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Drug interactions

Entecavir + Letermovir

Severity: Minor

Entecavir and Letermovir: 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

Entecavir is eliminated mainly by the kidney through filtration and active tubular secretion. Letermovir could theoretically compete for renal transport, but no meaningful rise in either drug has been established, so any clinical effect is likely small.

What this interaction means in plain words

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

Entecavir belongs to Anti Virals; Letermovir belongs to Anti Virals.

Evidence level: Low

Why it happens

Possible competition for renal tubular secretion; the effect is theoretical and not well established.

What to do

No dose change is needed. Monitor renal function periodically in patients with renal impairment.

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 Entecavir with Letermovir?

MediHelp rates the interaction as minor. Entecavir and Letermovir have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Entecavir is eliminated mainly by the kidney through filtration and active tubular secretion. Letermovir could theoretically compete for renal transport, but no meaningful rise in either drug has been established, so any clinical effect is likely small.

How serious is the interaction between Entecavir and Letermovir?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No dose change is needed. Monitor renal function periodically in patients with renal impairment.

What other medicines interact with Entecavir?

MediHelp also lists interactions of Entecavir with, for example, Alogliptin-metformin, Canagliflozin-metformin, Cidofovir. The full list is on the Entecavir page.

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

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