Drug interactions
Apalutamide + Valsartan
Severity: Minor
Apalutamide and Valsartan: minor interaction.
Last updated
For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.
Summary
Apalutamide is an inducer of several enzymes and transporters, including OATP1B1, and may lower valsartan exposure. The expected effect is a modest loss of blood pressure control.
What this interaction means in plain words
Apalutamide and Valsartan have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.
Apalutamide belongs to Endocrine; Valsartan belongs to Cardiovascular.
Why it happens
Induction of hepatic uptake transporter OATP1B1 and metabolic enzymes by apalutamide may reduce valsartan systemic exposure.
What to do
Monitor blood pressure after starting apalutamide and increase the valsartan dose if needed.
What to ask your pharmacist
- Is there anything I should notice while taking both?
- Do I need to tell my doctor at the next visit?
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Other interactions of Valsartan
- Aliskiren + Valsartan Contraindicated
- Sparsentan + Valsartan Contraindicated
- Aldesleukin + Valsartan Major
- Amifostine + Valsartan Major
- Amiloride + Valsartan Major
- Amlodipine-benazepril + Valsartan Major
Other interactions of Apalutamide
- Apalutamide + Cabotegravir Contraindicated
- Apalutamide + Cobicistat Contraindicated
- Apalutamide + Doravirine Contraindicated
- Apalutamide + Elbasvir / grazoprevir Contraindicated
- Apalutamide + Ensitrelvir Contraindicated
- Apalutamide + Fostemsavir Contraindicated
Frequently asked questions
Can I take Apalutamide with Valsartan?
MediHelp rates the interaction as minor. Apalutamide and Valsartan have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Apalutamide is an inducer of several enzymes and transporters, including OATP1B1, and may lower valsartan exposure. The expected effect is a modest loss of blood pressure control.
How serious is the interaction between Apalutamide and Valsartan?
MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood pressure after starting apalutamide and increase the valsartan dose if needed.
What other medicines interact with Valsartan?
MediHelp also lists interactions of Valsartan with, for example, Aliskiren, Sparsentan, Aldesleukin. The full list is on the Valsartan page.
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