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Can you take Lenacapavir with Nirogacestat?

1 drug interaction and 4 additional warnings found for the following 2 drugs:

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Drug interactions

Major drug interactions

Major:

lenacapavir nirogacestat

Applies to: lenacapavir and nirogacestat

Lenacapavir may significantly increase the blood levels and effects of nirogacestat. This can increase the risk and/or severity of side effects such as diarrhea, liver problems, new non-melanoma skin cancers, electrolyte disturbances, and in women who can become pregnant, ovarian problems. Talk to your doctor if you have any questions or concerns. Your doctor may be able to prescribe alternatives that do not interact. 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

Major food/lifestyle interactions

Major:

nirogacestat Food/Lifestyle

Applies to: nirogacestat

Do not consume grapefruit, grapefruit juice, Seville oranges, or starfruit during treatment with nirogacestat. Doing so can significantly increase the blood levels of nirogacestat and increase the risk and/or severity of side effects such as diarrhea, liver problems, new non-melanoma skin cancers, electrolyte disturbances, and in women who can become pregnant, ovarian problems. 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.

Disease interactions

3 potential interactions Applies to: 2 conditions, including Liver Disease and Renal Dysfunction.

Liver Disease

Moderate:

lenacapavir

Lenacapavir has a moderate potential interaction with Liver Disease.

Lenacapavir has not been studied in patients with severe hepatic impairment (Child-Pugh Class C).

Moderate:

nirogacestat

Nirogacestat has a moderate potential interaction with Liver Disease.

Nirogacestat should be used with caution in patients with severe liver dysfunction as there is insufficient data available to characterize the pharmacokinetics of this drug in this population.

Renal Dysfunction

Moderate:

lenacapavir

Lenacapavir has a moderate potential interaction with Renal Dysfunction.

Lenacapavir has not been studied in patients with end stage renal disease (estimated creatinine clearance less than 15 mL per minute).

More resources

lenacapavir

A total of 496 drugs are known to interact with lenacapavir.

nirogacestat

A total of 373 drugs are known to interact with nirogacestat.

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.