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Drug interactions

Carvedilol + Darunavir

Severity: Moderate

Carvedilol and Darunavir: 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

Darunavir, usually boosted with ritonavir or cobicistat, may increase carvedilol concentrations via CYP2D6 and P-gp inhibition. This can cause bradycardia and hypotension.

What this interaction means in plain words

Carvedilol and Darunavir 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.

Carvedilol belongs to Cardiovascular; Darunavir belongs to Anti Virals.

Evidence level: Low

Why it happens

Inhibition of CYP2D6 and P-gp (mainly by the booster) reduces carvedilol clearance.

What to do

Monitor heart rate and blood pressure and titrate carvedilol cautiously. Lower the dose if bradycardia or hypotension occurs.

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 Carvedilol with Darunavir?

MediHelp rates the interaction as moderate. Carvedilol and Darunavir 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. Darunavir, usually boosted with ritonavir or cobicistat, may increase carvedilol concentrations via CYP2D6 and P-gp inhibition. This can cause bradycardia and hypotension.

How serious is the interaction between Carvedilol and Darunavir?

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 heart rate and blood pressure and titrate carvedilol cautiously. Lower the dose if bradycardia or hypotension occurs.

What other medicines interact with Carvedilol?

MediHelp also lists interactions of Carvedilol with, for example, Amifostine, Amiodarone, Arformoterol. The full list is on the Carvedilol page.

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

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