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Drug interactions

Donepezil + Etravirine

Severity: Minor

Donepezil and Etravirine: 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

Etravirine is a CYP3A4 inducer and may reduce donepezil concentrations. This could weaken its cognitive benefit, although the effect is likely modest.

What this interaction means in plain words

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

Donepezil belongs to Central Nervous System; Etravirine belongs to Anti Virals.

Evidence level: Low

Why it happens

CYP3A4 induction increasing donepezil clearance.

What to do

Monitor cognitive and functional response and increase the donepezil dose if benefit declines. Reassess when etravirine is stopped.

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 Donepezil with Etravirine?

MediHelp rates the interaction as minor. Donepezil and Etravirine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Etravirine is a CYP3A4 inducer and may reduce donepezil concentrations. This could weaken its cognitive benefit, although the effect is likely modest.

How serious is the interaction between Donepezil and Etravirine?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor cognitive and functional response and increase the donepezil dose if benefit declines. Reassess when etravirine is stopped.

What other medicines interact with Donepezil?

MediHelp also lists interactions of Donepezil with, for example, Dronedarone, Pimozide, Thioridazine. The full list is on the Donepezil page.

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