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Drug interactions

Lenacapavir + Rimegepant

Severity: Moderate

Lenacapavir and Rimegepant: moderate 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

Lenacapavir is a moderate CYP3A inhibitor and may increase rimegepant exposure. This could raise the risk of adverse effects.

What this interaction means in plain words

Lenacapavir and Rimegepant can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Lenacapavir belongs to Anti Virals; Rimegepant belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Inhibition of CYP3A4 metabolism of rimegepant by lenacapavir.

What to do

If rimegepant is taken for acute migraine, avoid a second dose within 48 hours. No adjustment is needed for preventive use.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

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 Lenacapavir with Rimegepant?

MediHelp rates the interaction as moderate. Lenacapavir and Rimegepant can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Lenacapavir is a moderate CYP3A inhibitor and may increase rimegepant exposure. This could raise the risk of adverse effects.

How serious is the interaction between Lenacapavir and Rimegepant?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: If rimegepant is taken for acute migraine, avoid a second dose within 48 hours. No adjustment is needed for preventive use.

What other medicines interact with Rimegepant?

MediHelp also lists interactions of Rimegepant with, for example, Amobarbital, Atazanavir, Butabarbital. The full list is on the Rimegepant page.

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

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