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Drug interactions

Elvitegravir + Mifepristone

Severity: Moderate

Elvitegravir and Mifepristone: 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

Mifepristone inhibits CYP3A4 and may raise elvitegravir levels. Elvitegravir is typically boosted, so the added effect is likely modest, but mifepristone exposure may also change.

What this interaction means in plain words

Elvitegravir and Mifepristone 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.

Evidence level: Low

Why it happens

CYP3A4 inhibition reduces elvitegravir metabolism.

What to do

Monitor for adverse effects of elvitegravir such as nausea and diarrhea. Review the combination with an HIV specialist.

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 Elvitegravir with Mifepristone?

MediHelp rates the interaction as moderate. Elvitegravir and Mifepristone 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. Mifepristone inhibits CYP3A4 and may raise elvitegravir levels. Elvitegravir is typically boosted, so the added effect is likely modest, but mifepristone exposure may also change.

How serious is the interaction between Elvitegravir and Mifepristone?

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 adverse effects of elvitegravir such as nausea and diarrhea. Review the combination with an HIV specialist.

What other medicines interact with Mifepristone?

MediHelp also lists interactions of Mifepristone with, for example, Apixaban, Argatroban, Cisapride. The full list is on the Mifepristone page.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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