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Drug interactions

Dutasteride + Verapamil

Severity: Minor

Dutasteride and Verapamil: 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

Verapamil inhibits CYP3A4 and has been shown to modestly raise dutasteride concentrations. Given dutasteride's wide therapeutic margin, this is rarely clinically important.

What this interaction means in plain words

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

Dutasteride belongs to Genitourinary; Verapamil belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

Verapamil inhibits CYP3A4, reducing dutasteride clearance.

What to do

No dose adjustment is required; monitor for dutasteride adverse effects and for hypotension or bradycardia from verapamil as usual.

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 Dutasteride with Verapamil?

MediHelp rates the interaction as minor. Dutasteride and Verapamil have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Verapamil inhibits CYP3A4 and has been shown to modestly raise dutasteride concentrations. Given dutasteride's wide therapeutic margin, this is rarely clinically important.

How serious is the interaction between Dutasteride and Verapamil?

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 adjustment is required; monitor for dutasteride adverse effects and for hypotension or bradycardia from verapamil as usual.

What other medicines interact with Dutasteride?

MediHelp also lists interactions of Dutasteride with, for example, Levoketoconazole, Nefazodone, Rifampin. The full list is on the Dutasteride page.

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