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Drug interactions

Aripiprazole + Letermovir

Severity: Moderate

Aripiprazole and Letermovir: moderate 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

Letermovir inhibits CYP3A4 in a moderate fashion and may increase aripiprazole concentrations. This raises the likelihood of dose-related adverse effects.

What this interaction means in plain words

Aripiprazole and Letermovir can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Aripiprazole belongs to Central Nervous System; Letermovir belongs to Anti Virals.

Evidence level: Low

Why it happens

Letermovir inhibits CYP3A4-mediated metabolism of aripiprazole.

What to do

Monitor for increased aripiprazole effects such as akathisia, sedation and hypotension, and lower the dose if they occur.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Aripiprazole with Letermovir?

MediHelp rates the interaction as moderate. Aripiprazole and Letermovir can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Letermovir inhibits CYP3A4 in a moderate fashion and may increase aripiprazole concentrations. This raises the likelihood of dose-related adverse effects.

How serious is the interaction between Aripiprazole and Letermovir?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for increased aripiprazole effects such as akathisia, sedation and hypotension, and lower the dose if they occur.

What other medicines interact with Aripiprazole?

MediHelp also lists interactions of Aripiprazole with, for example, Pimozide, Thioridazine, Amisulpride. The full list is on the Aripiprazole page.

Full monographs, dosing and an interaction checker in the MediHelp app

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