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Darunavir Tablets and Incivek

Determining the interaction of Darunavir Tablets and Incivek and the possibility of their joint administration.

Check result:
Darunavir Tablets <> Incivek
Relevance: 17.05.2023 Reviewer: Shkutko P.M., M.D., in

In the database of official manuals used in the service creation an interaction registered by statistical results of studies was found, which can either lead to negative consequences for the patient health or strengthen a mutual positive effect. A doctor should be consulted to address the issue of joint drug administration.

Consumer:

Talk to your doctor before using darunavir together with telaprevir. Combining these medications may decrease the blood levels of both medications, which may reduce their effectiveness in treating hepatitis C and HIV infection. Your doctor may be able to prescribe alternatives that do not interact, or you may need a dose adjustment or more frequent monitoring by your doctor to safely use both medications. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Professional:

GENERALLY AVOID: Coadministration of telaprevir and darunavir/ritonavir may decrease the plasma concentrations of both telaprevir and darunavir. The mechanism of interaction has not been described. In 14 study subjects, administration of telaprevir (750 mg every 8 hours for 10 days) in combination with darunavir/ritonavir (600 mg/100 mg twice daily for 20 days) reduced the telaprevir peak plasma concentration (Cmax), systemic exposure (AUC) and trough plasma concentration (Cmin) by an average of 36%, 35% and 32%, respectively, compared to administration alone. The Cmax, AUC and Cmin of darunavir were reduced by approximately 40% each during telaprevir coadministration.

MANAGEMENT: Given the risk of reduced viral susceptibility and resistance development associated with subtherapeutic drug levels, concomitant use of telaprevir and darunavir/ritonavir should generally be avoided.

References
  • "Product Information. Incivek (telaprevir)." Vertex Pharmaceuticals, Cambridge, MA.
  • Durant J, Clevenbergh P, Garraffo R, Halfon P, Icard S, DelGiudice P, Montagne N, Schapiro JM, Dellamonica P "Importance of protease inhibitor plasma levels in HIV-infected patients treated with genotypic-guided therapy: pharmacological data from the Viradapt Study." Aids 14 (2000): 1333-9
Darunavir Tablets

Generic Name: darunavir

Brand name: Prezista

Synonyms: Darunavir

Incivek

Generic Name: telaprevir

Brand name: Incivek

Synonyms: n.a.

In the course of checking the drug compatibility and interactions, data from the following reference sources was used: Drugs.com, Rxlist.com, Webmd.com, Medscape.com.

Interaction with food and lifestyle
Disease interaction