Drug interactions
Nevirapine + Valoctocogene roxaparvovec
Severity: Major
Nevirapine and Valoctocogene roxaparvovec: major 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
Valoctocogene roxaparvovec commonly causes elevated liver enzymes, and nevirapine is a known hepatotoxic drug. Combined use may increase the risk or severity of liver injury and could compromise the gene therapy outcome.
What this interaction means in plain words
Nevirapine and Valoctocogene roxaparvovec can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Nevirapine belongs to Anti Virals; Valoctocogene roxaparvovec belongs to Miscellaneous.
Why it happens
Additive hepatotoxicity; nevirapine can cause hepatocellular injury independent of the gene therapy.
What to do
Monitor ALT and other liver tests frequently after gene therapy. Prefer an alternative antiretroviral to nevirapine where possible.
What to ask your pharmacist
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
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Other interactions of Nevirapine
- Elbasvir / grazoprevir + Nevirapine Contraindicated
- Nevirapine + Ranolazine Contraindicated
- Nevirapine + St john's wort Contraindicated
- Abemaciclib + Nevirapine Major
- Acalabrutinib + Nevirapine Major
- Amobarbital + Nevirapine Major
Other interactions of Valoctocogene roxaparvovec
Frequently asked questions
Can I take Nevirapine with Valoctocogene roxaparvovec?
MediHelp rates the interaction as major. Nevirapine and Valoctocogene roxaparvovec can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Valoctocogene roxaparvovec commonly causes elevated liver enzymes, and nevirapine is a known hepatotoxic drug. Combined use may increase the risk or severity of liver injury and could compromise the gene therapy outcome.
How serious is the interaction between Nevirapine and Valoctocogene roxaparvovec?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor ALT and other liver tests frequently after gene therapy. Prefer an alternative antiretroviral to nevirapine where possible.
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.
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