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Drug interactions

Darunavir + Ethosuximide

Severity: Moderate

Darunavir and Ethosuximide: 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 is usually given with a booster such as ritonavir or cobicistat and strongly inhibits CYP3A4. Ethosuximide levels may rise, increasing the risk of dose-related toxicity.

What this interaction means in plain words

Darunavir and Ethosuximide 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; Ethosuximide belongs to Central Nervous System.

Evidence level: Low

Why it happens

Boosted darunavir inhibits CYP3A4 and reduces ethosuximide clearance.

What to do

Monitor for ethosuximide adverse effects and check serum levels when starting or stopping the antiretroviral. Reduce the ethosuximide dose as needed.

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 Ethosuximide?

MediHelp rates the interaction as moderate. Darunavir and Ethosuximide 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 is usually given with a booster such as ritonavir or cobicistat and strongly inhibits CYP3A4. Ethosuximide levels may rise, increasing the risk of dose-related toxicity.

How serious is the interaction between Darunavir and Ethosuximide?

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 ethosuximide adverse effects and check serum levels when starting or stopping the antiretroviral. Reduce the ethosuximide dose as needed.

What other medicines interact with Ethosuximide?

MediHelp also lists interactions of Ethosuximide with, for example, Benzhydrocodone / acetaminophen, Buprenorphine long-acting, Buprenorphine subdermal implant. The full list is on the Ethosuximide page.

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