Drug interactions
Darifenacin + Quinupristin / dalfopristin
Severity: Moderate
Darifenacin and Quinupristin / dalfopristin: 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
Quinupristin/dalfopristin inhibits CYP3A4 and can raise darifenacin exposure, increasing the risk of anticholinergic adverse effects.
What this interaction means in plain words
Darifenacin and Quinupristin / dalfopristin 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.
Why it happens
Inhibition of CYP3A4-mediated darifenacin metabolism.
What to do
Monitor for anticholinergic adverse effects during the course of antibiotic therapy and reduce the darifenacin dose if they occur.
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 Darifenacin
Frequently asked questions
Can I take Darifenacin with Quinupristin / dalfopristin?
MediHelp rates the interaction as moderate. Darifenacin and Quinupristin / dalfopristin 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. Quinupristin/dalfopristin inhibits CYP3A4 and can raise darifenacin exposure, increasing the risk of anticholinergic adverse effects.
How serious is the interaction between Darifenacin and Quinupristin / dalfopristin?
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 for anticholinergic adverse effects during the course of antibiotic therapy and reduce the darifenacin dose if they occur.
What other medicines interact with Darifenacin?
MediHelp also lists interactions of Darifenacin with, for example, Atazanavir, Bethanechol, Clarithromycin. The full list is on the Darifenacin page.
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