | Do not coadminister: Reduced levels of lumateperon | Decreased Lumateperon levels |
Avoid combination and use alternative agents |
|||
| Efavirenz LNG 451 | Red: Avoid combination | Do not coadminister: Reduced levels of levonorgestrel | Decreased levonorgestrel effects |
0.75 mg x 1 | Levonorgestrel AUC decreased 64%; Cmax decreased 45%; Cmin decreased 71%; half-life: decreased 47% |
Use alternative contraceptive method |
|
| Efavirenz G/P 450 | Red: Avoid combination | Do not coadminister: Reduced levels of glecaprevir / pibrentasvir | Possible decrease in glecaprevir and pribrentasvir levels |
contraindicated. Use alternative agents. |
|||
| Efavirenz G/P 449 | Red: Avoid combination | Do not coadminister: Reduced levels of glecaprevir / pibrentasvir | Possible decrease in glecaprevir and pribrentasvir levels |
contraindicated. Use alternative agents. |
|||
| Efavirenz ETR 448 | Red: Avoid combination | Do not coadminister: Reduced levels of etravirine | Decreased etravirine and efavirenz effects |
Etravirine AUC decreased 41% |
Use alternative agents |
||
| Efavirenz EBR/GZR 447 | Red: Avoid combination | Do not coadminister: Reduced levels of elbasvir / grazoprevir | Elbasvir 50 mg daily with grazoprevir 100 mg daily | Elbasvir AUC decreased 54% Grazoprevir AUC decreased 83% |
Contraindicated. Use alternative agents. |
||
| Efavirenz EBR/GZR 446 | Red: Avoid combination | Do not coadminister: Reduced levels of elbasvir / grazoprevir | decreased of elbasvir / grazoprevir effects |
Contraindicated. Use alternative agents. |
|||
| Efavirenz EBR/GZR 445 | Red: Avoid combination | Do not coadminister: Reduced levels of elbasvir / grazoprevir | decreased of elbasvir / grazoprevir effects |
Elbasvir 50 mg daily with grazoprevir 100 mg daily | Elbasvir AUC decreased 54% Grazoprevir AUC decreased 83% |
Contraindicated. Use alternative agents. |
|
| Efavirenz Cariprazine 444 | Red: Avoid combination | Do not coadminister: Reduced levels of cariprazine | Decreased cariprazine levels |
Avoid combination and use alternative agents |
|||
| Efavirenz CBZ 443 | Red: Avoid combination | Do not coadminister: Reduced levels of carbamazepine and efavirenz | Decreased efavirenz and carbamazepine levels |
Efavirenz AUC decreased 36%; Cmax decreased 21%; Cmin decreased 47% |
200 mg daily on days 1-3, 200 mg BID on days 4-6, 400 mg daily thereafter | Carbamazepine AUC decreased 27%; Cmax decreased 20%; Cmin decreased 35% |
Avoid combination and use alternative agents. If coadministering monitor carbamazepine levels and adjust as indicated. Monitor antiviral efficacy |
| Efavirenz Elvitegravir / Cobicistat / Emtricitabine / Tenofovir alafenamide 442 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of elvitegravir / cobicistat | Potentially decreased or increased elvitegravir, cobicistat and / or efavirenz effects |
Not studied (may decrease elvitegravir and cobicistat levels) |
Not studied |
Use alternative agents |
|
| Efavirenz St. John's Wort (Hypericum perforatum) 441 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of efavirenz | Decreased efavirenz effects |
Not studied (may decrease efavirenz levels) |
Not studied |
Contraindicated. Use alternative agents. |
|
| Efavirenz ATV/c 440 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of atazanavir | Potential loss of antiviral efficacy |
Not studied |
Not studied (may decrease atazanavir and cobicistat levels) |
Use alternative agents |
|
| Efavirenz ATV 439 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of atazanavir | Potential loss of antiviral efficacy |
300 mg daily / ritonavir 100 mg daily days 1-10 then 400 mg daily / ritonavir 100 mg daily days 11-24 | Atazanavir Cmin decreased 43%, Cmax increased 17% |
Use alternative agents |
|
| Efavirenz ATV 438 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of atazanavir | Potential loss of antiviral efficacy |
300 mg daily / ritonavir 100 mg daily days 1-10 then 400 mg daily / ritonavir 100 mg daily days 11-24 | Atazanavir Cmin decreased 42%, Cmax increased 17% |
Use alternative agents |
|
| Efavirenz ATV 437 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of atazanavir | Potential loss of antiviral efficacy |
400 mg daily d 1-6, then 300 mg daily days 7_-20 with ritonavir 100 mg daily | Atazanavir auc increased 39%, Cmax increased 48%, Cmin increased 48%. |
Use alternative agents |
|
| Efavirenz ATV 436 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of atazanavir | Potential loss of antiviral efficacy |
400 mg daily d 1-6, then 300 mg daily days 7_-20 with ritonavir 100 mg daily | Atazanavir auc increased 39%, Cmax increased 48%, Cmin increased 14%. |
Use alternative agents |
|
| Efavirenz ATV 435 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of atazanavir | Potential loss of antiviral efficacy |
400 mg daily x 20 days | Atazanavir AUC decreased 74%, Cmax decreased 59%, Cmin decreased 93%. |
Use alternative agents |
|
| Efavirenz ATV 434 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of atazanavir | Potential loss of antiviral efficacy |
400 mg daily x 20 days | Atazanavir AUC decreased 74%, Cmax decreased 59%, Cmin decreased 93%. |
Use alternative agents |
|
| Efavirenz Dasabuvir + Ombitasvir / Paritaprevir / Ritonavir 433 | Red: Avoid combination | Do not coadminister: Potential for reduced antiviral activity | Significant GI and neurologic adverse events occurred, increase ALT |
Not studied |
Not studied (may decrease paritaprevir levels) |
Contraindicated. Use alternative agents. |
|
| Efavirenz Ergotamine 432 | Red: Avoid combination | Do not coadminister: Potential for increased levels of ergotamine | Potentially increased ergotamine effects (eg, ergotism) |
Not studied |
Not studied (may increase ergotamine levels) |
Avoid combination and use alternative agents |
|
| Doravirine EFV 359 | Red: Avoid combination | Do not coadminister: Reduced levels of doravirine | Potential decrease in antiretroviral efficacy |
AUC decreased 62%; Cmax decreased 35%; C24 decreased 85% |
600 mg x 1 | Not studied |
Do not coadminister. Use alternative agents. |
| Doravirine EFV 358 | Red: Avoid combination | Do not coadminister: Reduced levels of doravirine | Potential decrease in antiretroviral efficacy |
AUC decreased 32%; Cmax decreased 14%; C24 decreased 50% |
600 mg daily x 14 days | Not studied |
Do not coadminister. Use alternative agents. |
| Doravirine RIF 357 | Red: Avoid combination | Do not coadminister: Reduced levels of doravirine | Potential decrease in antiretroviral efficacy. |
AUC decreased 88%; Cmax decreased 57%, Cmin decreased 97% |
600 mg daily | Not studied |
Contraindicated. Use alternative agents. If discontinuing the rifamycin, at least a 4 week cessation period is recommended prior to beginning doravirine. |
| Doravirine RFB 356 | Red: Avoid combination | Do not coadminister: Reduced levels of doravirine | Potential decrease in antiretroviral efficacy |
AUC decreased 50%; Cmin decreased 68% |
300 mg daily | Not studied |
Contraindicated. Use alternative agents. If discontinuing the rifamycin, at least a 4 week cessation period is recommended prior to beginning doravirine. |
| Doravirine NVP 355 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of doravirine | Potential decrease in antiretroviral efficacy |
Do not coadminister. Use alternative agents. |
|||
| Doravirine ETR 354 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of doravirine | Potential decrease in antiretroviral efficacy |
Do not coadminister. Use alternative agents. |
|||
| Doravirine St. John's Wort (Hypericum perforatum) 353 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of doravirine | Potential decrease in antiretroviral efficacy |
Contraindicated. Use alternative agents. If discontinuing St. John's Wort, a minimum 4 week cessation period is recommended prior to initiating doravirine. |
|||
| Doravirine Phenytoin 352 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of doravirine | Potential decrease in antiretroviral efficacy |
Contraindicated. Use alternative agents. If discontinuing phenytoin, a minimum 4 week cessation period is recommended prior to initiating doravirine. |
|||
| Doravirine Phenobarbital 351 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of doravirine | Potential decrease in antiretroviral efficacy |
Contraindicated. Use alternative agents. If discontinuing phenobarbital, a minimum 4 week cessation period is recommended prior to initiating doravirine. |
|||
| Doravirine Oxcarbazepine 350 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of doravirine | Potential decrease in antiretroviral efficacy |
Contraindicated. Use alternative agents. If discontinuing oxcarbazepine, a minimum 4 week cessation period is recommended prior to initiating doravirine. |
|||
| Doravirine Mitotane 349 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of doravirine | Potential decrease in antiretroviral efficacy |
Contraindicated. Use alternative agents. If discontinuing mitotane, a minimum 4 week cessation period is recommended prior to initiating doravirine. |
|||
| Doravirine Enzalutamide 348 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of doravirine | Potential decrease in antiretroviral efficacy |
Contraindicated. Use alternative agents. If discontinuing enzalutamide, a minimum 4 week cessation period is recommended prior to initiating doravirine. |
|||
| Doravirine Carbamazepine 347 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of doravirine | Potential decrease in antiretroviral efficacy |
Contraindicated. Use alternative agents. If discontinuing carbamazepine, a minimum 4 week cessation period is recommended prior to initiating doravirine. |
|||
| Cabotegravir RIF 343 | Red: Avoid combination | Do not coadminister: Reduced levels of CAB | Potential decrease in antiretroviral efficacy |
Cmax decreased 6%, AUC decreased 59%, Cmin decreased 50% |
600 mg once daily | Not studied |
Contraindicated. Use alternative agents. |
| Cabotegravir Griseofulvin 342 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of CAB | Potential decrease in antiretroviral efficacy |
Not studied |
Not studied |
Contraindicated. Use alternative agents. |
|
| Cabotegravir St. John's Wort (Hypericum perforatum) 341 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of CAB | Potential decrease in antiretroviral efficacy |
Not studied |
Not studied |
Contraindicated. Use alternative agents. |
|
| Cabotegravir RPT 340 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of CAB | Potential decrease in antiretroviral efficacy |
Not studied |
Not studied |
Contraindicated. Use alternative agents. |
|
| Cabotegravir Primidone 339 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of CAB | Potential decrease in antiretroviral efficacy |
Not studied |
Not studied |
Contraindicated. Use alternative agents. |
|
| Cabotegravir Phenytoin 338 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of CAB | Potential decrease in antiretroviral efficacy |
Not studied |
Not studied |
Contraindicated. Use alternative agents. |
|
| Cabotegravir Phenobarbital 337 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of CAB | Potential decrease in antiretroviral efficacy |
Not studied |
Not studied |
Contraindicated. Use alternative agents. |
|
| Cabotegravir Oxcarbazepine 336 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of CAB | Potential decrease in antiretroviral efficacy |
Not studied |
Not studied |
Contraindicated. Use alternative agents. |
|
| Cabotegravir Eslicarbazepine 335 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of CAB | Potential decrease in antiretroviral efficacy |
Not studied |
Not studied |
Contraindicated. Use alternative agents. |
|
| Cabotegravir Enzalutamide 334 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of CAB | Potential decrease in antiretroviral efficacy |
Not studied |
Not studied |
Contraindicated. Use alternative agents. |
|
| Cabotegravir CBZ 333 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of CAB | Potential decrease in antiretroviral efficacy |
Not studied |
Not studied |
Contraindicated. Use alternative agents. |
|
| Raltegravir Calcium carbonate 323 | Red: Avoid combination | Do not coadminister: Reduced levels of raltegravir | Raltegravir AUC decreased 72%; Cmin decreased 48% |
3000 mg single dose given with raltegravir | Not reported |
Contraindicated. Use alternative agents. |
|
| Raltegravir Calcium carbonate 322 | Red: Avoid combination | Do not coadminister: Reduced levels of raltegravir | Raltegravir AUC decreased 10%; Cmin decreased 57% |
3000 mg single dose given 12 hours after raltegravir | Not reported |
Contraindicated. Use alternative agents. |
|
| Raltegravir Aluminum and magnesium hydroxide antacid 321 | Red: Avoid combination | Do not coadminister: Reduced levels of raltegravir | Raltegravir AUC decreased 49% if antacid given simultaneously. AUC decreased 51% if antacid given 2 hours before. AUC decreased 30% if antacid given 2 hours after. AUC decreased 19% if antacid given 4 hours before. AUC decreased 32% if antacid given 4 hours after. AUC decreased 11-13% if antacid given 6 hours before or 6 hours after. |
20 mL single dose | Not reported |
Contraindicated. Use alternative agents. |
|
| Raltegravir Aluminum and magnesium hydroxide antacid 320 | Red: Avoid combination | Do not coadminister: Reduced levels of raltegravir | Raltegravir AUC decreased 14% if antacid given 12 horus after. |
20 mL single dose | Not reported |
Contraindicated. Use alternative agents. |
|
| Raltegravir Phenobarbital 319 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of raltegravir | Potential decrease in antiretroviral efficacy |
Use alternative agents |
|||
| Raltegravir Eslicarbazepine 318 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of raltegravir | Potential decrease in antiretroviral efficacy |
Use alternative agents |
|||
| Raltegravir CBZ 317 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of raltegravir | Potential decrease in antiretroviral efficacy |
Use alternative agents |
|||
| Elvitegravir RPT 220 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of elvitegravir | Potential decrease in antiretroviral efficacy |
Use alternative agents |
|||
| Elvitegravir St. John's Wort (Hypericum perforatum) 219 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of elvitegravir | Potential decrease in antiretroviral efficacy |
Contraindicated. Use alternative agents. |
|||
| Elvitegravir Eslicarbazepine 218 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of elvitegravir | Potential decrease in antiretroviral efficacy |
Contraindicated. Use alternative agents. |
|||
| Elvitegravir Phenytoin 217 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of elvitegravir | Potential decrease in antiretroviral efficacy |
Contraindicated. Use alternative agents. |
|||
| Elvitegravir Phenobarbital 216 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of elvitegravir | Potential decrease in antiretroviral efficacy |
Contraindicated. Use alternative agents. |
|||
| Elvitegravir RIF 215 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of elvitegravir | Expected significant decreased in elvitegravir, cobicistat. Potential decreased antiretroviral efficacy |
Contraindicated. Use alternative agents. |
|||
| Elvitegravir Clopidogrel 214 | Red: Avoid combination | Do not coadminister: Potential for reduced levels of clopidogrel | Potential reduction of antiplatelet activity |
Use alternative agents |
|||
| Elvitegravir Vorapaxar 213 | Red: Avoid combination | Do not coadminister: Potential for increased levels of vorapaxar | Potential for increased risk of bleeding |
Avoid combination and use alternative antiplatelet agent |
|||
| Elvitegravir Ticagrelor 212 | Red: Avoid combination | Do not coadminister: Potential for increased levels of ticagrelor | Potential for increased risk of bleeding |
Avoid combination and use alternative antiplatelet agent. |
|||
| Elvitegravir Suvorexant 211 | Red: Avoid combination | Do not coadminister: Potential for increased levels of suvorexant | Potential for increased suvorexant adverse effects |
Use alternative agents |
|||
| Elvitegravir Salmeterol 210 | Red: Avoid combination | Do not coadminister: Potential for increased levels of salmeterol | Increased risk of cardiovascular adverse events (e.g. QT prolongation, palpitations, sinus tachycardia) |
Use alternative agents |
|||
| Elvitegravir Ranolazine 209 | Red: Avoid combination | Do not coadminister: Potential for increased levels of ranolazine | Potential for increased risk of ranolazine adverse effects |
Contraindicated. Use alternative agents. |
|||
| Elvitegravir Ivabradine 208 | Red: Avoid combination | Do not coadminister: Potential for increased levels of ivabradine | Potential for increased risk of ivabradine adverse effects |
Contraindicated. Use alternative agents. |
|||
| Elvitegravir Flibanserin 207 | Red: Avoid combination | Do not coadminister: Potential for increased levels of flibanserin | Potential for increased risk of flibanserin adverse effects |
Use alternative agents |
|||
| Elvitegravir Eplerenone 206 | Red: Avoid combination | Do not coadminister: Potential for increased levels of eplerenone | Potential for increased risk of eplerenone adverse effects |
Contraindicated. Use alternative agents. |
|||
| Elvitegravir Dofetilide 205 | Red: Avoid combination | Do not coadminister: Potential for increased levels of dofetilide | Potential for increased risk of dofetilide adverse effects |
Use alternative agents |
|||
| Elvitegravir Lumateperone 204 | Red: Avoid combination | Do not coadminister: potential toxicity | Potential for increased risk of lumateperone adverse effects |
Use alternative agents |
|||
| Elvitegravir Lurasidone 203 | Red: Avoid combination | Do not coadminister: potential toxicity | Potential serious or life-threatening reactions |
Contraindicated. Use alternative agents. |
|||
| Elvitegravir Triazolam 202 | Red: Avoid combination | Do not coadminister: Potential for increased levels of triazolam | Potential for increased triazolam effects (e.g. prolonged sedation, altered mental status, respiratory depression) |
Contraindicated. Use alternative agents. |
|||
| Elvitegravir Triamcinolone 201 | Red: Avoid combination | Do not coadminister: Potential for increased levels of triamcinolone | Potential for increased risk of adrenal insufficiency and Cushing's syndrome |
Do not coadminister if triamcinolone is used for local injection. |
|||
| Elvitegravir Simvastatin 200 | Red: Avoid combination | Do not coadminister: Potential for increased levels of simvastatin | Potential for increased simvastatin effects (e.g. myopathy, rhabdomyolysis) |
Contraindicated. Use alternative agents. |
|||
| Elvitegravir Simeprevir 199 | Red: Avoid combination | Do not coadminister: Potential for increased levels of simeprevir | Potential for increased simeprevir toxicity |
Use alternative agents |
|||
| Elvitegravir Silodosin 198 | Red: Avoid combination | Do not coadminister: Potential for increased levels of silodosin | Potential for increased silodosin adverse effects |
Contraindicated. Use alternative agents. |
|||
| Elvitegravir Pimozide 197 | Red: Avoid combination | Do not coadminister: Potential for increased levels of pimozide | Potential serious or life-threatening reactions such as cardiac arrhythmia. |
Contraindicated. Use alternative agents. |
|||
| Elvitegravir Mometasone 196 | Red: Avoid combination | Do not coadminister: Potential for increased levels of mometasone | Potential for increased risk of adrenal insufficiency and Cushing's syndrome |
Use alternative agents |
|||
| Elvitegravir Midazolam 195 | Red: Avoid combination | Do not coadminister: Potential for increased levels of midazolam | Potential for increased midazolam effects (e.g. prolonged sedation, altered mental status, respiratory depression) |
Co-administration of oral midazolam is contraindicated. Parenteral midazolam can be used with caution when given as a single dose in a closely monitored situation for procedural sedation. |
|||
| Elvitegravir Alprazolam 194 | Red: Avoid combination | Do not coadminister: Potential for increased levels of midazolam | Potential for increased alprazolam effects (e.g. sedation, altered mental status, respiratory depression) |
Coadministration of EVG with oral midazolam is contraindicated. Parenteral midazolam can be used with caution when given as a single dose in a closely monitored situation for procedural sedation. |
|||
| Elvitegravir Methylprednisolone 193 | Red: Avoid combination | Do not coadminister: Potential for increased levels of methylprednisolone | Potential for increased risk of adrenal insufficiency and Cushing's syndrome |
Do not coadminister if methylprednisolone being used for local injection. |
|||
| Elvitegravir Methylergonovine 192 | Red: Avoid combination | Do not coadminister: Potential for increased levels of methylergonovine | Potential for increased ergot effects (e.g. ergot toxicity, peripheral vasospasm, ischemia) |
Contraindicated. Use alternative agents. |
|||
| Elvitegravir HMG-CoA Reductase Inhibitors 191 | Red: Avoid combination | Do not coadminister: Potential for increased levels of lovastatin | Potential for increased lovastatin effects (e.g. myopathy, rhabdomyolysis) |
Contraindicated. Use alternative agents. |
|||
| Elvitegravir Fluticasone 190 | Red: Avoid combination | Do not coadminister: Potential for increased levels of fluticasone | Potential for increased risk of adrenal insufficiency and Cushing's syndrome |
Use alternative agents |
|||
| Elvitegravir Ergotamine 189 | Red: Avoid combination | Do not coadminister: Potential for increased levels of ergotamine | Potential for increased ergot effects (e.g. ergot toxicity, peripheral vasospasm, ischemia) |
Contraindicated. Use alternative agents. |
|||
| Elvitegravir Dihydroergotamine 188 | Red: Avoid combination | Do not coadminister: Potential for increased levels of dihydroergotamine | Potential for increased ergot effects (e.g. ergot toxicity, peripheral vasospasm, ischemia) |
Contraindicated. Use alternative agents. |
|||
| Elvitegravir EBR/GZR 187 | Red: Avoid combination | Do not coadminister: Potential for increased levels of antivirals | Potential for increased AUC of HCV agents |
No significant change |
Elbasvir Cmax increased 91%, AUC increased 118%; Grazoprevir Cmax increased 359%, AUC increased436% |
Use alternative agents |
|
| Elvitegravir Dasabuvir + Ombitasvir / Paritaprevir / Ritonavir 186 | Red: Avoid combination | Do not coadminister: Potential for increased levels of antivirals | Potential for increased AUC of HCV agents |
Use alternative agents |
|||
| Elvitegravir Alfuzosin 185 | Red: Avoid combination | Do not coadminister: Potential for increased levels of alfuzosin | Potential for increased alfuzosin adverse effects (e.g. hypotension) |
Contraindicated. Use alternative agents. |
|||
| Elvitegravir Lomitapide 184 | Red: Avoid combination | Do not coadminister: Potential for increased level of lomitapide | Potential for increased risk of elevated transaminases |
Contraindicated. Use alternative agents. |
|||
| Elvitegravir Avanafil 183 | Red: Avoid combination | Do not coadminister: Potential for increased level of avanafil | Potential for increased risk avanafil adverse effects |
Contraindicated. Use alternative agents. |
|||
| Elvitegravir Dapagliflozin / Saxagliptin 182 | Red: Avoid combination | Do not coadminister: Increased levels of saxagliptin | Potential for increased saxagliptin adverse effects |
Not reported |
saxagliptin 5 mg | Not reported |
Use alternative agents |
| Elvitegravir CBZ 136 | Red: Avoid combination | Do not coadminister: Reduced levels of elvitegravir | Potential decrease in antiretroviral efficacy |
Cmax decreased 45%, AUC decreased 69%, Cmin decreased 97% |
200 mg BID | Cmax increased 40%, AUC increased 43%, Cmin increased 51%. Epoxide metabolite (pharmacologically active) Cmax decreased 73%, AUC decreased 35%, and Cmin decreased 41%. |
Contraindicated. Use alternative agents. |
| Elvitegravir RFB 135 | Red: Avoid combination | Do not coadminister: Increased levels of rifabutin, reduced levels of elvitegravir | Increased rifabutin effects, potential loss of antiretroviral activity |
Cmax decreased 9%, AUC decreased 21%, Cmin decreased 67% |
150 mg every other day | No significant change in rifabutin Cmin, AUC, or Cmax. 25-O-desacetylrifabutin metabolite Cmax increased 384%, AUC increased 625%, Cmin increased 394% as compared to 300 mg rifabutin alone. |
Use alternative agents |
| Dolutegravir CBZ 124 | Red: Avoid combination | Do not coadminister: Reduced levels of dolutegravir | Potential decrease in antiretroviral efficacy |
Cmax decreased 33%, AUC decreased 49%, Cmin decreased 73% |
300 mg BID | Not studied |
Use alternative agents. If this combination must be used in an INSTI-na•ve adult patient, adminster dolutegravir 50 mg twice daily. Do not use in cases of clinically suspected InSTI resistance. Monitor antiviral efficacy |
| Dolutegravir ETR 123 | Red: Avoid combination | Do not coadminister: Reduced levels of dolutegravir | Potential decrease in antiretroviral efficacy |
Cmax decreased 52%, AUC decreased 71%, Cmin decreased 88% |
200 mg once daily | Not studied |
Contraindicated. Use in combination with ATV / r or DRV / r |

