Drug interactions
Finerenone + Micafungin
Severity: Minor
Finerenone and Micafungin: 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
Micafungin is a weak CYP3A4 inhibitor and finerenone is a CYP3A4 substrate. Finerenone exposure may increase slightly, raising the potential for hyperkalemia.
What this interaction means in plain words
Finerenone and Micafungin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.
Finerenone belongs to Cardiovascular; Micafungin belongs to Anti Fungals.
Why it happens
Weak CYP3A4 inhibition by micafungin reduces finerenone metabolism.
What to do
Monitor serum potassium at initiation and after dose changes, and adjust finerenone per labeling if potassium rises.
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?
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Other interactions of Micafungin
- Lomitapide + Micafungin Moderate
- Micafungin + Saccharomyces boulardii Moderate
- Micafungin + Sirolimus Moderate
- Avapritinib + Micafungin Minor
- Isavuconazonium + Micafungin Minor
- Ivacaftor + Micafungin Minor
Other interactions of Finerenone
- Carbamazepine + Finerenone Contraindicated
- Clarithromycin + Finerenone Contraindicated
- Ensitrelvir + Finerenone Contraindicated
- Finerenone + Itraconazole Contraindicated
- Finerenone + Ketoconazole Contraindicated
- Finerenone + Posaconazole Contraindicated
Frequently asked questions
Can I take Finerenone with Micafungin?
MediHelp rates the interaction as minor. Finerenone and Micafungin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Micafungin is a weak CYP3A4 inhibitor and finerenone is a CYP3A4 substrate. Finerenone exposure may increase slightly, raising the potential for hyperkalemia.
How serious is the interaction between Finerenone and Micafungin?
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 serum potassium at initiation and after dose changes, and adjust finerenone per labeling if potassium rises.
What other medicines interact with Micafungin?
MediHelp also lists interactions of Micafungin with, for example, Lomitapide, Saccharomyces boulardii, Sirolimus. The full list is on the Micafungin page.
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