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Drug interactions

Glecaprevir / pibrentasvir + Propranolol

Severity: Minor

Glecaprevir / pibrentasvir and Propranolol: 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 are P-gp substrates and inhibitors, but propranolol is not a meaningful inhibitor of this transporter. A clinically relevant rise in their levels from propranolol is unlikely.

What this interaction means in plain words

Glecaprevir / pibrentasvir and Propranolol 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 weak P-glycoprotein inhibition by propranolol; no established clinically significant effect.

What to do

No dose adjustment is needed. Monitor heart rate as usual in patients taking propranolol.

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 Propranolol?

MediHelp rates the interaction as minor. Glecaprevir / pibrentasvir and Propranolol 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 are P-gp substrates and inhibitors, but propranolol is not a meaningful inhibitor of this transporter. A clinically relevant rise in their levels from propranolol is unlikely.

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

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 adjustment is needed. Monitor heart rate as usual in patients taking propranolol.

What other medicines interact with Propranolol?

MediHelp also lists interactions of Propranolol with, for example, Thioridazine, Acebutolol, Adrenaline-articaine. The full list is on the Propranolol page.

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