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Drug interactions

Danicopan + Loperamide

Severity: Moderate

Danicopan and Loperamide: 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-gp and can increase exposure to P-gp substrates such as loperamide. Higher loperamide levels may lead to central opioid effects, constipation and QT prolongation.

What this interaction means in plain words

Danicopan and Loperamide 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; Loperamide belongs to Gastrointestinal Tract.

Evidence level: Moderate

Why it happens

P-gp inhibition by danicopan increases loperamide absorption and CNS penetration.

What to do

Use the lowest effective loperamide dose and avoid exceeding labeled limits. Monitor for sedation, constipation and palpitations.

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 Loperamide?

MediHelp rates the interaction as moderate. Danicopan and Loperamide 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-gp and can increase exposure to P-gp substrates such as loperamide. Higher loperamide levels may lead to central opioid effects, constipation and QT prolongation.

How serious is the interaction between Danicopan and Loperamide?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use the lowest effective loperamide dose and avoid exceeding labeled limits. Monitor for sedation, constipation and palpitations.

What other medicines interact with Loperamide?

MediHelp also lists interactions of Loperamide with, for example, Amiodarone, Amisulpride, Anagrelide. The full list is on the Loperamide page.

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

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