Drug interactions
Revefenacin + Rifampicin
Severity: Major
Revefenacin and Rifampicin: 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
Rifampicin given with revefenacin increases systemic exposure to the active metabolite of revefenacin, which may raise the risk of anticholinergic adverse effects.
What this interaction means in plain words
Revefenacin and Rifampicin 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.
Revefenacin belongs to Respiratory; Rifampicin belongs to Anti Bacterial.
Why it happens
Rifampicin inhibits OATP1B1 and OATP1B3, reducing hepatic uptake of revefenacin's active metabolite.
What to do
Coadministration is not recommended; use an alternative bronchodilator or antimycobacterial if 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 Revefenacin
- Cyclosporin + Revefenacin Major
- Indacaterol-glycopyrronium + Revefenacin Major
- Revefenacin + Tiotropium Major
- Atropine + Revefenacin Moderate
- Benztropine + Revefenacin Moderate
- Darifenacin + Revefenacin Moderate
Other interactions of Rifampicin
- Cabotegravir + Rifampicin Contraindicated
- Delamanid + Rifampicin Contraindicated
- Doravirine + Rifampicin Contraindicated
- Ensitrelvir + Rifampicin Contraindicated
- Fostemsavir + Rifampicin Contraindicated
- Isavuconazole + Rifampicin Contraindicated
Frequently asked questions
Can I take Revefenacin with Rifampicin?
MediHelp rates the interaction as major. Revefenacin and Rifampicin 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. Rifampicin given with revefenacin increases systemic exposure to the active metabolite of revefenacin, which may raise the risk of anticholinergic adverse effects.
How serious is the interaction between Revefenacin and Rifampicin?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Coadministration is not recommended; use an alternative bronchodilator or antimycobacterial if possible.
What other medicines interact with Revefenacin?
MediHelp also lists interactions of Revefenacin with, for example, Cyclosporin, Indacaterol-glycopyrronium, Tiotropium. The full list is on the Revefenacin page.
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