Interactions with Entry & Integrase Inhibitors
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www.hiv-druginteractions.org Interactions with Entry & Integrase Inhibitors Charts revised July 2018. Full information available at www.hiv-druginteractions.org Page 1 of 4 Please note that if a drug is not listed it cannot automatically be assumed it is safe to coadminister. BIC/ E/C/F/ E/C/F/ BIC/ E/C/F/ E/C/F/ F/TAF DTG TAF TDF MVC RAL F/TAF DTG TAF TDF MVC RAL Anaesthetics & Muscle Relaxants Antibacterials (continued) Alcuronium Ertapenem Bupivacaine Erythromycin Cisatracurium Ethambutol Desflurane Ethionamide Dexmedetomidine Flucloxacillin Enflurane Gentamicin Ephedrine Imipenem/Cilastatin Halothane Isoniazid Isoflurane Kanamycin Levofloxacin Ketamine Linezolid Nitrous oxide Meropenem Propofol Metronidazole Rocuronium Moxifloxacin Sevoflurane Nitrofurantoin Sufentanil Ofloxacin Suxamethonium (succinylcholine) Para-aminosalicylic acid Tetracaine Penicillins Thiopental Pyrazinamide Tizanidine Rifabutin Vecuronium Rifampicin Analgesics Rifapentine Alfentanil Rifaximin Aspirin Spectinomycin Buprenorphine Streptomycin Celecoxib Sulfadiazine Telithromycin Codeine Tetracyclines Dextropropoxyphene Trimethoprim/Sulfamethoxazole Diamorphine (diacetylmorphine) Vancomycin Diclofenac Dihydrocodeine Anti-coagulant, Anti-platelet and Fibrinolytic Fentanyl Acenocoumarol Hydrocodone Apixaban Aspirin (anti-platelet) Hydromorphone Clopidogrel Ibuprofen Dabigatran Mefenamic acid Dalteparin Methadone Dipyridamole Morphine Edoxaban Naproxen Eltrombopag istribution. For personal use only. Not for distribution. for only. Not use For personal istribution. Nimesulide Enoxaparin Oxycodone Fondaparinux Paracetamol (Acetaminophen) Heparin Pethidine (Meperidine) Phenprocoumon Piroxicam Prasugrel Tramadol Rivaroxaban Streptokinase Anthelmintics Albendazole Ticagrelor Diethylcarbamazine Warfarin Ivermectin Anticonvulsants Levamisole (Ergamisol) Carbamazepine Mebendazole Clonazepam Niclosamide Ethosuximide Oxamniquine Gabapentin Lacosamide Praziquantel for d Not only. use For personal Lamotrigine Pyrantel Suramin sodium Levetiracetam Oxcarbazepine Triclabendazole Phenobarbital (Phenobarbitone) Antiarrhythmics Phenytoin Amiodarone Pregabalin Bepridil Topiramate Disopyramide Valproate (Divalproex) Dofetilide Vigabatrin Flecainide Zonisamide Lidocaine (Lignocaine) Antidepressants Mexiletine Agomelatine Propafenone Amitriptyline Quinidine Bupropion Antibacterials Citalopram Amikacin Clomipramine Amoxicillin Desipramine Ampicillin Doxepin Azithromycin Duloxetine Bedaquiline Escitalopram Capreomycin Fluoxetine Fluvoxamine Cefalexin for distribution. only. Not use For personal Imipramine Cefazolin Lithium Cefixime Maprotiline Cefotaxime Mianserin Ceftazidime Milnacipran Ceftriaxone Mirtazapine Chloramphenicol Nefazodone Ciprofloxacin Nortriptyline Clarithromycin Paroxetine Clavulanic acid Phenelzine Clindamycin Reboxetine Clofazimine Sertraline Cloxacillin Tranylcypromine Cycloserine Trazodone Dapsone Trimipramine Doxycycline Venlafaxine Key to abbreviations Key to symbols Where advice differs between countries, and/or between boosted and Bictegravir + Emtricitabine + These drugs should not be coadministered BIC/F/TAF Tenofovir alafenamide (Biktarvy®) unboosted regimens, the charts reflect the more cautious option. ® Potential interaction – may require close monitoring, DTG Dolutegravir (Tivicay ) alteration of drug dosage or timing of administration © Liverpool Drug Interactions Group, University of Liverpool Elvitegravir + Cobicistat + Emtricitabine + Potential interaction likely to be of weak intensity. Pharmacology Research Labs, 1st Floor Block H, 70 Pembroke Place, LIVERPOOL, L69 3GF E/C/F/TAF Tenofovir alafenamide (Genvoya®) Additional action/monitoring or dosage adjustment is We aim to ensure that information is accurate and consistent with current knowledge Elvitegravir + Cobicistat + Emtricitabine + unlikely to be required and practice. However, the University of Liverpool and its servants or agents shall not E/C/F/TDF Tenofovir disoproxil fumarate (Strilbild®) No clinically significant interaction expected be responsible or in any way liable for the continued currency of information in this ® ® publication whether arising from negligence or otherwise howsoever or for any MVC Maraviroc (Celsentri , Selzentry ) There are no clear data, actual or theoretical, to indicate ® consequences arising therefrom. The University of Liverpool expressly exclude RAL Raltegravir (Isentress ) whether an interaction will occur liability for errors, omissions or inaccuracies to the fullest extent permitted by law. www.hiv-druginteractions.org Interactions with Entry & Integrase Inhibitors Charts revised July 2018. Full information available at www.hiv-druginteractions.org Page 2 of 4 Please note that if a drug is not listed it cannot automatically be assumed it is safe to coadminister. BIC/ E/C/F/ E/C/F/ BIC/ E/C/F/ E/C/F/ F/TAF DTG TAF TDF MVC RAL F/TAF DTG TAF TDF MVC RAL Anti-diabetics Antipsychotics/Neuroleptics (continued) Acarbose Paliperidone Empagliflozin Perazine Exanatide Periciazine Glibenclamide (Glyburide) Perphenazine Gliclazide Pimozide Glimepiride Pipotiazine Glipizide Quetiapine Risperidone Insulin Sulpiride Linagliptin Thioridazine Liraglutide Tiapride Metformin Ziprasidone Nateglinide Zotepine Pioglitazone Zuclopenthixol Repaglinide Antivirals Rosiglitazone Aciclovir Saxagliptin Adefovir Sitagliptin Amantadine Tolbutamide Boceprevir Vildagliptin Cidofovir Antifungals Daclatasvir Amphotericin B Elbasvir/Grazoprevir Anidulafungin Entecavir Caspofungin Famciclovir Fluconazole Foscarnet Flucytosine Ganciclovir Griseofulvin Glecaprevir/Pibrentasvir Itraconazole Ledipasvir/Sofosbuvir Ketoconazole Ombitasvir/Paritaprevir/r Miconazole Ombitasvir/Paritaprevir/r + Dasabuvir Nystatin Oseltamivir Posaconazole Ribavirin Terbinafine Rimantadine Simeprevir Voriconazole Sofosbuvir Antihistamines Sofosbuvir/Velpatasvir Astemizole Sofosbuvir/Velpatasvir/Voxilaprevir istribution. For personal use only. Not for distribution. for only. Not use For personal istribution. Cetirizine Telaprevir Chlorphenamine Telbivudine Diphenhydramine Valaciclovir Fexofenadine Zanamivir Levocetirizine Anxiolytics/Hypnotics/ Sedatives Loratadine Alprazolam Promethazine Bromazepam Terfenadine Buspirone Antimigraine Agents Chlordiazepoxide Clorazepate Almotriptan Diazepam Dihydroergotamine Estazolam Ergotamine Flunitrazepam Rizatriptan Flurazepam Sumatriptan for d Not only. use For personal Hydroxyzine Antiprotozoals Lorazepam Lormetazepam Amodiaquine Midazolam (oral) Artemisinin Midazolam (parenteral) Atovaquone Oxazepam Benznidazole Temazepam Chloroquine Triazolam Diloxanide Zaleplon Eflornithine Zolpidem Halofantrine Zopiclone Lumefantrine Beta Blockers Mefloquine Atenolol Meglumine antimoniate Bisoprolol Melarsoprol Carvedilol Miltefosine Metoprolol Nifurtimox Nebivolol Paromomycin Oxprenolol Pentamidine Pindolol Primaquine Propranolol Proguanil Timolol For personal use only. Not for distribution. for distribution. only. Not use For personal Pyrimethamine Bronchodilators Quinine Aclidinium bromide Sodium stibogluconate Aminophylline Sulfadoxine Formoterol Antipsychotics/Neuroleptics Glycopyrronium bromide Indacaterol Amisulpride Ipratropium bromide Aripiprazole Montelukast Asenapine Olodaterol Chlorpromazine Roflumilast Clozapine Salbutamol Fluphenazine Salmeterol Haloperidol Theophylline Iloperidone Tiotropium bromide Levomepromazine Umeclidinium bromide Olanzapine Vilanterol Key to abbreviations Key to symbols Where advice differs between countries, and/or between boosted and Bictegravir + Emtricitabine