Drug interactions
Clotrimazole + Eliglustat
Severity: Moderate
Clotrimazole and Eliglustat: 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
Clotrimazole may increase eliglustat exposure through CYP3A4 inhibition, which can prolong the PR, QRS and QT intervals at high concentrations. The risk is greatest in poor or intermediate CYP2D6 metabolizers.
What this interaction means in plain words
Clotrimazole and Eliglustat 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.
Clotrimazole belongs to Anti Fungals; Eliglustat belongs to Miscellaneous.
Why it happens
Clotrimazole inhibits CYP3A4, which contributes to eliglustat metabolism, particularly when CYP2D6 is limited.
What to do
Prefer topical clotrimazole with minimal absorption or an alternative antifungal. If systemic use is needed, check CYP2D6 status and monitor ECG, adjusting eliglustat per labeling.
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?
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Other interactions of Clotrimazole
- Clotrimazole + Lomitapide Major
- Clotrimazole + Mavacamten Major
- Clotrimazole + Mobocertinib Major
- Clotrimazole + Voclosporin Major
- Bosutinib + Clotrimazole Moderate
- Cannabidiol + Clotrimazole Moderate
Other interactions of Eliglustat
- Amiodarone + Eliglustat Contraindicated
- Clarithromycin + Eliglustat Contraindicated
- Dronedarone + Eliglustat Contraindicated
- Eliglustat + Itraconazole Contraindicated
- Eliglustat + Ketoconazole Contraindicated
- Eliglustat + Pimozide Contraindicated
Frequently asked questions
Can I take Clotrimazole with Eliglustat?
MediHelp rates the interaction as moderate. Clotrimazole and Eliglustat 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. Clotrimazole may increase eliglustat exposure through CYP3A4 inhibition, which can prolong the PR, QRS and QT intervals at high concentrations. The risk is greatest in poor or intermediate CYP2D6 metabolizers.
How serious is the interaction between Clotrimazole and Eliglustat?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Prefer topical clotrimazole with minimal absorption or an alternative antifungal. If systemic use is needed, check CYP2D6 status and monitor ECG, adjusting eliglustat per labeling.
What other medicines interact with Clotrimazole?
MediHelp also lists interactions of Clotrimazole with, for example, Lomitapide, Mavacamten, Mobocertinib. The full list is on the Clotrimazole page.
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