Drug interactions
Gemfibrozil + Iptacopan
Severity: Moderate
Gemfibrozil and Iptacopan: 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
Iptacopan is partly metabolized by CYP2C8, and gemfibrozil is a strong CYP2C8 inhibitor. The interaction may increase iptacopan exposure, although the clinical consequence is uncertain.
What this interaction means in plain words
Gemfibrozil and Iptacopan 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.
Gemfibrozil belongs to Cardiovascular; Iptacopan belongs to Miscellaneous.
Why it happens
Gemfibrozil and its glucuronide inhibit CYP2C8, decreasing iptacopan metabolism.
What to do
Monitor for iptacopan adverse effects such as headache and infection, including encapsulated bacterial infection. Consider an alternative lipid-lowering drug if exposure concerns arise.
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?
Pro+ members
Unlock the full page
Create an account and start a Pro+ trial to unlock the full management advice for Gemfibrozil and Iptacopan, the additional notes, the evidence detail and the whole-prescription interaction checker.
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
Try Pro+ free for 14 days on the web. No card needed.
Other interactions of Gemfibrozil
- Daprodustat + Gemfibrozil Contraindicated
- Elagolix + Gemfibrozil Contraindicated
- Gemfibrozil + Mavacamten Contraindicated
- Gemfibrozil + Metformin-repaglinide Contraindicated
- Gemfibrozil + Ombitasvir / paritaprevir / ritonavir and dasabuvir Contraindicated
- Gemfibrozil + Repaglinide Contraindicated
Other interactions of Iptacopan
- Carbamazepine + Iptacopan Moderate
- Iptacopan + Phenytoin Moderate
- Iptacopan + Rifampicin Moderate
- Iptacopan + Secobarbital Moderate
Frequently asked questions
Can I take Gemfibrozil with Iptacopan?
MediHelp rates the interaction as moderate. Gemfibrozil and Iptacopan 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. Iptacopan is partly metabolized by CYP2C8, and gemfibrozil is a strong CYP2C8 inhibitor. The interaction may increase iptacopan exposure, although the clinical consequence is uncertain.
How serious is the interaction between Gemfibrozil and Iptacopan?
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 for iptacopan adverse effects such as headache and infection, including encapsulated bacterial infection. Consider an alternative lipid-lowering drug if exposure concerns arise.
What other medicines interact with Gemfibrozil?
MediHelp also lists interactions of Gemfibrozil with, for example, Daprodustat, Elagolix, Mavacamten. The full list is on the Gemfibrozil page.
Full monographs, dosing and an interaction checker in the MediHelp app
Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.
