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Can you take Armodafinil with Avacopan?

1 drug interaction and 12 additional warnings found for the following 2 drugs:

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Drug interactions

Moderate drug interactions

Moderate:

armodafinil avacopan

Applies to: armodafinil and avacopan

Armodafinil may reduce the blood levels of avacopan, which may make the medication less effective in some cases.

Talk to your doctor if you have any questions or concerns. Your doctor may be able to prescribe alternatives that do not interact, or you may need a dose adjustment or more frequent monitoring 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.

Food/lifestyle interactions

Moderate food/lifestyle interactions

Moderate:

avacopan Food/Lifestyle

Applies to: avacopan

To ensure adequate absorption of the medication, avacopan should be taken with food.

You should avoid or limit consumption of grapefruit, grapefruit juice, or any supplements that contain grapefruit extract during treatment with avacopan unless directed otherwise by your doctor.

Grapefruit juice can increase the blood levels of avacopan. This may increase the risk and/or severity of side effects such as:

  • nausea
  • vomiting
  • diarrhea
  • infections
  • liver problems

You should seek immediate medical attention if you develop signs and symptoms of liver damage such as:

  • fever
  • chills
  • joint pain or swelling
  • unusual bleeding or bruising
  • skin rash
  • itching
  • loss of appetite
  • fatigue
  • nausea
  • vomiting
  • dark colored urine
  • light colored stools
  • yellowing of the skin or eyes

Talk to your doctor if you have any questions or concerns. 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.

Minor food/lifestyle interactions

Minor:

armodafinil Food/Lifestyle

Applies to: armodafinil

Information for this minor interaction is available on the professional version.

Disease interactions

10 potential interactions Applies to: 7 conditions, including Depression, Psychosis, Liver Disease, Cardiovascular Conditions and Disorders, and Alcoholism.

Alcoholism

Moderate:

armodafinil

Armodafinil has a moderate potential interaction with Alcoholism.

Patients with excessive sleepiness, including those taking armodafinil, should be frequently reassessed for their degree of sleepiness and, if appropriate, advised to avoid driving or any other potentially dangerous activity. Patients should refrain from drinking alcohol while taking armodafinil as any drug affecting the central nervous system (CNS) may alter judgment, thinking or motor skills.

Cardiovascular Conditions and Disorders

Moderate:

armodafinil

Armodafinil has a moderate potential interaction with Cardiovascular Conditions and Disorders.

Armodafinil may cause ECG changes, chest pain, or arrhythmia. Armodafinil should be used with caution in patients with cardiovascular complications. Armodafinil should not be used in patients with a history of left ventricular hypertrophy or in patients with mitral valve prolapse who have experienced the mitral valve prolapse syndrome when previously receiving CNS stimulants. It is recommended to monitor heart rate and blood pressure during treatment with armodafinil. Caution should be exercised when prescribing armodafinil to patients with known cardiovascular disease.

Depression

Major:

armodafinil

Armodafinil has a major potential interaction with Depression.

The use of CNS stimulants can cause psychotic symptoms, suicidal ideation, and aggression, and can exacerbate symptoms of behavior disturbance and thought disorder; CNS stimulants may induce a manic or mixed episode in patients with bipolar disorder. Psychiatric symptoms have been reported in patients with and without history of psychiatric disorders. All patients (particularly those with psychotic or bipolar disorders) should be monitored closely, especially during treatment initiation and at times of dose changes. Extreme caution should be exercised when CNS stimulants are given to patients with a history of psychosis, depression, mania, or bipolar disorder. Prior to initiating therapy, all patients should be screened for risk factors for developing a manic episode (e.g., comorbid or history of depressive symptoms or family history of suicide, bipolar disease, or depression). If any psychiatric symptoms emerge or are exacerbated, treatment suspension should be considered. Some CNS stimulants are contraindicated in patients with marked agitation or anxiety.

Moderate:

armodafinil

Armodafinil has a moderate potential interaction with Depression.

Armodafinil may cause adverse psychiatric reactions. Caution should be exercised when using this agent in patients with a history of psychosis, depression, or mania. If psychiatric symptoms develop in association with armodafinil administration, consider discontinuing armodafinil. Close monitoring of psychiatric symptoms is recommended.

Infectious Gastroenteritis

Major:

avacopan

Avacopan has a major potential interaction with Infectious Gastroenteritis.

Patients with active, serious infections, including localized infections, should avoid the use of avacopan. It is recommended to consider the risks and benefits before using this drug in patients with chronic or recurrent infection, those who have been exposed to tuberculosis, a history of a serious or an opportunistic infection, have resided or traveled in areas of endemic tuberculosis or endemic mycoses; or have underlying conditions which can predispose them to infection. Monitor closely for developing signs and symptoms of infections during and after treatment and, if appropriate, treat accordingly. Treatment interruption should be considered if serious or opportunistic infections develop.

Liver Disease

Moderate:

armodafinil

Armodafinil has a moderate potential interaction with Liver Disease.

In a study to determine the pharmacokinetics and metabolism of armodafinil in patients with cirrhosis, the oral clearance of armodafinil was decreased by about 60%, and the steady state concentration was doubled compared to healthy patients. The dosage of armodafinil should be reduced in patients with severe hepatic impairment. Close monitoring is recommended.

Moderate:

avacopan

Avacopan has a moderate potential interaction with Liver Disease.

Avacopan is not recommended in patients with active, untreated and/or uncontrolled chronic liver disease (e.g., chronic active hepatitis B, untreated hepatitis C, uncontrolled autoimmune hepatitis) and cirrhosis. It is recommended to obtain liver functions tests (serum ALT, AST, alkaline phosphatase, and total bilirubin) before treatment initiation, every 4 weeks for the first 6 months, and as clinically indicated. Promptly evaluate a patient receiving this drug if it presents with ALT or AST greater than 3 times the upper limit of normal (ULN) and consider withholding treatment temporarily as clinically indicated. Treatment should be discontinued until drug-induced liver injury is ruled out if a patient presents with ALT or AST 5 times the ULN, or develops transaminases greater than 3 times the ULN with elevation of bilirubin to greater than 2 times the ULN . Benefits and risks should be considered prior to administering this drug to patients with liver disease.

Psychosis

Major:

armodafinil

Armodafinil has a major potential interaction with Psychosis.

The use of CNS stimulants can cause psychotic symptoms, suicidal ideation, and aggression, and can exacerbate symptoms of behavior disturbance and thought disorder; CNS stimulants may induce a manic or mixed episode in patients with bipolar disorder. Psychiatric symptoms have been reported in patients with and without history of psychiatric disorders. All patients (particularly those with psychotic or bipolar disorders) should be monitored closely, especially during treatment initiation and at times of dose changes. Extreme caution should be exercised when CNS stimulants are given to patients with a history of psychosis, depression, mania, or bipolar disorder. Prior to initiating therapy, all patients should be screened for risk factors for developing a manic episode (e.g., comorbid or history of depressive symptoms or family history of suicide, bipolar disease, or depression). If any psychiatric symptoms emerge or are exacerbated, treatment suspension should be considered. Some CNS stimulants are contraindicated in patients with marked agitation or anxiety.

Moderate:

armodafinil

Armodafinil has a moderate potential interaction with Psychosis.

Armodafinil may cause adverse psychiatric reactions. Caution should be exercised when using this agent in patients with a history of psychosis, depression, or mania. If psychiatric symptoms develop in association with armodafinil administration, consider discontinuing armodafinil. Close monitoring of psychiatric symptoms is recommended.

Valvular Heart Disease

Moderate:

armodafinil

Armodafinil has a moderate potential interaction with Valvular Heart Disease.

Armodafinil may cause ECG changes, chest pain, or arrhythmia. Armodafinil should be used with caution in patients with cardiovascular complications. Armodafinil should not be used in patients with a history of left ventricular hypertrophy or in patients with mitral valve prolapse who have experienced the mitral valve prolapse syndrome when previously receiving CNS stimulants. It is recommended to monitor heart rate and blood pressure during treatment with armodafinil. Caution should be exercised when prescribing armodafinil to patients with known cardiovascular disease.

More resources

armodafinil

A total of 527 drugs are known to interact with armodafinil.

avacopan

A total of 548 drugs are known to interact with avacopan.

Drug Interaction Classification

These classifications are only a guideline. The relevance of a particular drug interaction to a specific individual is difficult to determine. Always consult your healthcare provider before starting or stopping any medication.
Major Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit.
Moderate Moderately clinically significant. Usually avoid combinations; use it only under special circumstances.
Minor Minimally clinically significant. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan.
Unknown No interaction information available.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.