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Drug interactions

Glecaprevir / pibrentasvir + Rosiglitazone

Severity: Minor

Glecaprevir / pibrentasvir and Rosiglitazone: 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 OATP1B1/1B3 substrates and inhibitors of P-gp, BCRP and OATP. Rosiglitazone is not a recognized significant inhibitor of these transporters, so a meaningful rise in their levels is not expected. Glecaprevir/pibrentasvir could possibly raise rosiglitazone exposure, but the effect is unestablished.

What this interaction means in plain words

Glecaprevir / pibrentasvir and Rosiglitazone 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 transporter-mediated interaction; not well established.

What to do

No dose change is required. Monitor blood glucose when hepatitis C therapy is started.

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 Rosiglitazone?

MediHelp rates the interaction as minor. Glecaprevir / pibrentasvir and Rosiglitazone 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 OATP1B1/1B3 substrates and inhibitors of P-gp, BCRP and OATP. Rosiglitazone is not a recognized significant inhibitor of these transporters, so a meaningful rise in their levels is not expected. Glecaprevir/pibrentasvir could possibly raise rosiglitazone exposure, but the effect is unestablished.

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

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 required. Monitor blood glucose when hepatitis C therapy is started.

What other medicines interact with Rosiglitazone?

MediHelp also lists interactions of Rosiglitazone with, for example, Insulin aspart protamine / insulin aspart, Insulin aspart-insulin aspart protamine, Insulin aspart. The full list is on the Rosiglitazone page.

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