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Drug interactions

Nevirapine + Romidepsin

Severity: Moderate

Nevirapine and Romidepsin: 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

Nevirapine may lower romidepsin concentrations and reduce its efficacy. Romidepsin is metabolized mainly by CYP3A4, so strong inducers affect its exposure.

What this interaction means in plain words

Nevirapine and Romidepsin 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.

Evidence level: Low

Why it happens

Nevirapine induces CYP3A4, increasing romidepsin metabolism.

What to do

Avoid concurrent use where possible. If needed, monitor lymphoma response.

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 Nevirapine with Romidepsin?

MediHelp rates the interaction as moderate. Nevirapine and Romidepsin 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. Nevirapine may lower romidepsin concentrations and reduce its efficacy. Romidepsin is metabolized mainly by CYP3A4, so strong inducers affect its exposure.

How serious is the interaction between Nevirapine and Romidepsin?

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 concurrent use where possible. If needed, monitor lymphoma response.

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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