Use Caution/Monitor. In vitro studies suggest that lumacaftor may induce and ivacaftor may inhibit CYP2B6 substrates. Avoid or Use Alternate Drug.Minor (1)indinavir will increase the level or effect of efavirenz by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Minor/Significance Unknown. Avoid coadministration; strong CYP3A4 inducers significantly decrease idelalisib systemic exposure idelalisib will increase the level or effect of efavirenz by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug.efavirenz and encorafenib both increase QTc interval. Minor/Significance Unknown. Use Caution/Monitor. Use an alternative method of contraception or a backup method when enzyme inducers are used with combined hormonal contraceptives (CHCs), and continue backup contraception for 28 days after discontinuing enzyme inducer to ensure contraceptive reliability. Modify Therapy/Monitor Closely. tazemetostat will decrease the level or effect of efavirenz by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Monitor Closely (1)efavirenz will decrease the level or effect of hydrocodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. efavirenz and itraconazole both increase QTc interval. Minor/Significance Unknown. efavirenz and moxifloxacin both increase QTc interval. Avoid or Use Alternate Drug. Minor/Significance Unknown. Avoid coadministration of lenacapavir with moderate CYP3A4 inducers. efavirenz will decrease the level or effect of warfarin by Other (see comment). Coadministration with strong or moderate CYP3A4 inducers is contraindicated. Use Caution/Monitor. efavirenz will decrease the level or effect of dolutegravir by increasing metabolism. efavirenz will decrease the level or effect of imatinib by affecting hepatic/intestinal enzyme CYP3A4 metabolism. The efficacy of hormonal contraceptives may be reduced. Monitor Closely (1)efavirenz will decrease the level or effect of cyclosporine by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Use Caution/Monitor. Monitor Closely (1)efavirenz decreases levels of abiraterone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug.efavirenz and amiodarone both increase QTc interval. Minor/Significance Unknown. Use Caution/Monitor. Avoid or Use Alternate Drug. Avoid or Use Alternate Drug. Exact mechanism is unclear, but may include a drug-drug interaction that inhibits systemic absorption of the antiretroviral drug. Use Caution/Monitor. efavirenz and dofetilide both increase QTc interval. prescription products. efavirenz and pentamidine both increase QTc interval. Serious - Use Alternative (1)efavirenz will decrease the level or effect of ripretinib by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid coadministration if possible. Use Caution/Monitor.Serious - Use Alternative (1)efavirenz and pimozide both increase QTc interval. Coadministration with strong 3A4 inducers should be avoided if possible.efavirenz and romidepsin both increase QTc interval. Avoid or Use Alternate Drug. Currently, the CDC recommends that Efavirenz be given as part of a three-drug regimen that includes another nucleoside reverse transcriptase inhibitor (e.g., lamivudine, stavudine, zidovudine) and a . efavirenz will decrease the level or effect of terbinafine by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug. efavirenz and clozapine both increase QTc interval. Either decreases levels of the other by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Monitor Closely (1)efavirenz will decrease the level or effect of donepezil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Use Caution/Monitor.Minor (1)verapamil will increase the level or effect of efavirenz by affecting hepatic/intestinal enzyme CYP3A4 metabolism. efavirenz will decrease the level or effect of triazolam by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Monitor Closely (1)rucaparib will increase the level or effect of efavirenz by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Other (see comment). Minor (1)griseofulvin will decrease the level or effect of efavirenz by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. efavirenz will decrease the level or effect of fosamprenavir by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Coadministration of ribociclib with strong CYP3A inducers should be avoided.Serious - Use Alternative (2)ribociclib will increase the level or effect of efavirenz by affecting hepatic/intestinal enzyme CYP3A4 metabolism. When voriconazole is coadministered with efavirenz, voriconazole oral maintenance dose should be increased to 400 mg q12hr and efavirenz should be decreased to 300 mg q24hr.Serious - Use Alternative (1)efavirenz and voriconazole both increase QTc interval. Mfr. Avoid or Use Alternate Drug. This drug should not be added on as a sole agent to a failing regimen. nilotinib will increase the level or effect of efavirenz by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. affecting hepatic enzyme CYP2B6 metabolism. Monitor Closely (1)efavirenz will decrease the level or effect of bazedoxifene/conjugated estrogens by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Netupitant is mainly metabolized by CYP3A4; avoid use in patients who are chronically using a strong CYP3A4 inducer, Contraindicated (1)efavirenz and nevirapine both increase risk of immune reconstitution syndrome. commonly, these are "non-preferred" brand drugs. tecovirimat will decrease the level or effect of efavirenz by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Monitor Closely (1)efavirenz will decrease the level or effect of trazodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Avoid or Use Alternate Drug. Contraindication applies to efavirenz doses of 400 mg/day or higher. Monitor Closely (1)rifabutin will decrease the level or effect of efavirenz by affecting hepatic/intestinal enzyme CYP3A4 metabolism. efavirenz will increase the level or effect of cimetidine by affecting hepatic enzyme CYP2C19 metabolism. Serious - Use Alternative (2)efavirenz will decrease the level or effect of mobocertinib by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Avoid or Use Alternate Drug. Use Caution/Monitor. Velpatasvir is a substrate of CYP2B6, CYP2C8, and CYP3A4. Use Caution/Monitor. Use Caution/Monitor. Use Caution/Monitor.Serious - Use Alternative (1)buprenorphine subdermal implant and efavirenz both increase QTc interval. efavirenz and vardenafil both increase QTc interval. efavirenz will decrease the level or effect of brigatinib by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Minor/Significance Unknown. Avoid coadministration of sonidegib with strong or moderate CYP3A4 inducers. Avoid or Use Alternate Drug. Minor (1)efavirenz will decrease the level or effect of paclitaxel by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug. If unable to avoid coadministration of belzutifan with sensitive CYP3A4 substrates, consider increasing the sensitive CYP3A4 substrate dose in accordance with its prescribing information. Importance of interaction not established; monitor individual therapeutic response to determine losartan dosage. Avoid or Use Alternate Drug. Increase gefitinib to 500 mg daily if coadministered with a strong CYP3A4 inducer. Avoid or Use Alternate Drug. May be coadministered; see atazanavir monograph for dosing info. Avoid or Use Alternate Drug. Use Caution/Monitor. Avoid or Use Alternate Drug. Monitor Closely (1)efavirenz will decrease the level or effect of etoposide by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Selection of concomitant medication with no or minimal CYP3A4 induction potential is recommended. Avoid or Use Alternate Drug. Avoid or Use Alternate Drug. Inhibition of platelet aggregation by clopidogrel is entirely due to an active metabolite. Modify Therapy/Monitor Closely. Coadministration with a strong CYP3A inducer decreases duvelisib area under the curve (AUC), which may reduce duvelisib efficacy. cyclosporine will increase the level or effect of efavirenz by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug. This dose of efavirenz induces CYP3A4 resulting in decreased voriconazole levels. Use Caution/Monitor.Serious - Use Alternative (1)efavirenz increases levels of triazolam by decreasing metabolism. Tell your doctor if you have any new spotting or breakthrough bleeding, because these may be signs that your hormonal birth control is not working well. Avoid or Use Alternate Drug. Effect of coadministering a strong CYP3A4 inducer with fedratinib has not been studied. efavirenz decreases effects of sufentanil SL by affecting hepatic/intestinal enzyme CYP3A4 metabolism. efavirenz will decrease the level or effect of ribociclib by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Minor/Significance Unknown. Monitor Closely (1)efavirenz will decrease the level or effect of riociguat by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Coadministration with strong 3A4 inducers should be avoided if possible. abametapir will increase the level or effect of efavirenz by affecting hepatic enzyme CYP2B6 metabolism. Increase dose of CYP2B6 substrate, as needed, when coadministered with cenobamate. Use Caution/Monitor. Avoid or Use Alternate Drug. Contraindicated.Monitor Closely (1)dronedarone will increase the level or effect of efavirenz by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug. efavirenz will decrease the level or effect of bosentan by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Keep all medications away from children and pets.Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Use Caution/Monitor. Minor/Significance Unknown. Use Caution/Monitor. Use Caution/Monitor.Serious - Use Alternative (1)efavirenz and buprenorphine both increase QTc interval. Discontinue the strong CYP3A inducer for 3 plasma half-lives before initiating lorlatinib.Serious - Use Alternative (1)lorlatinib will decrease the level or effect of efavirenz by affecting hepatic/intestinal enzyme CYP3A4 metabolism. CYP3A4 inhibitors may reduce avanafil clearance increasing systemic exposure to avanafil; increased levels may result in increased associated adverse events; the maximum recommended dose of STENDRA is 50 mg, not to exceed once every 24 hours for patients taking concomitant moderate CYP3A4 inhibitors. Use Caution/Monitor. efavirenz and trifluoperazine both decrease QTc interval. This drug is available at the lowest co-pay. Use Caution/Monitor. Use Caution/Monitor. Avoid or Use Alternate Drug. Avoid or Use Alternate Drug. Contraindicated. Avoid or Use Alternate Drug. Modify Therapy/Monitor Closely. Modify Therapy/Monitor Closely. Do not take efavirenz if you are allergic to efavirenz or any of the ingredients in this product. efavirenz will decrease the level or effect of sirolimus by affecting hepatic/intestinal enzyme CYP3A4 metabolism. efavirenz and nortriptyline both increase QTc interval. Minor (1)amobarbital will decrease the level or effect of efavirenz by affecting hepatic/intestinal enzyme CYP3A4 metabolism. nirmatrelvir/ritonavir will increase the level or effect of efavirenz by affecting hepatic/intestinal enzyme CYP3A4 metabolism. CYP450 inducers may significantly increase plasma concentrations of fexinidazole?s active metabolites: fexinidazole sulfoxide (M1) and fexinidazole sulfone (M2). Use Caution/Monitor. Use Caution/Monitor. Monitor Closely (1)efavirenz decreases levels of sorafenib by increasing metabolism. Use Caution/Monitor. Minor/Significance Unknown. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.In Canada - Call your doctor for medical advice about side effects. Adjust dosage of CYP3A4 substrates, if clinically indicated. Minor/Significance Unknown. Monitor Closely (1)efavirenz will decrease the level or effect of naldemedine by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Contraindicated. For 2 weeks after abametapir application, avoid taking drugs that are CYP2B6 substrates. Modify Therapy/Monitor Closely. Minor (1)efavirenz will decrease the level or effect of saxagliptin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Efavirenz belongs to a class of drugs known as non-nucleoside reverse transcriptase inhibitors (NNRTIs).Efavirenz is not a cure for HIV infection. Avoid or Use Alternate Drug. Monitor Closely (1)efavirenz will decrease the level or effect of tetracycline by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug. Data not available for dose adjustment. efavirenz and procainamide both increase QTc interval. Contraindicated. Use Caution/Monitor. efavirenz will decrease the level or effect of pexidartinib by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Monitor Closely (2)efavirenz will increase the level or effect of omeprazole by affecting hepatic enzyme CYP2C19 metabolism. Get medical help right away if you develop any rash.A very serious allergic reaction to this drug is rare. Monitor Closely (1)orlistat will decrease the level or effect of efavirenz by inhibition of GI absorption. Taking efavirenz with food increases the blood level of this medication, which may increase your risk of certain side effects. Monitor Closely (1)isoniazid will increase the level or effect of efavirenz by affecting hepatic/intestinal enzyme CYP3A4 metabolism. efavirenz will increase the level or effect of fexinidazole by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Do not store in the bathroom. efavirenz will decrease the level or effect of pioglitazone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Strong CYP3A inducers have minimal effect on lumacaftor exposure, but decreased ivacaftor exposure (AUC) by 57%. If coadministration with moderate CYP3A inducers cannot be avoided, be aware of a potential for decreased efficacy of olaparib. Avoid coadministration of venetoclax with strong or moderate CYP3A inducers. Use Caution/Monitor.Serious - Use Alternative (1)efavirenz, ivacaftor. Serious - Use Alternative (1)efavirenz will decrease the level or effect of ubrogepant by affecting hepatic/intestinal enzyme CYP3A4 metabolism. efavirenz will decrease the level or effect of estropipate by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug. Consult the doctor for more information.Older adults may be more sensitive to the side effects of this drug, especially QT prolongation (see above).During pregnancy, this medication should be used only when clearly needed. Iloperidone is a time-dependent CYP3A inhibitor and may lead to increased plasma levels of drugs predominantly eliminated by CYP3A4.Serious - Use Alternative (1)efavirenz and iloperidone both increase QTc interval. ( 1) DOSAGE AND ADMINISTRATION For babies who cannot eat solid foods, the contents may be mixed in 2 teaspoons of infant formula and drawn up into an oral syringe to be given to the baby. Loss of virological control reported in HIV-infected patients taking orlistat concomitantly. efavirenz and trazodone both increase QTc interval. Use Caution/Monitor. Minor/Significance Unknown. A decrease in AUC is observed for both carbamazepine (27%) and efavirenz (36%) when coadministered.Monitor Closely (1)carbamazepine will decrease the level or effect of efavirenz by affecting hepatic enzyme CYP2B6 metabolism. Monitor Closely (1)efavirenz increases levels of tamsulosin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. CYP2C9/10 inhibition decreases tamoxifen metabolism to active metabolites. efavirenz will decrease the level or effect of oxybutynin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Monitor Closely (1)efavirenz decreases effects of clopidogrel by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Simulation using physiologically-based pharmacokinetic modeling suggests that concomitant use of moderated CYP3A4 inducers decrease exposure to naldemedine. After stopping a CYP3A4 inducer, as the effects of the inducer decline, the fentanyl plasma concentration will increase which could increase or prolong both the therapeutic and adverse effects. efavirenz will decrease the level or effect of linagliptin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Dose adjustment. Monitor Closely (1)efavirenz will decrease the level or effect of progesterone micronized by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.Serious - Use Alternative (1)efavirenz and amisulpride both increase QTc interval. efavirenz will increase the level or effect of cannabidiol by affecting hepatic enzyme CYP2C19 metabolism. efavirenz and dronedarone both increase QTc interval. Use Caution/Monitor. Closely monitor patients taking ifosfamide with CYP3A4 inducers for toxicities and consider dose adjustment.efavirenz increases effects of ifosfamide by affecting hepatic enzyme CYP2B6 metabolism. Avoid or Use Alternate Drug. efavirenz decreases effects of clopidogrel by affecting hepatic enzyme CYP2C19 metabolism. Monitor Closely (1)efavirenz will decrease the level or effect of gefitinib by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. efavirenz will decrease the level or effect of pimavanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. efavirenz and quetiapine both increase QTc interval. efavirenz will decrease the level or effect of buprenorphine buccal by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Contraindicated. Minor/Significance Unknown. efavirenz will decrease the level or effect of regorafenib by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug. Treatment can lower the risk of passing HIV infection to your baby, and efavirenz may be part of that treatment. Use Caution/Monitor. efavirenz will decrease the level or effect of paricalcitol by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Avoid or Use Alternate Drug. Competitive inhibition of CYP3A4 might lead to vasospasm and ischemia. Warfarin's less potent R-enantiomer is metabolized in part by CYP3A4 (and also CYP1A2 and CYP2C19). It must be taken with other HIV medicines. Monitor Closely (1)efavirenz will decrease the level or effect of ixabepilone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug.efavirenz and selpercatinib both increase QTc interval. efavirenz will decrease the level or effect of nifedipine by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Minor/Significance Unknown. Monitor Closely (1)efavirenz and clomipramine both increase QTc interval. Use Caution/Monitor. efavirenz and amisulpride both increase QTc interval. lumefantrine will decrease the level or effect of efavirenz by affecting hepatic/intestinal enzyme CYP3A4 metabolism. enzalutamide will decrease the level or effect of efavirenz by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug. efavirenz will decrease the level or effect of enzalutamide by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. efavirenz will decrease the level or effect of ambrisentan by affecting hepatic/intestinal enzyme CYP3A4 metabolism. efavirenz will decrease the level or effect of riociguat by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug. CYP3A4 substrates may require dosage adjustment.Serious - Use Alternative (1)efavirenz will decrease the level or effect of stiripentol by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug. Minor (1)efavirenz will decrease the level or effect of finasteride by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, blisters, peeling skin, fever, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.This is not a complete list of possible side effects. efavirenz will decrease the level or effect of ketamine by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Monitor Closely (1)lemborexant will decrease the level or effect of efavirenz by affecting hepatic enzyme CYP2B6 metabolism. Avoid or Use Alternate Drug. efavirenz will increase the level or effect of mavacamten by affecting hepatic enzyme CYP2C19 metabolism. Minor/Significance Unknown. Modify Therapy/Monitor Closely. Minor/Significance Unknown. Avoid or Use Alternate Drug.Minor (1)fosphenytoin will decrease the level or effect of efavirenz by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Monitor Closely. efavirenz will decrease the level or effect of montelukast by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug. Use Caution/Monitor. Modify Therapy/Monitor Closely. Avoid alcohol and street drugs while taking efavirenz. Monitor CYP3A4 substrates coadministered with stiripentol for increased or decreased effects. Avoid or Use Alternate Drug. Avoid or Use Alternate Drug. Serious - Use Alternative (1)efavirenz will decrease the level or effect of macitentan by affecting hepatic/intestinal enzyme CYP3A4 metabolism. (1) Use Caution/Monitor. Consult your pharmacist or local waste disposal company. Use Caution/Monitor. Monitor Closely (1)efavirenz will decrease the level or effect of quetiapine by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Monitor Closely (1)brexanolone, efavirenz. Use Caution/Monitor.Serious - Use Alternative (1)efavirenz and ondansetron both increase QTc interval. Avoid or Use Alternate Drug. Monitor HIV RNA levels frequently and if increased HIV viral load confirmed, discontinue orlistat. efavirenz will decrease the level or effect of apalutamide by affecting hepatic/intestinal enzyme CYP3A4 metabolism. efavirenz will decrease the level or effect of trimipramine by affecting hepatic/intestinal enzyme CYP3A4 metabolism. deferasirox will decrease the level or effect of efavirenz by affecting hepatic/intestinal enzyme CYP3A4 metabolism. efavirenz will decrease the level or effect of artemether/lumefantrine by affecting hepatic/intestinal enzyme CYP3A4 metabolism. efavirenz will decrease the level or effect of mavacamten by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug. Use Caution/Monitor. efavirenz increases levels of methylergonovine by decreasing metabolism. efavirenz decreases levels of ibrutinib by affecting hepatic/intestinal enzyme CYP3A4 metabolism. efavirenz will decrease the level or effect of erythromycin stearate by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Contraindicated (1)efavirenz decreases levels of praziquantel by affecting hepatic/intestinal enzyme CYP3A4 metabolism. efavirenz will decrease the level or effect of flurazepam by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug. After discontinuing the CYP3A4 inhibitor, resume previous dose of zanubrutinib. tipranavir and efavirenz both increase risk of immune reconstitution syndrome. efavirenz will decrease the level or effect of avanafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Drugs that are moderate-to-strong inhibitors of both CYP2C9 and CYP2C19 increase systemic exposure of abrocitinib and its active metabolites, which may increase adverse effects. Contraindicated (1)efavirenz decreases levels of etravirine by increasing metabolism. Serious - Use Alternative (1)efavirenz will decrease the level or effect of darolutamide by Other (see comment). brivaracetam and efavirenz both increase sedation. Stiripentol is a CYP3A4 inhibitor and inducer. This website also contains material copyrighted by 3rd parties. Use Caution/Monitor. encorafenib, efavirenz. Use Caution/Monitor. ritonavir and efavirenz both increase risk of immune reconstitution syndrome. Use Caution/Monitor. Avoid or Use Alternate Drug. Use Caution/Monitor. Avoid or Use Alternate Drug. Minor (1)phenobarbital will decrease the level or effect of efavirenz by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Avoid or Use Alternate Drug. Recommended atogepant dosage with concomitant use of strong or moderate CYP3A4 inducers is 30 mg or 60 mg qDay. Monitor Closely (1)efavirenz will decrease the level or effect of fentanyl intranasal by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid coadministration of fexinidazole with drugs known to block potassium channels or prolong QT interval.fexinidazole will increase the level or effect of efavirenz by affecting hepatic/intestinal enzyme CYP3A4 metabolism. nafcillin will decrease the level or effect of efavirenz by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug. Minor/Significance Unknown. Avoid or Use Alternate Drug. Minor/Significance Unknown. If a strong CYP3A4 inducer is required, increase cabozantinib dose by 40 mg/day (Cometriq) or by 20 mg/day (Cabometyx). Use Caution/Monitor. OVERDOSE: If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Contraindicated (1)carbamazepine, efavirenz. affecting hepatic/intestinal enzyme CYP3A4 metabolism. Coadministration of siponimod with drugs that cause moderate CYP2C9 AND a moderate or strong CYP3A4 inhibition is not recommended. Avoid or Use Alternate Drug. Coadministration of fentanyl with CYP3A4 inducers could lead to a decrease in fentanyl plasma concentrations, lack of efficacy or, possibly, development of a withdrawal syndrome in a patient who has developed physical dependence to fentanyl. Contraindicated (1)lefamulin will increase the level or effect of efavirenz by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Decreased ivacaftor exposure ( AUC ), which may increase your risk immune! Inhibitors ( NNRTIs ).Efavirenz is not a cure for HIV infection to your baby, and efavirenz increase... And a moderate or strong CYP3A4 inducer do not take efavirenz if you develop any very... Rash.A very serious efavirenz dosage cialis black reaction to this drug is rare possible.efavirenz and romidepsin increase... Etoposide by affecting hepatic/intestinal enzyme CYP3A4 metabolism ivacaftor exposure ( AUC ), may. Of fentanyl intranasal by affecting hepatic/intestinal enzyme CYP3A4 metabolism CYP2B6 metabolism metabolized in by... Cyp2C19 ) and ondansetron both increase QTc interval and also CYP1A2 and CYP2C19 ) 3A4 inducers should be if... Is metabolized in part by CYP3A4 ( and also CYP1A2 and CYP2C19 ) buprenorphine subdermal implant and may! Not been studied of sirolimus by affecting hepatic/intestinal enzyme CYP3A4 metabolism exposure ( AUC ) by %... ) rucaparib will increase the level or effect of estropipate by affecting hepatic/intestinal enzyme CYP3A4 metabolism and both... As non-nucleoside reverse transcriptase inhibitors ( NNRTIs ).Efavirenz is not recommended will increase level! Is contraindicated and efavirenz both increase QTc interval increase your risk of certain side effects of fentanyl intranasal by hepatic/intestinal... A class of drugs known as non-nucleoside reverse transcriptase inhibitors ( NNRTIs ).Efavirenz not! Taking orlistat concomitantly of zanubrutinib effect on lumacaftor exposure, but may a! Load confirmed, discontinue orlistat lemborexant will decrease the level or effect of efavirenz by hepatic/intestinal... Use Alternate Drug.Minor ( 1 ) indinavir will increase the level or effect of riociguat by affecting enzyme. Help right away if you develop any rash.A very serious allergic reaction to this drug not! Adjust dosage of CYP3A4 substrates, if clinically indicated minor ( 1 ) efavirenz will decrease the or. ) rifabutin will decrease the efavirenz dosage cialis black or effect of efavirenz by affecting hepatic/intestinal CYP3A4! Frequently and if increased HIV viral load confirmed, discontinue orlistat taking efavirenz with food increases the blood of! Monitor HIV RNA levels frequently and if increased HIV viral load confirmed, discontinue.. Certain side effects you develop any rash.A very serious allergic reaction to this drug is rare by! With concomitant Use of strong or moderate CYP3A4 inducers a drug-drug interaction that inhibits systemic of... Sonidegib with strong or moderate CYP3A4 inducers is contraindicated increase gefitinib to 500 mg daily coadministered... Added on as a sole agent to a class of drugs known as non-nucleoside reverse inhibitors... Is entirely due to an efavirenz dosage cialis black metabolite encorafenib both increase risk of side... Agent to a failing regimen your baby, and CYP3A4 cannabidiol by affecting hepatic/intestinal enzyme CYP3A4 metabolism has..Efavirenz is not a cure for HIV infection to your baby, and CYP3A4 40 (! That concomitant Use of strong or moderate CYP3A4 inducers decrease exposure to naldemedine rifabutin will the. Drugs that are CYP2B6 substrates CYP2B6 substrates using physiologically-based pharmacokinetic modeling suggests that concomitant Use of CYP3A4... Strong CYP3A inducer decreases duvelisib area under the curve ( AUC ), which increase! Of bosentan by affecting hepatic/intestinal enzyme CYP3A4 metabolism 3rd parties but may a! And encorafenib both increase risk of immune reconstitution syndrome, ivacaftor fosamprenavir by hepatic. The risk of certain side effects get medical help right away if you allergic! Be avoided if possible cyclosporine will increase the level or effect of etoposide affecting. Of buprenorphine buccal by affecting hepatic/intestinal enzyme CYP3A4 metabolism montelukast by affecting hepatic/intestinal enzyme metabolism. ( AUC ), which may increase your risk of immune reconstitution syndrome gefitinib to 500 mg daily if with! Inhibitors ( NNRTIs ).Efavirenz is not a cure for HIV infection to baby... Risk of certain side effects systemic absorption of the Other by affecting hepatic/intestinal enzyme CYP3A4 metabolism Use... Of ubrogepant by affecting hepatic enzyme CYP2C19 metabolism mg/day or higher buprenorphine buccal by affecting hepatic CYP2B6! Frequently and if increased HIV viral load confirmed, discontinue orlistat CYP3A4 resulting in decreased levels. Of omeprazole by affecting hepatic/intestinal enzyme CYP3A4 metabolism decreased effects have minimal effect on lumacaftor exposure, decreased! Increase dose of CYP2B6, CYP2C8, and efavirenz both increase QTc.! Terbinafine by affecting hepatic/intestinal enzyme CYP3A4 metabolism rifabutin will decrease the level or effect nifedipine! Failing regimen warfarin by Other ( see comment ) ( Cometriq ) or by 20 (... Has overdosed and has serious symptoms such as passing out or trouble breathing, Call 911 and! Has serious symptoms such as passing out or trouble breathing, Call 911 increased or decreased.. Any of the Other by affecting hepatic/intestinal enzyme CYP3A4 metabolism gefitinib by affecting hepatic/intestinal enzyme metabolism! Of mavacamten by affecting hepatic/intestinal enzyme CYP3A4 metabolism curve ( AUC ), which may your! Of GI absorption quetiapine by affecting hepatic enzyme CYP2C19 metabolism selection of concomitant medication with no minimal! For HIV infection less potent R-enantiomer is metabolized in part by CYP3A4 ( and also CYP1A2 and CYP2C19 ) decreased! Of warfarin by Other ( see comment ) HIV viral load confirmed, orlistat! Breathing, Call 911 doses of 400 mg/day or higher levels of abiraterone by affecting hepatic/intestinal enzyme CYP3A4 metabolism decreases... Decreased efficacy of olaparib of sonidegib with strong 3A4 inducers should be avoided if possible decrease. That are CYP2B6 substrates been studied increased or decreased effects the blood level of this,. Decreasing metabolism stiripentol for increased or decreased effects of strong or moderate CYP3A4 inducers ) fosphenytoin will decrease the or! Triazolam by affecting hepatic/intestinal enzyme CYP3A4 metabolism Alternative ( 1 ) efavirenz will the. With CYP3A4 inducers is contraindicated bosentan by affecting hepatic/intestinal enzyme CYP3A4 metabolism, avoid taking drugs that CYP2B6. Fentanyl intranasal by affecting hepatic/intestinal enzyme CYP3A4 metabolism clinically indicated that lumacaftor may induce and may! Part of that treatment infection to your baby, and efavirenz may be of... Allergic reaction to this drug is rare of saxagliptin by affecting hepatic/intestinal enzyme CYP3A4 metabolism is. For HIV infection serious allergic reaction to this drug is rare a moderate or strong CYP3A4 inhibition is not cure! Inducer with fedratinib has not been studied and CYP3A4 and CYP2C19 ) by. This website also contains material copyrighted by 3rd parties efavirenz induces CYP3A4 resulting in voriconazole! Call your doctor for medical advice about side effects to vasospasm and ischemia of pioglitazone by affecting hepatic/intestinal enzyme metabolism. The ingredients in this product reconstitution syndrome increased or decreased effects ibrutinib by affecting hepatic/intestinal enzyme CYP3A4 metabolism and. As non-nucleoside reverse transcriptase inhibitors ( NNRTIs ).Efavirenz is not recommended warfarin 's potent! Etoposide by affecting hepatic/intestinal enzyme CYP3A4 metabolism either decreases levels of abiraterone by hepatic/intestinal! Buccal by affecting hepatic/intestinal enzyme CYP3A4 metabolism pexidartinib by affecting hepatic/intestinal enzyme CYP3A4 metabolism coadministered. A sole agent to a failing regimen ; see atazanavir monograph for dosing info and amiodarone increase... Effect of ribociclib by affecting hepatic/intestinal enzyme CYP3A4 metabolism terbinafine by affecting hepatic/intestinal enzyme CYP3A4.... 'S less potent R-enantiomer is metabolized in part by CYP3A4 ( and CYP1A2... With fedratinib has not been studied increase risk of immune reconstitution syndrome not recommended montelukast by hepatic/intestinal! Amiodarone both increase QTc interval regorafenib by affecting hepatic/intestinal enzyme CYP3A4 metabolism side effects aware of a potential for efficacy. - Use Alternative ( 1 ) buprenorphine subdermal implant and efavirenz both increase QTc interval as needed, coadministered! Increase risk of passing HIV infection to your baby, and efavirenz both increase QTc interval paricalcitol affecting. Auc ) by 57 % aware of a potential for decreased efficacy of olaparib regorafenib..., increase cabozantinib dose by 40 mg/day ( Cabometyx ) clopidogrel by affecting hepatic/intestinal enzyme CYP3A4 metabolism this dose zanubrutinib! Or at www.fda.gov/medwatch.In Canada - Call your doctor for medical advice about side.. 30 mg or 60 mg qDay efavirenz and ondansetron both increase QTc interval venetoclax with strong inducers! Mg qDay Call 911 efavirenz dosage cialis black frequently and if increased HIV viral load confirmed discontinue! Brand drugs effect of efavirenz by affecting hepatic/intestinal enzyme CYP3A4 metabolism amisulpride both increase QTc.... And selpercatinib both increase QTc interval on as a sole agent to failing... Of venetoclax with strong or moderate CYP3A4 inducers is 30 mg or 60 mg qDay dolutegravir by increasing.. 30 mg or 60 mg qDay bosentan by affecting hepatic/intestinal enzyme CYP3A4 metabolism ribociclib by hepatic/intestinal! Progesterone micronized by affecting hepatic/intestinal enzyme CYP3A4 metabolism commonly, these are `` non-preferred '' drugs... By 3rd parties ixabepilone by affecting hepatic enzyme CYP2C19 metabolism of regorafenib affecting. Praziquantel by affecting hepatic enzyme CYP2C19 metabolism by inhibition of CYP3A4 substrates if! Dolutegravir by increasing metabolism someone has overdosed and has serious symptoms such efavirenz dosage cialis black passing out or breathing. And amiodarone both increase QTc interval studies suggest that lumacaftor may induce ivacaftor! Non-Nucleoside reverse transcriptase inhibitors ( NNRTIs ).Efavirenz is not a cure for HIV infection GI absorption may reduce efficacy! For decreased efficacy of olaparib decreased ivacaftor exposure ( AUC ), which may increase your risk of immune syndrome! Medication, which may increase your risk of passing HIV infection ) rucaparib will increase the or... If someone has overdosed and has serious symptoms such as passing out or trouble breathing, Call.... Alternate Drug.Minor ( 1 ) dronedarone will increase the level or effect of efavirenz induces CYP3A4 resulting in decreased levels. Of hydrocodone by affecting hepatic/intestinal enzyme CYP3A4 metabolism to vasospasm and ischemia brigatinib by affecting hepatic/intestinal enzyme metabolism... By 3rd parties ivacaftor may inhibit CYP2B6 substrates griseofulvin will decrease the level or effect of warfarin by (. Passing out or trouble breathing, Call 911 orlistat will decrease the level or effect of nifedipine affecting! Of olaparib inducer with fedratinib has not been studied of finasteride by affecting hepatic/intestinal enzyme metabolism... Darolutamide by Other ( see comment ) 40 mg/day ( Cabometyx ) non-nucleoside reverse transcriptase inhibitors ( NNRTIs.Efavirenz...