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Drug interactions

Efavirenz + Elagolix

Severity: Moderate

Efavirenz and Elagolix: 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

Efavirenz, a CYP3A4 inducer, can reduce elagolix concentrations and efficacy, while elagolix as a weak-to-moderate inducer may lower efavirenz levels. Reduced efficacy of either drug is possible.

What this interaction means in plain words

Efavirenz and Elagolix 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.

Efavirenz belongs to Anti Virals; Elagolix belongs to Musculoskeletal.

Evidence level: Low

Why it happens

Mutual CYP3A4 induction.

What to do

Monitor endometriosis or fibroid symptom control and HIV viral load. Consider alternative therapy if elagolix response is inadequate.

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?

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 Efavirenz with Elagolix?

MediHelp rates the interaction as moderate. Efavirenz and Elagolix 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. Efavirenz, a CYP3A4 inducer, can reduce elagolix concentrations and efficacy, while elagolix as a weak-to-moderate inducer may lower efavirenz levels. Reduced efficacy of either drug is possible.

How serious is the interaction between Efavirenz and Elagolix?

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 endometriosis or fibroid symptom control and HIV viral load. Consider alternative therapy if elagolix response is inadequate.

What other medicines interact with Efavirenz?

MediHelp also lists interactions of Efavirenz with, for example, Cobimetinib, Dienogest / estradiol valerate, Dihydroergotamine intranasal. The full list is on the Efavirenz page.

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

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