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Drug interactions

Glecaprevir / pibrentasvir + Propafenone

Severity: Minor

Glecaprevir / pibrentasvir and Propafenone: 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

Propafenone may inhibit P-glycoprotein and modestly raise glecaprevir and pibrentasvir concentrations. The clinical effect is probably small given the wide tolerability of these agents.

What this interaction means in plain words

Glecaprevir / pibrentasvir and Propafenone 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

Possible P-glycoprotein inhibition by propafenone increasing absorption of the antivirals.

What to do

No routine adjustment is needed. Monitor for gastrointestinal effects and liver tests as per hepatitis C treatment monitoring.

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 Propafenone?

MediHelp rates the interaction as minor. Glecaprevir / pibrentasvir and Propafenone have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Propafenone may inhibit P-glycoprotein and modestly raise glecaprevir and pibrentasvir concentrations. The clinical effect is probably small given the wide tolerability of these agents.

How serious is the interaction between Glecaprevir / pibrentasvir and Propafenone?

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 routine adjustment is needed. Monitor for gastrointestinal effects and liver tests as per hepatitis C treatment monitoring.

What other medicines interact with Propafenone?

MediHelp also lists interactions of Propafenone with, for example, Dofetilide, Dronedarone, Nilotinib. The full list is on the Propafenone page.

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

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