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Drug interactions

Glecaprevir / pibrentasvir + Lidocaine-prilocaine

Severity: Minor

Glecaprevir / pibrentasvir and Lidocaine-prilocaine: 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

Glecaprevir and pibrentasvir inhibit P-glycoprotein, which could slightly raise lidocaine exposure. Since lidocaine is a minor P-gp substrate and topical absorption is limited, the clinical effect is expected to be negligible.

What this interaction means in plain words

Glecaprevir / pibrentasvir and Lidocaine-prilocaine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Evidence level: Low

Why it happens

P-glycoprotein inhibition by glecaprevir/pibrentasvir may reduce lidocaine efflux.

What to do

No dose change is needed for standard topical use. Limit the treated area and duration.

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?

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 Glecaprevir / pibrentasvir with Lidocaine-prilocaine?

MediHelp rates the interaction as minor. Glecaprevir / pibrentasvir and Lidocaine-prilocaine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Glecaprevir and pibrentasvir inhibit P-glycoprotein, which could slightly raise lidocaine exposure. Since lidocaine is a minor P-gp substrate and topical absorption is limited, the clinical effect is expected to be negligible.

How serious is the interaction between Glecaprevir / pibrentasvir and Lidocaine-prilocaine?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No dose change is needed for standard topical use. Limit the treated area and duration.

What other medicines interact with Lidocaine-prilocaine?

MediHelp also lists interactions of Lidocaine-prilocaine with, for example, Phenazopyridine, Bupivacaine implant, Bupivacaine liposome. The full list is on the Lidocaine-prilocaine page.

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