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Drug interactions

Atazanavir + Galantamine

Severity: Minor

Atazanavir and Galantamine: 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

Atazanavir inhibits CYP3A4, one of the two main enzymes that clear galantamine, so galantamine exposure may rise modestly. This could increase cholinergic effects such as nausea, vomiting, bradycardia and dizziness.

What this interaction means in plain words

Atazanavir and Galantamine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Atazanavir belongs to Anti Virals; Galantamine belongs to Central Nervous System.

Evidence level: Low

Why it happens

Inhibition of CYP3A4-mediated galantamine metabolism by atazanavir.

What to do

No routine dose change is needed; titrate galantamine according to tolerability and monitor heart rate and gastrointestinal symptoms.

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?

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 Atazanavir with Galantamine?

MediHelp rates the interaction as minor. Atazanavir and Galantamine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Atazanavir inhibits CYP3A4, one of the two main enzymes that clear galantamine, so galantamine exposure may rise modestly. This could increase cholinergic effects such as nausea, vomiting, bradycardia and dizziness.

How serious is the interaction between Atazanavir and Galantamine?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No routine dose change is needed; titrate galantamine according to tolerability and monitor heart rate and gastrointestinal symptoms.

What other medicines interact with Galantamine?

MediHelp also lists interactions of Galantamine with, for example, Memantine-donepezil, Physostigmine, Ponesimod. The full list is on the Galantamine page.

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

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