Drug interactions

rifampin + ritonavir-boosted atazanavir

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.

Overview

Severity: Contraindicated · Evidence level: High

Loss of virologic control/hepatotoxicity; contraindicated.

Mechanism of action

Potent CYP3A induction.

Clinical management

Contraindicated; use rifabutin if needed.

References

Frequently asked questions

Can I take rifampin with ritonavir-boosted atazanavir?

The interaction is rated: Contraindicated. Loss of virologic control/hepatotoxicity; contraindicated.

How serious is the interaction between rifampin and ritonavir-boosted atazanavir?

The interaction is rated: Contraindicated. Evidence level: High.

How is the interaction between rifampin and ritonavir-boosted atazanavir managed?

Contraindicated; use rifabutin if needed.

Why do rifampin and ritonavir-boosted atazanavir interact?

Potent CYP3A induction.

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