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Drug interactions

Sofosbuvir-velpatasvir-voxilaprevir + Tazemetostat

Severity: Moderate

Sofosbuvir-velpatasvir-voxilaprevir and Tazemetostat: moderate 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

Tazemetostat is a weak-to-moderate CYP3A4 inducer and may reduce velpatasvir and voxilaprevir concentrations. Lower antiviral exposure could reduce the likelihood of HCV cure.

What this interaction means in plain words

Sofosbuvir-velpatasvir-voxilaprevir and Tazemetostat can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Sofosbuvir-velpatasvir-voxilaprevir belongs to Anti Virals; Tazemetostat belongs to Miscellaneous.

Evidence level: Low

Why it happens

Induction of CYP3A4 by tazemetostat increases metabolism of velpatasvir and voxilaprevir.

What to do

Monitor HCV RNA response and confirm a sustained virologic response. Consider alternatives to tazemetostat or specialist input if viral load does not fall as expected.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

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 Sofosbuvir-velpatasvir-voxilaprevir with Tazemetostat?

MediHelp rates the interaction as moderate. Sofosbuvir-velpatasvir-voxilaprevir and Tazemetostat can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Tazemetostat is a weak-to-moderate CYP3A4 inducer and may reduce velpatasvir and voxilaprevir concentrations. Lower antiviral exposure could reduce the likelihood of HCV cure.

How serious is the interaction between Sofosbuvir-velpatasvir-voxilaprevir and Tazemetostat?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor HCV RNA response and confirm a sustained virologic response. Consider alternatives to tazemetostat or specialist input if viral load does not fall as expected.

What other medicines interact with Sofosbuvir-velpatasvir-voxilaprevir?

MediHelp also lists interactions of Sofosbuvir-velpatasvir-voxilaprevir with, for example, Fosphenytoin, Phenobarbital, Phenytoin. The full list is on the Sofosbuvir-velpatasvir-voxilaprevir page.

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