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Drug interactions

Flibanserin + Fosamprenavir

Severity: Contraindicated

Flibanserin and Fosamprenavir: contraindicated interaction.

Last updated Sources: US FDA label

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

Fosamprenavir is converted to amprenavir, a CYP3A4 inhibitor, which can increase flibanserin levels. Severe hypotension, syncope and sedation may occur.

What this interaction means in plain words

Flibanserin and Fosamprenavir 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.

Evidence level: Moderate

Why it happens

Inhibition of CYP3A4 reduces flibanserin metabolism.

What to do

Do not combine; avoid flibanserin in patients on fosamprenavir, especially ritonavir-boosted regimens.

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?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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References

Frequently asked questions

Can I take Flibanserin with Fosamprenavir?

MediHelp rates the interaction as contraindicated. Flibanserin and Fosamprenavir 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. Fosamprenavir is converted to amprenavir, a CYP3A4 inhibitor, which can increase flibanserin levels. Severe hypotension, syncope and sedation may occur.

How serious is the interaction between Flibanserin and Fosamprenavir?

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 combine; avoid flibanserin in patients on fosamprenavir, especially ritonavir-boosted regimens.

What other medicines interact with Flibanserin?

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

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

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