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Drug interactions

Lonafarnib + Nadolol

Severity: Minor

Lonafarnib and Nadolol: 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

Lonafarnib is a weak P-glycoprotein inhibitor and may modestly raise nadolol concentrations. This may slightly increase beta-blocker effects such as bradycardia.

What this interaction means in plain words

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

Lonafarnib belongs to Miscellaneous; Nadolol belongs to Cardiovascular.

Evidence level: Low

Why it happens

Lonafarnib weakly inhibits P-glycoprotein efflux of nadolol.

What to do

Monitor heart rate and blood pressure, and lower the nadolol dose if bradycardia or hypotension occurs.

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 Lonafarnib with Nadolol?

MediHelp rates the interaction as minor. Lonafarnib and Nadolol have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Lonafarnib is a weak P-glycoprotein inhibitor and may modestly raise nadolol concentrations. This may slightly increase beta-blocker effects such as bradycardia.

How serious is the interaction between Lonafarnib and Nadolol?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor heart rate and blood pressure, and lower the nadolol dose if bradycardia or hypotension occurs.

What other medicines interact with Nadolol?

MediHelp also lists interactions of Nadolol with, for example, Acebutolol, Adrenaline-articaine, Albuterol. The full list is on the Nadolol page.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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