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Drug interactions

Letermovir + Teriflunomide

Severity: Minor

Letermovir and Teriflunomide: 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

Teriflunomide may increase letermovir plasma concentrations, which could raise the likelihood of letermovir adverse effects such as gastrointestinal upset and peripheral edema. The effect is predicted from transporter inhibition and has limited clinical documentation.

What this interaction means in plain words

Letermovir and Teriflunomide have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Letermovir belongs to Anti Virals; Teriflunomide belongs to Central Nervous System.

Evidence level: Low

Why it happens

Teriflunomide may inhibit hepatic uptake transporters such as OATP1B1/3, reducing letermovir clearance.

What to do

No routine dose change is needed; monitor for letermovir adverse effects when the drugs are used together.

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 Letermovir with Teriflunomide?

MediHelp rates the interaction as minor. Letermovir and Teriflunomide have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Teriflunomide may increase letermovir plasma concentrations, which could raise the likelihood of letermovir adverse effects such as gastrointestinal upset and peripheral edema. The effect is predicted from transporter inhibition and has limited clinical documentation.

How serious is the interaction between Letermovir and Teriflunomide?

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 routine dose change is needed; monitor for letermovir adverse effects when the drugs are used together.

What other medicines interact with Teriflunomide?

MediHelp also lists interactions of Teriflunomide with, for example, Ifosfamide, Lomustine, Amiodarone. The full list is on the Teriflunomide page.

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

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