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Drug interactions

Duvelisib + Escitalopram

Severity: Minor

Duvelisib and Escitalopram: 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

Duvelisib inhibits CYP3A4, which contributes to escitalopram metabolism, so escitalopram exposure may rise. The effect is probably modest because CYP2C19 is the main pathway, but it could increase adverse effects including QT prolongation.

What this interaction means in plain words

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

Duvelisib belongs to Oncology; Escitalopram belongs to Central Nervous System.

Evidence level: Low

Why it happens

Duvelisib inhibition of CYP3A4-mediated metabolism of escitalopram.

What to do

Monitor for escitalopram adverse effects and consider a dose reduction if they appear.

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 Duvelisib with Escitalopram?

MediHelp rates the interaction as minor. Duvelisib and Escitalopram have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Duvelisib inhibits CYP3A4, which contributes to escitalopram metabolism, so escitalopram exposure may rise. The effect is probably modest because CYP2C19 is the main pathway, but it could increase adverse effects including QT prolongation.

How serious is the interaction between Duvelisib and Escitalopram?

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 for escitalopram adverse effects and consider a dose reduction if they appear.

What other medicines interact with Escitalopram?

MediHelp also lists interactions of Escitalopram with, for example, Cisapride, Citalopram, Isocarboxazid. The full list is on the Escitalopram page.

Full monographs, dosing and an interaction checker in the MediHelp app

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