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Drug interactions

Bexarotene + Nevirapine

Severity: Moderate

Bexarotene and Nevirapine: 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

Bexarotene is cleared by CYP3A4, so nevirapine induction may lower its levels and reduce antineoplastic effect. The magnitude is not well defined.

What this interaction means in plain words

Bexarotene and Nevirapine 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.

Bexarotene belongs to Oncology; Nevirapine belongs to Anti Virals.

Evidence level: Low

Why it happens

Nevirapine induces CYP3A4 metabolism of bexarotene.

What to do

Monitor treatment response to bexarotene and consider a dose adjustment if efficacy declines. Recheck response after nevirapine is changed.

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 Bexarotene with Nevirapine?

MediHelp rates the interaction as moderate. Bexarotene and Nevirapine 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. Bexarotene is cleared by CYP3A4, so nevirapine induction may lower its levels and reduce antineoplastic effect. The magnitude is not well defined.

How serious is the interaction between Bexarotene and Nevirapine?

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 treatment response to bexarotene and consider a dose adjustment if efficacy declines. Recheck response after nevirapine is changed.

What other medicines interact with Nevirapine?

MediHelp also lists interactions of Nevirapine with, for example, Elbasvir / grazoprevir, Ranolazine, St john's wort. The full list is on the Nevirapine page.

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

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