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Drug interactions

Darunavir + Isoniazid

Severity: Minor

Darunavir and Isoniazid: minor 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

Isoniazid may weakly inhibit CYP3A4, but darunavir is given with a strong booster, so any additional effect is negligible. Both drugs can cause hepatotoxicity.

What this interaction means in plain words

Darunavir and Isoniazid have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Darunavir belongs to Anti Virals; Isoniazid belongs to Anti Bacterial.

Evidence level: Low

Why it happens

Weak CYP3A4 inhibition by isoniazid; additive hepatotoxicity is the main concern.

What to do

No dose change needed. Monitor liver enzymes during combined therapy.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Isoniazid?

MediHelp rates the interaction as minor. Darunavir and Isoniazid have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Isoniazid may weakly inhibit CYP3A4, but darunavir is given with a strong booster, so any additional effect is negligible. Both drugs can cause hepatotoxicity.

How serious is the interaction between Darunavir and Isoniazid?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No dose change needed. Monitor liver enzymes during combined therapy.

What other medicines interact with Isoniazid?

MediHelp also lists interactions of Isoniazid with, for example, Bacillus calmette-guerin substrain tice, Benzhydrocodone / acetaminophen, Carbamazepine. The full list is on the Isoniazid page.

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