Drug interactions

ketoconazole + macitentan

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.

Overview

Severity: Major · Evidence level: Moderate

↑ macitentan exposure.

Mechanism of action

CYP3A4 inhibition.

Clinical management

Avoid or monitor for AEs.

Drug reference

References

Frequently asked questions

Can I take ketoconazole with macitentan?

The interaction is rated: Major. ↑ macitentan exposure.

How serious is the interaction between ketoconazole and macitentan?

The interaction is rated: Major. Evidence level: Moderate.

How is the interaction between ketoconazole and macitentan managed?

Avoid or monitor for AEs.

Why do ketoconazole and macitentan interact?

CYP3A4 inhibition.

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