Drug interactions
Elagolix + Gemfibrozil
Severity: Contraindicated
Elagolix and Gemfibrozil: contraindicated 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
Gemfibrozil raises elagolix plasma concentrations substantially. Higher elagolix exposure increases the risk of dose-related adverse effects such as bone mineral density loss, hepatic transaminase elevation and mood changes. Labeling lists strong OATP1B1 inhibitors as contraindicated.
What this interaction means in plain words
Elagolix and Gemfibrozil are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.
Elagolix belongs to Musculoskeletal; Gemfibrozil belongs to Cardiovascular.
Why it happens
Gemfibrozil inhibits hepatic OATP1B1 uptake of elagolix, reducing its hepatic clearance and increasing systemic exposure.
What to do
Do not co-administer elagolix with gemfibrozil. Choose a different lipid-lowering agent such as a statin or fenofibrate, or an alternative therapy for endometriosis.
What to ask your pharmacist
- Is there an alternative to one of these two medicines for me?
- If both are essential, who is monitoring me and how often?
- Which symptoms mean I should stop and seek help straight away?
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Other interactions of Gemfibrozil
- Daprodustat + Gemfibrozil Contraindicated
- Gemfibrozil + Mavacamten Contraindicated
- Gemfibrozil + Metformin-repaglinide Contraindicated
- Gemfibrozil + Ombitasvir / paritaprevir / ritonavir and dasabuvir Contraindicated
- Gemfibrozil + Repaglinide Contraindicated
- Gemfibrozil + Selexipag Contraindicated
Other interactions of Elagolix
Frequently asked questions
Can I take Elagolix with Gemfibrozil?
MediHelp rates the interaction as contraindicated. Elagolix and Gemfibrozil are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Gemfibrozil raises elagolix plasma concentrations substantially. Higher elagolix exposure increases the risk of dose-related adverse effects such as bone mineral density loss, hepatic transaminase elevation and mood changes. Labeling lists strong OATP1B1 inhibitors as contraindicated.
How serious is the interaction between Elagolix and Gemfibrozil?
MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not co-administer elagolix with gemfibrozil. Choose a different lipid-lowering agent such as a statin or fenofibrate, or an alternative therapy for endometriosis.
What other medicines interact with Gemfibrozil?
MediHelp also lists interactions of Gemfibrozil with, for example, Daprodustat, Mavacamten, Metformin-repaglinide. The full list is on the Gemfibrozil page.
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