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Drug interactions

Avanafil + Stiripentol

Severity: Moderate

Avanafil and Stiripentol: 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

Stiripentol can both inhibit and induce CYP3A4, so avanafil exposure may change unpredictably. This may cause either toxicity or reduced efficacy.

What this interaction means in plain words

Avanafil and Stiripentol 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.

Avanafil belongs to Genitourinary; Stiripentol belongs to Central Nervous System.

Evidence level: Low

Why it happens

Mixed CYP3A4 inhibition and induction by stiripentol alters avanafil metabolism.

What to do

Monitor avanafil response and tolerability after starting or stopping stiripentol, and adjust the dose accordingly.

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 Avanafil with Stiripentol?

MediHelp rates the interaction as moderate. Avanafil and Stiripentol 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. Stiripentol can both inhibit and induce CYP3A4, so avanafil exposure may change unpredictably. This may cause either toxicity or reduced efficacy.

How serious is the interaction between Avanafil and Stiripentol?

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 avanafil response and tolerability after starting or stopping stiripentol, and adjust the dose accordingly.

What other medicines interact with Avanafil?

MediHelp also lists interactions of Avanafil with, for example, Amyl nitrite, Atazanavir, Clarithromycin. The full list is on the Avanafil page.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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