Drug interactions
Clotrimazole + Finerenone
Severity: Moderate
Clotrimazole and Finerenone: 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 given in a way that achieves systemic exposure may raise finerenone levels through CYP3A4 inhibition. Higher finerenone exposure increases the risk of hyperkalemia and reduced renal function. Topical use carries little risk.
What this interaction means in plain words
Clotrimazole and Finerenone 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; Finerenone belongs to Cardiovascular.
Why it happens
Inhibition of CYP3A4-mediated metabolism of finerenone.
What to do
Monitor serum potassium and renal function when starting or changing the dose of either drug. Adjust finerenone dose according to potassium results.
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 Finerenone
- Carbamazepine + Finerenone Contraindicated
- Clarithromycin + Finerenone Contraindicated
- Ensitrelvir + Finerenone Contraindicated
- Finerenone + Itraconazole Contraindicated
- Finerenone + Ketoconazole Contraindicated
- Finerenone + Posaconazole Contraindicated
Frequently asked questions
Can I take Clotrimazole with Finerenone?
MediHelp rates the interaction as moderate. Clotrimazole and Finerenone 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 given in a way that achieves systemic exposure may raise finerenone levels through CYP3A4 inhibition. Higher finerenone exposure increases the risk of hyperkalemia and reduced renal function. Topical use carries little risk.
How serious is the interaction between Clotrimazole and Finerenone?
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 serum potassium and renal function when starting or changing the dose of either drug. Adjust finerenone dose according to potassium results.
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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