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Drug interactions

Olmesartan + Sofosbuvir-velpatasvir

Severity: Minor

Olmesartan and Sofosbuvir-velpatasvir: 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

Velpatasvir may increase olmesartan exposure by blocking hepatic and intestinal uptake transporters. The effect is likely small and clinically modest.

What this interaction means in plain words

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

Olmesartan belongs to Cardiovascular; Sofosbuvir-velpatasvir belongs to Anti Virals.

Evidence level: Low

Why it happens

Velpatasvir inhibits OATP1B1, OATP1B3 and OATP2B1, which may increase olmesartan exposure.

What to do

No dose adjustment is usually needed. Monitor blood pressure and renal function as clinically routine.

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 Olmesartan with Sofosbuvir-velpatasvir?

MediHelp rates the interaction as minor. Olmesartan and Sofosbuvir-velpatasvir have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Velpatasvir may increase olmesartan exposure by blocking hepatic and intestinal uptake transporters. The effect is likely small and clinically modest.

How serious is the interaction between Olmesartan and Sofosbuvir-velpatasvir?

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 dose adjustment is usually needed. Monitor blood pressure and renal function as clinically routine.

What other medicines interact with Sofosbuvir-velpatasvir?

MediHelp also lists interactions of Sofosbuvir-velpatasvir with, for example, Rifampin, Rifapentine, St john's wort. The full list is on the Sofosbuvir-velpatasvir 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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