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Drug interactions

Capivasertib + Diltiazem

Severity: Moderate

Capivasertib and Diltiazem: 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

Diltiazem may increase capivasertib exposure through CYP3A4 inhibition, potentially worsening hyperglycemia, diarrhea and rash.

What this interaction means in plain words

Capivasertib and Diltiazem 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.

Capivasertib belongs to Oncology; Diltiazem belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

Inhibition of CYP3A4 metabolism of capivasertib by diltiazem.

What to do

Reduce the capivasertib dose per labeling when used with moderate CYP3A inhibitors, and monitor blood glucose and skin and GI toxicity.

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 Capivasertib with Diltiazem?

MediHelp rates the interaction as moderate. Capivasertib and Diltiazem 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. Diltiazem may increase capivasertib exposure through CYP3A4 inhibition, potentially worsening hyperglycemia, diarrhea and rash.

How serious is the interaction between Capivasertib and Diltiazem?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Reduce the capivasertib dose per labeling when used with moderate CYP3A inhibitors, and monitor blood glucose and skin and GI toxicity.

What other medicines interact with Diltiazem?

MediHelp also lists interactions of Diltiazem with, for example, Flibanserin, Ivabradine, Lomitapide. The full list is on the Diltiazem page.

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

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