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Drug interactions

Darunavir + Eszopiclone

Severity: Moderate

Darunavir and Eszopiclone: 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

Darunavir, usually boosted with ritonavir or cobicistat, inhibits CYP3A4 and increases eszopiclone exposure. This raises the risk of excessive sedation and next-day impairment.

What this interaction means in plain words

Darunavir and Eszopiclone 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.

Darunavir belongs to Anti Virals; Eszopiclone belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Boosted darunavir inhibits CYP3A4-mediated metabolism of eszopiclone.

What to do

Limit the eszopiclone starting dose to 1 mg and a maximum of 2 mg; monitor for oversedation.

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 Darunavir with Eszopiclone?

MediHelp rates the interaction as moderate. Darunavir and Eszopiclone 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. Darunavir, usually boosted with ritonavir or cobicistat, inhibits CYP3A4 and increases eszopiclone exposure. This raises the risk of excessive sedation and next-day impairment.

How serious is the interaction between Darunavir and Eszopiclone?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Limit the eszopiclone starting dose to 1 mg and a maximum of 2 mg; monitor for oversedation.

What other medicines interact with Eszopiclone?

MediHelp also lists interactions of Eszopiclone with, for example, Calcium / magnesium / potassium / sodium oxybates, Sodium oxybate, Amobarbital. The full list is on the Eszopiclone page.

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