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Drug interactions

Fosamprenavir + Griseofulvin

Severity: Moderate

Fosamprenavir and Griseofulvin: 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

Griseofulvin is a weak inducer of CYP3A4 and may lower the plasma concentration of amprenavir, the active form of fosamprenavir. Reduced protease inhibitor exposure could weaken viral suppression and promote resistance.

What this interaction means in plain words

Fosamprenavir and Griseofulvin 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

Induction of CYP3A4 by griseofulvin increases amprenavir metabolism.

What to do

Monitor HIV viral load and consider antiretroviral drug level monitoring if available during co-therapy. Keep the griseofulvin course as short as possible.

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 Fosamprenavir with Griseofulvin?

MediHelp rates the interaction as moderate. Fosamprenavir and Griseofulvin 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. Griseofulvin is a weak inducer of CYP3A4 and may lower the plasma concentration of amprenavir, the active form of fosamprenavir. Reduced protease inhibitor exposure could weaken viral suppression and promote resistance.

How serious is the interaction between Fosamprenavir and Griseofulvin?

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 HIV viral load and consider antiretroviral drug level monitoring if available during co-therapy. Keep the griseofulvin course as short as possible.

What other medicines interact with Griseofulvin?

MediHelp also lists interactions of Griseofulvin with, for example, Cyclosporin, Desogestrel-ethinyl estradiol, Dienogest / estradiol valerate. The full list is on the Griseofulvin page.

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