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Drug interactions

Letermovir + Progesterone

Severity: Moderate

Letermovir and Progesterone: 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

Letermovir moderately inhibits CYP3A4 and may increase progesterone concentrations. This could produce more sedation or bleeding pattern changes.

What this interaction means in plain words

Letermovir and Progesterone 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.

Letermovir belongs to Anti Virals; Progesterone belongs to Endocrine.

Evidence level: Low

Why it happens

Letermovir inhibits CYP3A4-mediated progesterone metabolism.

What to do

Monitor for progestogenic adverse effects during letermovir therapy and adjust progesterone dose if needed.

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 Letermovir with Progesterone?

MediHelp rates the interaction as moderate. Letermovir and Progesterone 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. Letermovir moderately inhibits CYP3A4 and may increase progesterone concentrations. This could produce more sedation or bleeding pattern changes.

How serious is the interaction between Letermovir and Progesterone?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for progestogenic adverse effects during letermovir therapy and adjust progesterone dose if needed.

What other medicines interact with Progesterone?

MediHelp also lists interactions of Progesterone with, for example, Apalutamide, Carbamazepine, Enzalutamide. The full list is on the Progesterone page.

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

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