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Drug interactions

Danicopan + Diltiazem

Severity: Moderate

Danicopan 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

Danicopan inhibits P-glycoprotein and may increase diltiazem exposure. This could increase bradycardia, AV conduction delay and hypotension.

What this interaction means in plain words

Danicopan 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.

Danicopan belongs to Miscellaneous; Diltiazem belongs to Cardiovascular.

Evidence level: Low

Why it happens

Inhibition of intestinal P-glycoprotein efflux by danicopan increases diltiazem absorption.

What to do

Monitor heart rate, ECG and blood pressure when starting danicopan, and consider lowering the diltiazem dose if exposure-related effects appear.

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 Danicopan with Diltiazem?

MediHelp rates the interaction as moderate. Danicopan 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. Danicopan inhibits P-glycoprotein and may increase diltiazem exposure. This could increase bradycardia, AV conduction delay and hypotension.

How serious is the interaction between Danicopan 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: Monitor heart rate, ECG and blood pressure when starting danicopan, and consider lowering the diltiazem dose if exposure-related effects appear.

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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