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Drug interactions

Flibanserin + Lenacapavir

Severity: Contraindicated

Flibanserin and Lenacapavir: contraindicated 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

Lenacapavir is a moderate CYP3A inhibitor and may increase flibanserin exposure. Elevated flibanserin levels raise the risk of hypotension, syncope and sedation.

What this interaction means in plain words

Flibanserin and Lenacapavir 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.

Flibanserin belongs to Genitourinary; Lenacapavir belongs to Anti Virals.

Evidence level: Low

Why it happens

Inhibition of CYP3A4 reduces flibanserin clearance.

What to do

Avoid the combination in line with the flibanserin restriction on moderate CYP3A4 inhibitors.

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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Frequently asked questions

Can I take Flibanserin with Lenacapavir?

MediHelp rates the interaction as contraindicated. Flibanserin and Lenacapavir 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. Lenacapavir is a moderate CYP3A inhibitor and may increase flibanserin exposure. Elevated flibanserin levels raise the risk of hypotension, syncope and sedation.

How serious is the interaction between Flibanserin and Lenacapavir?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination in line with the flibanserin restriction on moderate CYP3A4 inhibitors.

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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