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Drug interactions

Macimorelin + Nevirapine

Severity: Moderate

Macimorelin and Nevirapine: 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

Strong CYP3A4 inducers may lower macimorelin exposure and affect the growth hormone stimulation test. Nevirapine is a CYP3A inducer, so the test results may be unreliable.

What this interaction means in plain words

Macimorelin and Nevirapine 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.

Macimorelin belongs to Endocrine; Nevirapine belongs to Anti Virals.

Evidence level: Low

Why it happens

Nevirapine induces CYP3A4, which may reduce macimorelin concentrations.

What to do

Avoid testing while on nevirapine if possible, allowing adequate washout. Otherwise interpret the result with caution.

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 Macimorelin with Nevirapine?

MediHelp rates the interaction as moderate. Macimorelin and Nevirapine 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. Strong CYP3A4 inducers may lower macimorelin exposure and affect the growth hormone stimulation test. Nevirapine is a CYP3A inducer, so the test results may be unreliable.

How serious is the interaction between Macimorelin and Nevirapine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid testing while on nevirapine if possible, allowing adequate washout. Otherwise interpret the result with caution.

What other medicines interact with Nevirapine?

MediHelp also lists interactions of Nevirapine with, for example, Elbasvir / grazoprevir, Ranolazine, St john's wort. The full list is on the Nevirapine page.

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

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