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Drug interactions

Elagolix + Ivabradine

Severity: Minor

Elagolix and Ivabradine: 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

Elagolix is a weak to moderate CYP3A inducer and may lower ivabradine concentrations. Reduced exposure could blunt heart rate lowering and weaken symptom control in angina or heart failure.

What this interaction means in plain words

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

Elagolix belongs to Musculoskeletal; Ivabradine belongs to Cardiovascular.

Evidence level: Low

Why it happens

Elagolix induces CYP3A4, increasing the metabolism of ivabradine.

What to do

Monitor resting heart rate and clinical response after starting or stopping elagolix. Adjust the ivabradine dose within the labeled range if heart rate control is lost.

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 Elagolix with Ivabradine?

MediHelp rates the interaction as minor. Elagolix and Ivabradine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Elagolix is a weak to moderate CYP3A inducer and may lower ivabradine concentrations. Reduced exposure could blunt heart rate lowering and weaken symptom control in angina or heart failure.

How serious is the interaction between Elagolix and Ivabradine?

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 resting heart rate and clinical response after starting or stopping elagolix. Adjust the ivabradine dose within the labeled range if heart rate control is lost.

What other medicines interact with Ivabradine?

MediHelp also lists interactions of Ivabradine with, for example, Atazanavir, Clarithromycin, Cobicistat. The full list is on the Ivabradine page.

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