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Drug interactions

Paricalcitol + Voriconazole

Severity: Minor

Paricalcitol and Voriconazole: 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

Voriconazole may modestly raise paricalcitol exposure. Elevated levels could cause hypercalcemia in susceptible patients.

What this interaction means in plain words

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

Paricalcitol belongs to Musculoskeletal; Voriconazole belongs to Anti Fungals.

Evidence level: Low

Why it happens

Voriconazole inhibits CYP3A4, one of the metabolic pathways of paricalcitol.

What to do

Monitor serum calcium, phosphorus and PTH after starting or stopping voriconazole. Reduce the paricalcitol dose if hypercalcemia develops.

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 Paricalcitol with Voriconazole?

MediHelp rates the interaction as minor. Paricalcitol and Voriconazole have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Voriconazole may modestly raise paricalcitol exposure. Elevated levels could cause hypercalcemia in susceptible patients.

How serious is the interaction between Paricalcitol and Voriconazole?

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 serum calcium, phosphorus and PTH after starting or stopping voriconazole. Reduce the paricalcitol dose if hypercalcemia develops.

What other medicines interact with Voriconazole?

MediHelp also lists interactions of Voriconazole with, for example, Avanafil, Butabarbital, Carbamazepine. The full list is on the Voriconazole page.

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