Drug interactions
Edoxaban + Ledipasvir / sofosbuvir
Severity: Moderate
Edoxaban and Ledipasvir / sofosbuvir: 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
Ledipasvir inhibits P-glycoprotein and may increase edoxaban exposure, raising bleeding risk. Hepatic function changes during hepatitis C treatment may also affect anticoagulation.
What this interaction means in plain words
Edoxaban and Ledipasvir / sofosbuvir 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.
Why it happens
Ledipasvir inhibits intestinal P-glycoprotein, increasing edoxaban absorption.
What to do
Monitor for bleeding and renal and hepatic function; consider 30 mg daily for DVT/PE treatment.
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?
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Other interactions of Edoxaban
- Apixaban + Edoxaban Contraindicated
- Defibrotide + Edoxaban Contraindicated
- Edoxaban + Ketorolac Contraindicated
- Abciximab + Edoxaban Major
- Acetylsalicylic acid + Edoxaban Major
- Argatroban + Edoxaban Major
Frequently asked questions
Can I take Edoxaban with Ledipasvir / sofosbuvir?
MediHelp rates the interaction as moderate. Edoxaban and Ledipasvir / sofosbuvir 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. Ledipasvir inhibits P-glycoprotein and may increase edoxaban exposure, raising bleeding risk. Hepatic function changes during hepatitis C treatment may also affect anticoagulation.
How serious is the interaction between Edoxaban and Ledipasvir / sofosbuvir?
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 bleeding and renal and hepatic function; consider 30 mg daily for DVT/PE treatment.
What other medicines interact with Edoxaban?
MediHelp also lists interactions of Edoxaban with, for example, Apixaban, Defibrotide, Ketorolac. The full list is on the Edoxaban page.
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