glecaprevir

Brand Name :

N/A

Synonyms :

glecaprevir

Class :

antiviral agents

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No data available for drug.

Actions and spectrum: 

Action: 

Glecaprevir is a direct-acting antiviral (DAA) agent that interferes with the replication process of the hepatitis C virus. Specifically, it inhibits the NS3/4A protease enzyme that is essential for virus to replicate. By blocking this enzyme, glecaprevir helps to reduce the viral load in the body, suppressing the replication of the hepatitis C virus. 

Spectrum: 

The combination of glecaprevir and pibrentasvir is notable for its broad-spectrum activity against multiple genotypes of the hepatitis C virus. It is effective against genotypes 1 through 6, making it a pangenotypic treatment option. This is important because HCV is genetically diverse, with different genotypes requiring different treatment approaches. The pangenotypic nature of glecaprevir and pibrentasvir makes it a versatile and convenient option for treating various HCV infections. 

DRUG INTERACTION

glecaprevir

&

  • Pembrolizumab / Berahyaluronidase
  • Bumetanide Intranasal
  • Gemcitabine intravesical
  • Rilzabrutinib
  • Zopapogene
  • Aceclidine
  • aluminium hydroxide
  • benzralizumab (Rx)
  • Rituximab
  • Trimetrexate Glucuronate
  • Mirdametinib
  • Suzetrigine
  • Potassium acid phosphate
  • Acellular Tissue Engineered Vessel
  • crinecerfont (pending approval from FDA)
  • Revumenib
  • pembrolizumab (Rx)
  • azathioprine (Rx)
  • Gemcitabine (Rx)
  • Seladelpar
  • Atezolizumab / Hyaluronidase-tqjs
  • Axatilimab-csfr
  • Afamitresgene Autoleucel
  • Lazertinib
  • Ocrelizumab / Hyaluronidase ocsq
  • Lebrikizumab
  • naloxone intranasal
  • clomiphene
  • patisiran
  • imetelstat
  • phenylephrine ophthalmic
  • myoinositol
  • vasicinone
  • soda lime
  • fisetin
  • Reynoutria Japonica
  • Coco Monoethanolamide
  • Betadex
  • lithopone
  • cyperus rotundus
  • papaya juice
  • 1-naphthaleneacetic acid
  • Nordazepam
  • Glechoma hederacea
  • Alternanthera sessilis
  • nicofetamide
  • napthol asol
  • cocamidopropyl betaine
  • musa x paradisiaca
  • dicyclomine/mefenamic acid
  • Sorghum
  • Manganese citrate
  • tovorafenib
  • mefenamic acid/paracetamol
  • eschscholzia californica
  • canna indica root
  • tranexamic acid/mefenamic acid
  • dexverapamil
  • sitogluside
  • secalciferol
  • cefatrizine
  • Sedum Acre
  • Flurogestone
  • Fluocortin
  • Bifendate
  • piprozolin
  • aminacrine undecylate
  • ethylenediamine mandelate
  • pelubiprofen
  • hesperetin
  • butethamine
  • epitiostanol
  • androstenediol
  • Nitroxoline
  • Iocarmic acid
  • Capobenic acid
  • dordaviprone (investigational drug)
  • Vitexin
  • Friluglanstat (investigational drug)
  • scorias spongiosa
  • Luseogliflozin
  • indoxacarb
  • prademagene zamikeracel
  • fidanacogene elaparvovec-dzkt
  • albifylline
  • idanpramine
  • araneus diadematus
  • Sulfamazone
  • Lycosa tarantula
  • malotilate
  • Ethacizine
  • Namilumab
  • Latrunculin B
  • stachyose
  • platinic oxide
  • iopronic acid
  • calcium chloride / potassium chloride/lactic acid/ sodium chloride/sodium hydroxide/sodium lactate solution
  • citric acid/ sodium bicarbonate/ sodium carbonate anhydrous
  • vadadustat
  • permethrin medical grade cis/trans isomers 25/75
  • lutetium, isotope of mass 177
  • human normal immunoglobulin
  • sacrosidase
  • apadamtase alfa, recombinant
  • acetyl hexapeptide-8 amide
  • pemivibart (Investigational)
  • govorestat
  • Zanidatamab
  • sotatеrcеpt
  • MV 140 vaccine
  • leuprorelin implant
  • cinchocaine hydrochloride/fluocortolone hexanoate/fluocortolone pivalate
  • Beautyberry
  • risedronate/calcium/vitamin D3
  • rhubarb extract/senna leaf/sulphur purified/wood charcoal
  • boric acid/kaolin/methyl salicylate/peppermint oil/thymol
  • docosahexaenoic acid/eicospentaenoic acid
  • aluminium hydroxide/magnesium hydroxide/simethicone
  • gentamicin/hydrocortisone
  • succinylcholine
  • sinefungin
  • letibotulinumtoxinA
  • coal tar/coconut oil/salicylic acid
  • camphor/camphor oil white/capsicum oleoresin /menthol/methyl salicylate
  • thioglycolic acid
  • acetic acid auricular
  • roluperidone
  • hydrocortisone/crotamiton topical
  • nystatin/chlorhexidine
  • aluminium chloride hexahydrate
  • ketoprofen topical
  • Chlormethine
  • podophyllotoxin
  • urea/lactic acid
  • autologous chondrocytes implant
  • afelimomab
  • gepotidacin
  • fludroxycortide
  • fentanyl transdermal
  • erythromycin/zinc acetate
  • dibotermin alfa powder
  • desferrioxamine mesilate
  • choline salicylate/magnesium salicylate
  • castor oil/peru balsam/trypsin
  • betamethasone/dexchlorpheniramine maleate
  • benzalkonium chloride solution/cetrimide
  • barzolvolimab
  • ascorbic acid / calcium laevulinate / nicotinamide / calcium pantothenate / calcium chloride / riboflavine / pyridoxine hydrochloride / thiamine hydrochloride
  • argipressin
  • arachis oil refined/chlorobutanol hemihydrate
  • arachis oil/eucalyptol/nutmeg oil/terpineol
  • ammonium chloride/diphenhydramine hydrochloride/levomenthol
  • amino acid mixture d / calcium chloride dihydrate / glucose monohydrate / glycine / magnesium chloride hexahydrate / olive oil / potassium chloride / sodium acetate trihydrate / sodium glycerophosphate pentahydrate / soya-bean oil
  • biotin/colecalciferol/copper (ii)sulfate dried/ cyanocobalamine/ dl-alpha tocopherol acetate/dibasic calcium phosphate anhydrous/folic acid/iron (ii)sulfate dried/ lecithin/ magnesium sulfate dried/ nicotinamide/ pyridoxine hydrochloride/ riboflavin
  • ampicillin sodium / cloxacillin sodium
  • undecylenic acid, undecylenate salts, zincundecate
  • omeprazole/sodium bicarbonate
  • efgartigimod alfa/hyaluronidase
  • xylometazoline/ipratropium
  • cefepime and enmetazobactam
  • isotonic sodium chloride
  • bee venom allergen injection
  • fentanyl intranasal
  • alglucosidase alfa
  • triprolidine/pseudoephedrine
  • pegademase bovine
  • castor oil and peru balsam
  • camphor/eucalyptus oil/menthol
  • oxyquinoline/sodium lauryl sulfate
  • somatorelin
  • menotrophin injection
  • menadiol
  • hylan g-f 20
  • cefepime and taniborbactum
  • water avens
  • camphor/menthol
  • acoramidis
  • elafibranor
  • arrowroot
  • miconazole nitrate/hydrocortisone
  • vildagliptin/metformin
  • dobesilic acid
  • aroxybutynin and atomoxetine
  • hygromycin
  • linvoseltamab
  • nemolizumab
  • aceprometazine
  • limaprost
  • oxazolam
  • trimegestone
  • teceleukin
  • beauty berry
  • dinotefuran
  • imiprothrin
  • transfluthrin
  • thymalfasin
  • technetium Tc 99m tilmanocept
  • glepaglutide
  • marstacimab
  • pixantrone
  • Andiroba
  • arabinoxylan
  • arenaria rubra
  • etripamil
  • jequirity
  • jiaogulan
  • dusquetide
  • rolipram
  • tradipitant
  • sinfungin
  • diclofenac/omeprazole
  • brinzolamide and timolol maleate
  • wormseed
  • wormwood
  • wood sorrel
  • carmellose sodium
  • ibandronic acid
  • cinnarizine and dimenhydrinate
  • ursodeoxycholic acid
  • rhubarb extract/salicylic acid
  • butamirate citrate
  • fumitory
  • taheebo
  • uva ursi
  • vervain
  • coleus
  • coltsfoot
  • crampbark
  • plantain
  • potassium nitrate and silver nitrate
  • gelsemium
  • gentian
  • glucomannan
  • walnut
  • meadowsweet
  • midomafetamine
  • pennyroyal
  • periwinkle
  • betony
  • bitter orange
  • bladderwrack
  • bloodroot
  • emu oil
  • garcinia
  • yellow dock
  • burdock
  • dehydroepiandrosterone
  • aucubin
  • jasmone
  • resacetophenone
  • ecamsule ditriethanolamine
  • feclobuzone
  • fenoprop triethanolamine
  • verdyl acetate
  • caffeic acid
  • cyclamen aldehyde
  • dicetyldimonium chloride
  • wogonin
  • impacarzine
  • laurylpyridinium chloride
  • stepronin
  • matrine
  • sakuranin
  • cannabichromene
  • sandalore
  • sabinene
  • oxypaeoniflora
  • ethylhexyl pelargonate
  • acrylonitrile
  • allyl alcohol
  • dipalmitoylethyl hydroxyethylmonium methosulfate
  • butidrine
  • clothiapine
  • propanediol dicaprylate
  • buchu
  • undecanol
  • enilconazole
  • xymenynic acid
  • angelica
  • nizubaglustat
  • resomelagon
  • ulecaciclib
  • apple cider vinegar
  • bacopa
  • barley grass
  • dandelion
  • deer velvet
  • dolomite
  • bugleweed
  • bupleurum
  • glyceryltrinitrate
  • pociredir
  • asnuciclib
  • actalycabtagene autoleucel
  • butantan–dengue vaccine
  • travoprost/timolol
  • furosemide/potassium chloride
  • amylamine
  • jaborandi
  • patritumab deruxtecan
  • jackfruit
  • sterculia
  • ascorbigen
  • ashitaba
  • androstenetrione
  • andrachne
  • cosibelimab
  • racecadotril
  • neomycin/chlorhexidine
  • octocog alfa
  • cetrimide
  • ispaghula husk
  • polyhexanide
  • octenidine
  • polygeline
  • heparinoid
  • jewelweed
  • boldo
  • anizatrectinib
  • alpinia
  • henbane
  • cynanchum vincetoxicum root and sulfur
  • boditrectinib
  • izumerogant
  • zavondemstat
  • abuta
  • fadogia agrestis
  • fly agaric mushroom
  • meptazinol
  • methoxyflurane
  • tramadol/dexketoprofen
  • betaine/polyhexanide
  • filgotinib
  • inosine acedoben dimepranol
  • alverine citrate
  • hyoscine butylbromide
  • senna+ ispaghula
  • cabbage palm
  • cajeput oil
  • calanus oil
  • calamint
  • canada balsam
  • carnosine
  • alverine citrate/simeticone
  • dihydroartemisinin/piperaquine
  • mebeverine/ispaghula
  • calcipotriol
  • tacalcitol
  • triethyl citrate/ethyl linoleate
  • sodium dilauramidoglutamide lysine
  • fazamorexant
  • avibactam tomilopil and ceftibuten
  • drostanolone
  • tigilanol tiglate
  • isorhynchophylline
  • rhynchophylline
  • crisugabalin
  • epigallocatechin gallate
  • clomocycline
  • corynoxeine
  • isocorynoxeine
  • Culmerciclib
  • Neladenoson
  • ambrein
  • hexylcaine
  • phensuximide
  • resencatinib (investigational)
  • rolusafine
  • pumecitinib
  • arhalofenic acid
  • berdazimer sodium
  • benzquinamide
  • clidinium
  • sulfametopyrazine
  • fulzerasib (Investigational Drug)
  • rovadicitinib (Investigational Drug)
  • Upleganan (Investigational Drug)
  • menthyl ethylamido oxalate
  • quaternium-90 montmorillonite
  • unecritinib (investigational drug)
  • etohexadiol
  • guaiol
  • proximadiol
  • verdinexor
  • sofnobrutinib
  • talbutal
  • ethoxzolamide
  • propiomazine
  • enprofylline
  • phenmetrazine
  • merigolix
  • pralurbactam
  • neracorvir
  • vonifimod
  • apaziquone hydroquinone
  • darizmetinib
  • zandelisib
  • xininurad
  • ritivixibat
  • amiselimod phosphate (investigational drug)
  • emzeltrectinib (investigational drug)
  • ficonalkib
  • cinalukast
  • ulobetasol
  • candoxatril
  • nitrofural
  • acetyldigitoxin
  • bentiromide
  • dextrothyroxine
  • chlorotrianisene
  • remikiren
  • pipobroman
  • vidarabine
  • immune globulin intravenous, human-stwk
  • spermine
  • serine
  • N-acetyl glucosamine
  • valine
  • adenine
  • asparagine
  • citrulline
  • adinazolam
  • interferon alfacon-1
  • interferon alfa-n1
  • felypressin
  • birch triterpenes
  • pyridoxal phosphate
  • technetium Tc-99m arcitumomab
  • beta-alanine
  • dihomo-gamma-linolenic acid
  • urea/hydrocortisone
  • R21/Matrix-M vaccine
  • povidone-iodine (ophthalmic)
  • pheniramine
  • hydrocortisone rectal
  • chloroxylenol/pramoxine/zinc acetate
  • chloroxylenol/pramoxine
  • dextrose/sucrose/vitamin C/zinc sulphate
  • furazolidone/metronidazole/dicyclomine
  • ergocalciferol (vitamin D2)
  • benoxaprofen (discontinued)
  • teicoplanin
  • carbomer
  • chromic chloride / iron (ii) chloride tetrahydrate / potassium iodide / manganese chloride / sodium fluoride / sodium selenite pentahydrate / sodium molybdate dihydrate / zinc chloride/ cupric chloride
  • bufylline
  • lidocaine/prilocaine
  • opium tincture, squill oxymel
  • dibrompropamidine
  • metronidazole/tetracycline/bismuth subsalicylate
  • agnus- castus
  • velaglucerase alfa
  • alendronic acid / colecalciferol
  • bimatoprost / timolol
  • efbemalenograstim alfa
  • dried ferrous sulfate/folic acid
  • dried ferrous sulfate / sodium ascorbate
  • nirogacestat
  • soya-bean oil, medium-chain triglycerides
  • demeclocycline hydrochloride and triamcinolone acetonide
  • fusidic acid / hydrocortisone acetate
  • macrogol
  • storax, benzoin
  • nomegestrol acetate/estradiol
  • flumetasone pivalate/ clioquinol
  • berdazimer topical (Pending FDA Approval)
  • buflomedil
  • butobarbital
  • andexanet alfa
  • methoxypolyethylene glycol-epoetin beta
  • viscum abietis
  • pramoxine vaginal
  • bupivacaine implant
  • cromolyn sodium, inhaled
  • pneumococcal vaccine 20-valent
  • bimatoprost ophthalmic implant
  • tick-borne encephalitis vaccine
  • chloroprocaine ophthalmic
  • travoprost intraocular implant (Pending FDA approval)
  • typhoid polysaccharide vaccine
  • sodium phosphate
  • human papillomavirus vaccine, nonavalent
  • peanut immunotherapy epicutaneous (FDA approval pending)
  • cromolyn sodium, intranasal
  • red blood cells(Blood component)
  • oral mucoadhesive
  • clindamycin vaginal
  • whole blood (Blood Component)
  • fibrinogen/thrombin
  • levothyroxine/liothyronine
  • ipratropium intranasal
  • metronidazole vaginal
  • cyamemazine
  • brinase
  • reviparin
  • ulinastatin
  • saruplase
  • acepromazine
  • emylcamate
  • methionine
  • amino acids and electrolytes in dextrose with calcium
  • slippery elm
  • camostat
  • hemoglobin crosfumaril
  • moperone
  • chlormidazole
  • brilaroxazine
  • palopegteriparatide
  • diazepam buccal
  • benegrastim (pending for FDA approval)
  • COVID-19 vaccine, adjuvanted-Novavax
  • vestronidase alfa-vjbk
  • tebipenem (Pending FDA Approval)
  • tislelizumab (Pending FDA Approval)
  • zolbetuximab (Pending FDA Approval)
  • zoliflodacin (pending FDA approval)
  • zibotentan and dapagliflozin
  • fluorine F18 DCFPyL
  • debamestrocel
  • givinostat
  • amubarvimab and romlusevimab(Pending FDA Approval)
  • sabizabulin(Pending FDA approval)
  • fexapotide(Phase 3 Clinical trial)
  • diatrizoic acid
  • drotaverine
  • diethyl phthalate
  • enclomiphene
  • epalrestat
  • ethamsylate
  • flupirtine
  • imidurea
  • sodium glycolate
  • feracrylum
  • ethacridine
  • furazolidone/metronidazole
  • ozagrel hydrochloride
  • leptazol
  • l-glutamic acid /vitamin B complex
  • etizolam
  • etizolam/propranolol
  • ethoheptazine citrate
  • etophylline and theophylline
  • etophylline
  • finger millet
  • drotaverine/mefenamic acid
  • dichloroxylenol
  • pneumococcal 7-valent vaccine
  • diclofenac and metaxalone
  • dipivefrin ophthalmic
  • enbucrilate
  • potassium citrate and citric acid
  • potassium gluconate
  • aclarubicin
  • alfuzosin/dutasteride
  • adrenochrome monosemicarbazone
  • selenium sulfide topical
  • sertaconazole
  • amorolfine cream
  • amsacrine
  • amylmetacresol
  • sulfonated phenolics in aqueous solution
  • technetium Tc-99m sulfur colloid
  • raltitrexed
  • romiplostim
  • acediasulfone
  • azulene
  • acebrophylline
  • clonazepam/escitalopram oxalate
  • allylestrenol
  • andrographolide
  • artemotil
  • technetium Tc-99m sestamibi
  • rubidium Rb-82
  • somapacitan
  • sodium sulfate, magnesium sulfate and potassium sulfate
  • almitrine
  • gramicidin
  • nikethamide
  • technetium Tc-99m sodium pertechnetate
  • betiatide
  • prilocaine/epinephrine
  • amlexanox
  • acetaminophen/salicylamide/phenyltoloxamine
  • neomycin topical
  • zilucoplan
  • antazoline and xylometazoline
  • toripalimab
  • iron isomaltoside
  • meningococcal A C Y and W polysaccharide tetanus toxoid conjugate vaccine
  • meningococcal A C Y and W-135 diphtheria conjugate vaccine
  • tetradecyl Sulfuric Acid
  • benzoyl peroxide, clindamycin phosphate, adapalene
  • ethylephedrine
  • actarit
  • pyrantel tartrate
  • tenofovir disoproxil fumarate or tenofovir DF
  • melitracen
  • amitriptylinoxide(Phase 4 Clinical Trials)
  • threonine
  • ditiocarb zinc
  • epicriptine
  • levallorphan
  • kinetin
  • laurocapram
  • pentagastrin
  • parthenolide
  • nicoboxil
  • protionamide
  • prulifloxacin
  • proscillaridin
  • tizanidine and rofecoxib
  • tolnaftate, gentamicin, chinoform and betamethasone valerate
  • pine bark extract
  • pipenzolate methylbromide
  • bephenium hydroxynaphthoate
  • niclosamide
  • pyrvinium
  • pipenzolate methylbromide/phenobarbitone
  • piracetam/ginkgo biloba/vinpocetine
  • benzyl benzoate/disulfiram
  • benzyl benzoate
  • loperamide/simethicone
  • piroctone olamine
  • sodium fusidate
  • piroxicam topical/capsaicin/menthol/methyl salicylate
  • sodium metabisulfite
  • sodium lauryl sulfate
  • taspoglutide
  • glyclopyramide
  • tolnaftate, gentamicin, iodochlorohydroxyquinoline, chlorocresol, betamethasone valerate
  • serratiopeptidase
  • sodium antimony gluconate
  • triamterene / benzthiazide
  • tribenoside / lidocaine
  • triclocarban
  • triprolidine/dextromethorphan  
  • vitamins/minerals/omega-3 Fatty acids
  • soyabean oil
  • sucralfate/oxethazaine
  • sucralfate/tinidazole/povidone iodine
  • sodium cromoglycate
  • aloe vera/liquid paraffin/white soft paraffin
  • aloe vera/jojoba oil/vitamin E
  • allantoin/triclosan/vitamin e/zinc oxide
  • alpha-Lipoic acid/minerals/multivitamins
  • alprazolam/paracetamol
  • alprazolam/melatonin
  • azithromycin/ambroxol
  • atorvastatin/clopidogrel/aspirin
  • aceclofenac, paracetamol and serratiopeptidase
  • alfacalcidol, vitamin B-complex, minerals and antioxidants
  • alpha- lipoic acid, vitamin b complex and vitamin c
  • alpha-galactosidase and simethicone
  • alpha-galactosidase, amylase, proteases, lipase and lactase
  • amikacin and cefepime
  • aminophylline, ephedrine and phenobarbitone
  • artesunate, sulphadoxine and pyrimethamine
  • finasteride/tamsulosin
  • flavoxate/ofloxacin
  • fenofibrate/metformin
  • lignocaine, hydrocortisone topical and allantoin
  • linoleic acid and sodium lactate
  • troxerutin
  • meclizine/nicotinic acid
  • mecobalamin/ginkgo Biloba
  • spirulina
  • loperamide and furazolidone
  • ketoconazole/cetrimide
  • ketoconazole/zinc pyrithione
  • lercanidipine/atenolol
  • levocetirizine/montelukast/ambroxol
  • levarterenol
  • levocetirizine/phenylpropanolamine 
  • indapamide/amlodipine
  • itopride/methyl polysiloxane
  • mebendazole/levamisole
  • eberconazole/mometasone
  • gliclazide/metformin/pioglitazone
  • fluconazole/tinidazole
  • haemocoagulase
  • halometasone
  • hesperidin
  • imipramine/chlordiazepoxide
  • idebenone / l-arginine / zinc sulphate/selenium/proanthocyanidin
  • mecobalamin and piracetam
  • mesterolone
  • mosapride and pantoprazole
  • atorvastatin, co enzyme q10, vitamin e, zinc, and selenium
  • azithromycin and benzalkonium chloride
  • beta carotene, vitamin c, vitamin e, minerals, lutein, eicosapentaenoic acid, docosahexenoic acid and vit b12
  • alpha-galactosidase
  • aloe vera gel/vitamin e/lactic acid
  • aloe vera gel/jojoba/vitamin e/glycerine
  • famotidine and domperidone
  • faropenem medoxomil
  • nedosiran
  • fluconazole/ornidazole/azithromycin
  • ebastine/montelukast
  • eberconazole
  • dienogest/estradiol valerate
  • ambroxol/salbutamol
  • benzoic acid/salicylic acid/ichthammol/ triamcinolone acetonide
  • desloratadine/ambroxol
  • dexibuprofen/paracetamol
  • atorvastatin/ramipril
  • diastase
  • diastase and simethicone
  • diazepam and propranolol
  • dexrabeprazole / domperidone
  • dexrabeprazole
  • dexketoprofen /paracetamol
  • beta carotene/vitamin C/minerals
  • aloe vera gel/urea
  • aloe vera gel/glycerine
  • alpha-lipoic acid/benfotiamine/chromium/folic acid/mecobalamin / vit b6
  • alprazolam/propranolol
  • alprazolam /sertraline
  • ibuprofen/dextropropoxyphene
  • ambroxol/cetirizine/phenylephrine/ guaiphenesin/menthol
  • dextropropoxyphene/dexchlorpheniramine maleate/bromhexine
  • promegestone
  • batroxobin
  • bencyclane
  • benfluorex
  • acetylpheneturide
  • abarelix
  • abetimus
  • naftidrofuryl
  • nalorphine
  • oxiracetam
  • letosteine
  • lafutidine
  • leuprorelin
  • levodropropizine
  • glutaral
  • losartan/ramipril
  • gallopamil
  • lanatoside c
  • lauromacrogol
  • gestodene
  • aceclofenac/methyl salicylate/menthol/linseed oil/capsaicin
  • aceclofenac/paracetamol/tizanidine
  • alginic acid/magaldrate/simethicone
  • aceclofenac/paracetamol
  • aceclofenac/rabeprazole
  • alginic acid
  • pantoprazole and domperidone
  • urokinase
  • rimiterol
  • olanzapine/fluoxetine
  • normethadone/hydroxyephedrine
  • myrtol
  • moxonidine
  • propylhexedrine
  • sodium hypochlorite solution
  • sodium chloride/sodium citrate
  • Hepatitis B Vaccine (Recombinant [Adjuvanted])
  • Hepatitis B Vaccine (Recombinant)
  • aceclofenac and serratiopeptidase
  • levosulpiride
  • niaprazine
  • tromantadine
  • trimetazidine
  • vinburnine
  • mizoribine
  • molgramostim
  • mosapride
  • eugenol
  • tolperisone
  • etamsylate
  • etynodiol
  • mizolastine
  • metenolone
  • reproterol
  • rebamipide
  • mephenoxalone
  • metandienone
  • furosemide/spironolactone
  • hydroxycarbamide
  • tenonitrozole
  • fenoverine
  • fenquizone
  • tiapride
  • tibolone
  • furazolidone
  • furosemide & amiloride
  • fosfestrol
  • fluclorolone
  • flubendazole
  • tertatolol
  • tetracosactide
  • tetryzoline
  • tolciclate
  • trapidil
  • troxipide
  • temoporfin
  • telbivudine
  • teprenone
  • hexamidine
  • mebhydrolin
  • mepartricin
  • fencamfamin
  • medazepam
  • theodrenaline
  • thiamazole
  • thiocolchicoside
  • psilocybin
  • veralipride
  • pyritinol
  • opipramol
  • oprelvekin
  • betamethasone + gentamicin
  • betamethasone + neomycin
  • betamethasone + salicylic acid
  • oxedrine
  • bopindolol
  • orgotein (investigational)
  • oxaceprol
  • ormeloxifene
  • bevantolol
  • bifemelane
  • clebopride
  • demoxytocin
  • cicletanine
  • cefsulodin
  • chlortalidon
  • sisomicin
  • somatrem
  • carbazochrome
  • caroverine
  • cathine
  • ipriflavone
  • isepamicin
  • silymarin
  • simethicone
  • sermorelin
  • diloxanide
  • dimethindene
  • diosmin/hesperidin
  • calamine
  • canrenone
  • captodiame
  • imidapril
  • cefetamet
  • cefodizime
  • cefoperazone + sulbactam
  • ivermectin + albendazole
  • serrapeptase
  • bromisoval
  • beraprost
  • pridinol
  • proglumide
  • bamipine
  • barnidipine
  • bamifylline
  • benzbromarone
  • betamethasone/fusidic acid
  • para-chlorophenol
  • pantethine
  • nomifensine
  • pemoline
  • parnaparin
  • pentolinium
  • nialamide
  • novobiocin
  • nicergoline
  • octocrylene
  • octisalate
  • oftasceine
  • oxolamine
  • oxyphencyclimine
  • penfluridol
  • pentoxyverine
  • phenoxymethylpenicillin
  • picloxydine
  • pilsicainide hydrochloride
  • piperazine
  • pirarubicin
  • policresulen
  • prifinium bromide
  • prethcamide
  • pristinamycin
  • pirenzepine
  • piribedil
  • pimethixene
  • pargyline
  • phosphatidyl choline
  • phthalylsulfathiazole
  • phytomenadione
  • pranlukast
  • pinazepam
  • oxyphenonium
  • noxytiolin
  • periciazine
  • pethidine
  • phenindamine
  • histidine
  • isoleucine
  • proline
  • lauric acid
  • lymecycline
  • hypromellose
  • abiraterone acetate and niraparib
  • ichthammol
  • levamisole
  • naftazone
  • nefopam
  • oxprenolol
  • oxybuprocaine
  • elranatamab-bcmm
  • lapyrium
  • isoaminile
  • iotrolan
  • mazindol
  • masoprocol
  • lypressin
  • meradimate
  • molsidomine
  • monobenzone
  • mequinol/gluconolactone/ lactobionic acid/ arbutin
  • medifoxamine
  • mebutamate
  • metergoline
  • methantheline
  • methdilazine
  • metocurine
  • micronomicin
  • metaraminol
  • mephenesin
  • menadione
  • medrysone
  • metixene
  • levobetaxolol
  • guaiacol glycerol ether
  • eucalyptol
  • sodium tetradecyl sulfate
  • sugammadex
  • carbetocin
  • certoparin
  • chlorcyclizine/pseudoephedrine
  • cephapirin
  • indecainide
  • iobitridol
  • iomeprol
  • chlorphenesin
  • msud analog
  • msud maxamum
  • iceland moss
  • glutethimide
  • hexachlorophene
  • haloprogin
  • deferoxamine
  • ethchlorvynol
  • dexpanthenol topical
  • etilefrine
  • deslanoside
  • carbocromen
  • diazolidinylurea
  • dibenzepin
  • etofamide
  • guanoxan
  • halazepam
  • guanadrel sulfate
  • dapiprazole
  • soapwort
  • debrisoquine
  • l-tryptophan
  • chlormerodrin
  • chlorquinaldol
  • cetrimonium
  • carbocisteine
  • chlorcyclizine/codeine
  • technetium Tc-99m tetrofosmin
  • technetium Tc-99m disofenin
  • technetium Tc-99m gluceptate
  • technetium Tc-99m labeled red blood cells
  • amylmetacresol/dextromethorphan hydrobromide
  • anileridine phosphate
  • pyrethrins
  • pyrantel pamoate
  • quinagolide
  • spiramycin
  • standard hyperkalemic cardioplegia solution
  • technetium tc-99m mertiatide
  • technetium tc-99m medronate
  • bemotrizinol / bisoctrizole
  • benfotiamine
  • bemotrizinol + titanium dioxide + zinc oxide
  • technetium Tc-99m oxidronate
  • technetium Tc-99m pentetate
  • technetium Tc-99m pyrophosphate
  • benziodarone
  • octinoxate/bisoctrizole
  • bicisate dihydrochloride
  • technetium Tc-99m bicisate
  • norelgestromin/ethinyl estradiol
  • norgestimate/ethinyl estradiol
  • ximelagatran (investigational)
  • xamoterol
  • trioxsalen
  • poly-urea urethane
  • rilmenidine
  • pemirolast
  • oxitriptan
  • beclomethasone, intranasal
  • thimerosal
  • camphor gel
  • camphor
  • mumps virus vaccine, live
  • rubella virus vaccine, live
  • aluminum chloride (dental)
  • alum irrigation
  • framycetin, phenylephrine, and gramicidin
  • ombitasvir, paritaprevir, ritonavir, and dasabuvir
  • olipudase alfa
  • etonogestrel/ethinyl estradiol
  • mycophenolate
  • fluoroestradiol F 18
  • donor organ cardioplegia solution
  • fluciclovine F 18
  • fusidic acid (ophthalmic)
  • fusidic acid and hydrocortisone
  • framycetin, dexamethasone, and gramicidin
  • fludeoxyglucose F-18
  • fluorouracil/salicylic acid
  • indium In-111 oxyquinoline
  • indium In-111 pentetreotide
  • indium In-111 capromab pendetide
  • lusutrombopag
  • mitomycin (ophthalmic)
  • mifepristone and misoprostol
  • minoxidil (systemic)
  • methyl aminolevulinate (topical)
  • methyl folate, methylcobalamin, and acetylcysteine
  • ciclesonide/formoterol/tiotropium
  • nedocromil (Oral Inhalation)
  • batefenterol (Investigational)
  • neostigmine and glycopyrrolate
  • nepafenac ophthalmic
  • netupitant/palonosetron
  • meperidine and promethazine
  • mepivacaine and levonordefrin
  • maltodextrin
  • medical cannabis
  • medium chain triglycerides
  • mometasone/glycopyrrolate (glycopyrronium)/ indacaterol
  • moxifloxacin ophthalmic
  • neomycin/fluocinolone
  • nadroparin
  • iodine I-125 iothalamate
  • amikacin liposome (oral inhalation)
  • bupivacaine liposome
  • natamycin
  • lopinavir and ritonavir
  • lysine
  • macitentan and tadalafil
  • mitomycin pyelocalyceal
  • moclobemide
  • mometasone and indacaterol
  • efinaconazole
  • blue-green algae
  • indocyanine green
  • follitropin beta
  • lumasiran
  • glycerin/lidocaine
  • edrophonium/atropine
  • indigo carmine
  • lutropin alfa
  • instant glucose/intravenous dextrose
  • iobenguane I-123
  • ixekizumab
  • isosulfan blue dye
  • levofloxacin ophthalmic
  • levonorgestrel oral/ferrous bisglycinate/ ethinylestradiol
  • ethinyl estradiol/levonorgestrel transdermal
  • hydroquinone
  • hydroxypropyl methylcellulose
  • icodextrin
  • lipid emulsion (soybean, medium-chain triglyceride, olive, and fish oils; [SMOF])
  • iodinated I 125 albumin
  • iodinated I 131 albumin
  • lipid emulsion (plant oil-based)
  • levonorgestrel intrauterine
  • levonorgestrel/ethinyl estradiol
  • lactic acid and sodium-PCA
  • lactated Ringer solution
  • ketotifen (systemic)
  • lanolin
  • leuprolide and norethindrone
  • levodopa and benserazide
  • gonadorelin acetate
  • hemodialysis solutions
  • nirsevimab
  • gentian violet
  • gallium ga-68 dotatate
  • fusidic acid and betamethasone
  • gallium citrate Ga-67
  • gadopentetate dimeglumine
  • gadofosveset
  • follitropin delta
  • follitropin alfa and lutropin alfa
  • follitropin alfa
  • rocatinlimab
  • grass pollens allergen extract
  • flotufolastat F18
  • fluorescein ophthalmic
  • barium
  • balanced salt solution
  • air polymer type A intrauterine device
  • clodronate
  • bentoquatam
  • clobetasone
  • alfacalcidol
  • citric acid/glucono-delta-lactone/magnesium carbonate
  • benzoin
  • desirudin
  • immune globulin IV (IGIV)
  • dequalinium
  • pseudoephedrine/desloratadine
  • clofedanol
  • cyproterone and ethinyl estradiol
  • dextranomer and hyaluronic acid or derivatives
  • diatrizoate meglumine and diatrizoate sodium
  • glucosamine sulfate, chondroitin sulfate and Msm
  • squill
  • gotu kola
  • blessed thistle
  • bitter melon
  • apraclonidine
  • chlophedianol/dexbrompheniramine/pseudoephedrine
  • wild jujube
  • chitosan
  • cilazapril/hydrochlorothiazide
  • dexbrompheniramine and phenylephrine
  • diethylene triamine penta-acetic acid
  • dexchlorpheniramine and pseudoephedrine
  • lily of the valley
  • diflucortolone
  • corydalis
  • lemon balm
  • MSM
  • calcium polystyrene sulfonate
  • caprylidene
  • peppermint oil
  • efavirenz/lamivudine/tenofovir DF
  • emtricitabine/tenofovir DF /efavirenz
  • dutasteride/tamsulosin
  • milk thistle
  • centaury
  • horseweed
  • lycopus
  • agrimony
  • alfalfa
  • kava
  • cetrorelix
  • cetylpyridinium
  • chlophedianol and dexbrompheniramine
  • betahistine
  • choline C-11
  • boric acid vaginal suppository
  • aluminum acetate
  • aluminum chloride hexahydrate
  • 14-C urea breath test
  • absorbable collagen
  • valoctocogene roxaparvovec-rvox
  • amlodipine and celecoxib
  • aspirin and omeprazole
  • azilsartan and chlorthalidone
  • landiolol (Pending FDA approval)
  • isosorbide dinitrate/hydralazine
  • losartan/hydrochorothiazide
  • udenafil
  • dextromethorphan/quinidine
  • onasemnogene abeparvovec
  • orphenadrine/aspirin/caffeine
  • Trace elements
  • sodium phenylbutyrate/ taurursodiol
  • fish oil triglycerides
  • infant formula
  • glutamine
  • chloroquine phosphate
  • afatinib
  • quinidine gluconate
  • methylergonovine
  • prothrombin complex concentrate, human
  • BCG intravesical live
  • capivasertib
  • cedazuridine
  • carbonyl iron
  • iron dextran complex
  • lovotibeglogene autotemcel (FDA Approval Pending)
  • sodium benzoate/sodium phenylacetate
  • mineral oil otic
  • zolmitriptan transdermal
  • midazolam intranasal
  • fosinopril/hydrochlorothiazide
  • caplacizumab
  • arginine
  • sodium phenylbutyrate
  • meloxicam/rizatriptan
  • manganese
  • acetaminophen/pamabrom/pyridoxine
  • varicella zoster immune globulin, human
  • amitriptyline/perphenazine
  • narsoplimab (Pending FDA Approval)
  • amlodipine/perindopril
  • imiglucerase
  • canagliflozin/metformin
  • tafamidis meglumine
  • somatrogon-ghla
  • glimepiride/rosiglitazone
  • becaplermin
  • lithium
  • loxapine inhaled
  • nicotine transdermal
  • tixagevimab and cilgavimab (Investigational)
  • muromonab CD3
  • ansuvimab
  • coal tar bath products
  • fibrin sealant
  • arimoclomol (FDA Approval Pending)
  • varenicline intranasal
  • aducanumab
  • oxycodone/naloxone
  • ritlecitinib
  • sodium polystyrene sulfonate
  • calcipotriene/betamethasone
  • calcium hydroxylapatite
  • cantharidin topical
  • doxepin cream
  • clocortolone
  • formaldehyde topical
  • sodium sulfide topical
  • collagenase
  • selegiline transdermal
  • foscarbidopa/foslevodopa (FDA approval pending)
  • saxagliptin/metformin
  • linagliptin/metformin
  • linzagolix (FDA approval pending)
  • efgartigimod/hyaluronidase SC
  • Elamipretide
  • rozanolixizumab
  • diazoxide
  • glimepiride/pioglitazone
  • cipaglucosidase alfa
  • dihydroergotamine intranasal
  • delandistrogene moxeparvovec
  • beremagene geperpavec
  • hyaluronic acid and derivatives
  • hyaluronic acid, non-animal stabilized
  • eplontersen (FDA Approval Pending)
  • nitric oxide gas
  • sodium phenylbutyrate and taurursodiol
  • treprostinil SC
  • viltolarsen
  • albuterol/ipratropium
  • budesonide inhaled
  • budesonide rectal
  • palovarotene
  • sodium sulfate/potassium chloride/magnesium sulfate/polyethylene glycol
  • amino acids mixture
  • aminobenzoate potassium
  • elivaldogene autotemcel
  • naproxen and sumatriptan
  • sumatriptan intranasal
  • alglucerase
  • metformin/rosiglitazone
  • ertugliflozin/metformin
  • elosulfase alfa
  • calcium carbonate/magnesium hydroxide
  • starch suppository
  • abicipar pegol (FDA Approval Pending)
  • riboflavin 5′-phosphate ophthalmic
  • povidone ophthalmic
  • glycerin oropharyngeal
  • dimethicone topical
  • menthol topical, dimethicone topical
  • pramoxine topical, menthol topical and dimethicone topical
  • phosphorated carbohydrate
  • brilliant blue G ophthalmic
  • brolucizumab intravitreal
  • purified water, ophthalmic
  • hydroxyethyl cellulose ophthalmic
  • ranibizumab intravitreal implant
  • sodium chloride hypertonic, ophthalmic 
  • cetirizine ophthalmic
  • phentolamine ophthalmic
  • ganciclovir ophthalmic
  • triamcinolone intravitreal
  • ocriplasmin intravitreal
  • atoltivimab/maftivimab/odesivimab
  • pegcetacoplan intravitreal
  • triamcinolone acetonide extended-release injectable suspension
  • tobramycin/loteprednol ophthalmic
  • 2-octyl cyanoacrylate
  • vitamins A & D topical
  • diphenhydramine/allantoin topical
  • pyrethrins/piperonyl butoxide
  • lodoxamide ophthalmic
  • obeticholic acid
  • fluocinolone intravitreal implant
  • sincalide
  • linaclotide
  • nedocromil ophthalmic
  • cysteamine ophthalmic
  • avacincaptad pegol intravitreal
  • azelastine ophthalmic
  • bacitracin ophthalmic
  • propylene glycol ophthalmic
  • rimexolone ophthalmic
  • metoclopramide intranasal
  • mirikizumab
  • netarsudil ophthalmic
  • cenegermin
  • dexamethasone ophthalmic insert
  • prednisolone ophthalmic
  • phenylephrine and cocoa butter rectal
  • phenylephrine and witch hazel topical
  • phenylephrine, pramoxine, glycerin and petrolatum rectal
  • bisacodyl rectal
  • aluminum hydroxide/magnesium carbonate
  • aluminum hydroxide/magnesium hydroxide
  • hyoscyamine spray
  • methenamine/methylene blue/ hyoscyamine/ sodium phosphate monobasic/ phenyl salicylate
  • phenylephrine
  • chlorophyll
  • castor oil
  • cholic acid
  • phenol oropharyngeal
  • articaine/epinephrine
  • antithymocyte globulin equine
  • aluminum hydroxide/magnesium trisilicate
  • methenamine/hyoscyamine
  • hydrocortisone topical/pramoxine topical 
  • sodium fluoride topical
  • mesna
  • C1 esterase inhibitor recombinant
  • menthol and pectin
  • menthol oropharyngeal
  • pectin oropharyngeal
  • gepirone
  • Goldenseal
  • polyethylene glycol and electrolytes
  • polyethylene glycol/electrolytes/sodium ascorbate/ascorbic acid
  • brompheniramine/pseudoephedrine/dextromethorphan
  • brompheniramine phenylephrine
  • acetaminophen/doxylamine/phenylephrine
  • doxylamine/acetaminophen/pseudoephedrine/dextromethorphan
  • acetaminophen/doxylamine/dextromethorphan
  • acetaminophen/doxylamine/dextromethorphan/phenylephrine
  • eslicarbazepine
  • fluticasone and salmeterol
  • codeine, acetaminophen, butalbital and caffeine
  • codeine, chlorpheniramine and phenylephrine
  • iodine
  • povidone iodine
  • butalbital/aspirin/caffeine/codeine
  • polyethylene glycol 400/propylene glycol ophthalmic 
  • pegvaliase
  • amivantamab
  • iopamidol
  • codeine and pseudoephedrine
  • emtricitabine, rilpivirine, tenofovir DF
  • penicillin G aqueous
  • miconazole topical
  • miconazole vaginal
  • ciprofloxacin inhaled (Pending FDA approval)
  • ceftazidime/avibactam
  • ceftolozane/​tazobactam
  • aztreonam inhalation
  • amphotericin B cholesteryl sulfate
  • miconazole oral
  • elvitegravir/cobicistat/emtricitabine/tenofovir DF
  • isavuconazonium sulfate
  • dapivirine intravaginal (FDA Approval Pending)
  • lamivudine/raltegravir
  • codeine/triprolidine/pseudoephedrine
  • cadexomer iodine
  • brompheniramine/pseudoephedrine
  • codeine/acetaminophen
  • codeine/guaifenesin
  • beclomethasone inhaled
  • epoetin beta/methoxy polyethylene glycol
  • voreloxin(Orphan Drug)
  • rociletinib
  • pitcher plant
  • phosphatidylserine
  • telotristat ethyl
  • copper CU 64 dotatate
  • urea topical
  • exenatide subdermal implant
  • asenapine transdermal
  • ethiodized oil
  • urea oral
  • miglustat
  • acalisib(Investigational)
  • acetophenazine
  • guggul
  • aceneuramic acid
  • mestranol/norethindrone
  • reishi
  • lactitol
  • vonoprazan fumarate
  • motherwort
  • silver nitrate
  • salicylic acid/sulfur shampoo
  • salicylic acid topical
  • ketorolac ophthalmic
  • ketoconazole topical
  • Japanese encephalitis virus vaccine
  • dibucaine topical ointment
  • ketorolac intranasal
  • ketorolac/phenylephrine ophthalmic
  • rotavirus oral vaccine, live
  • guarana
  • hops
  • krill oil
  • salicylic acid/coal tar shampoo
  • sufentanil SL
  • pancrelipase
  • passion flower
  • pepdite one plus
  • nivolumab and relatlimab
  • relatlimab (Pending FDA Approval)
  • benzalkonium chloride/benzocaine
  • ketotifen, drug-eluting contact lens
  • calcitriol topical
  • oxymetazoline topical
  • alclometasone topical
  • capsaicin topical
  • diclofenac/misoprostol
  • diclofenac ophthalmic
  • diclofenac topical
  • pramoxine/calamine topical
  • veverimer
  • tolazoline
  • olopatadine ophthalmic
  • lutetium lu 177-dota-tate
  • lutetium lu 177 vipivotide tetraxetan
  • strontium 89 chloride
  • interferon alfa n3
  • lutetium Lu 177- Diethylenetriamine Pentaacetic acid-omburtamab (FDA Approval Pending)
  • samarium sm 153 lexidronam
  • cytomegalovirus immune globulin (CMV IG)
  • antithymocyte globulin rabbit
  • inolimomab (Pending FDA Approval)
  • olopatadine intranasal
  • olopatadine intranasal/​mometasone, intranasal
  • benzocaine/butamben/tetracaine topical
  • antipyrine/benzocaine/phenylephrine
  • dyclonine/menthol
  • surufatinib
  • fruquintinib
  • dostarlimab
  • hepatitis B immune globulin (HBIG)
  • remestemcel-L
  • benzocaine/menthol oropharyngeal
  • interferon beta 1b
  • tetracaine/oxymetazoline intranasal
  • benzocaine oropharyngeal
  • benzalkonium chloride/menthol/petrolatum topical
  • inamrinone
  • alpha 1 proteinase inhibitor
  • potassium bicarbonate/potassium citrate
  • potassium phosphate/sodium acid phosphate
  • asparaginase Erwinia chrysanthemi recombinant
  • motixafortide
  • pegloticase
  • etesevimab
  • Rho(D) immune globulin
  • tetanus immune globulin (TIG)
  • reltecimod (pending FDA approval)
  • avasopasem
  • trimethoprim/polymyxin B ophthalmic
  • naphazoline ophthalmic
  • sulfacetamide topical
  • sirolimus intravitreal (pending FDA approval)
  • sirolimus protein bound
  • sirolimus topical
  • glycopyrronium tosylate topical
  • sofpironium
  • olmesartan, amlodipine and hydrochlorothiazide
  • dovitinib (Pending FDA Approval)
  • epinephrine inhaled
  • quizartinib (Pending FDA Approval)
  • ranibizumab intravitreal injection
  • sodium hyaluronate
  • bacitracin and lidocaine topical
  • brimonidine topical
  • benzoyl peroxide and tretinoin topical
  • talquetamab
  • betrixaban
  • acetaminophen/caffeine/pyrilamine
  • fentanyl transmucosal
  • bacitracin topical
  • buprenorphine,long-acting injection
  • buprenorphine buccal
  • nalmefene intranasal
  • sulbactam/durlobactam
  • metronidazole topical 
  • daratumumab/hyaluronidase
  • glofitamab
  • rituximab-hyaluronidase
  • drospirenone/ethinyl estradiol/levomefolate
  • loncastuximab tesirine
  • ingenol mebutate topical
  • momelotinib
  • trastuzumab/deruxtecan
  • trastuzumab/hyaluronidase
  • trastuzumab duocarmazine
  • lifileucel
  • umbralisib
  • eflornithine/sulindac
  • cytarabine/daunorubicin liposomal
  • doxorubicin liposomal
  • epcoritamab
  • lanadelumab  
  • esomeprazole/naproxen 
  • terbinafine topical
  • ravulizumab
  • clotrimazole topical
  • choline magnesium trisalicylate
  • tacrolimus ointment
  • mechlorethamine topical
  • donislecel
  • pozelimab (Pending FDA Approval)
  • human rabies immune globulin (HRIG)
  • melphalan flufenamide
  • sintilimab (Pending FDA Approval)
  • oportuzumab monatox (Pending FDA Approval)
  • sotorasib
  • irinotecan liposomal
  • sulfur topical
  • silver sulfadiazine
  • capsaicin transdermal
  • sutimlimab
  • tretinoin topical
  • acetaminophen rectal
  • menthol topical
  • naftifine
  • oatmeal, colloidal topical
  • oxiconazole
  • methylsalicylate/menthol topical
  • C1 inhibitor human
  • lifitegrast ophthalmic
  • prednisolone/sulfacetamide ophthalmic
  • mannitol inhalation
  • ofloxacin otic
  • petrolatum & mineral oil topical
  • clascoterone topical
  • gefapixant (Pending FDA Approval)
  • colesevelam
  • technetium Tc 99m succimer
  • nebivolol/valsartan
  • ciprofloxacin/fluocinolone acetonide, otic
  • finafloxacin otic
  • magnesium hydroxide/mineral oil
  • phenylephrine/mineral oil/petrolatum rectal
  • carbamide peroxide oral
  • atropine ophthalmic
  • sodium sulfacetamide/sulfur
  • sulfacetamide ophthalmic
  • lucinactant
  • benzonatate
  • besifloxacin ophthalmic
  • benzhydrocodone/acetaminophen
  • beractant
  • trimagnesium citrate anhydrous
  • vitamin b2
  • carbamide peroxide otic
  • mineral oil topical
  • ethyl alcohol intranasal
  • boric acid/alcohol otic
  • absorbable gelatin compressed sponge, USP
  • absorbable gelatin sponge, USP
  • vincristine liposomal
  • technetium Tc 99m albumin aggregated injection
  • metaproterenol
  • budesonide inhaled/formoterol/glycopyrrolate inhaled
  • epinephrine racemic
  • umeclidinium bromide/vilanterol inhaled
  • indacaterol, inhaled/glycopyrrolate inhaled
  • betaine  
  • laronidase 
  • estrogens esterified/methyltestosterone            
  • cerliponase alfa
  • ertugliflozin/sitagliptin
  • hawthorn
  • shepherd’s purse
  • thiamine
  • naphazoline/glycerin ophthalmic
  • oxymetazoline ophthalmic
  • dorzolamide
  • dexamethasone intraocular
  • dexamethasone/ciprofloxacin
  • dexamethasone ophthalmic
  • metipranolol ophthalmic
  • timolol ophthalmic
  • boron
  • fezolinetant
  • pegunigalsidase alfa-iwxj
  • biotin
  • pantothenic acid
  • silicon
  • sodium acid phosphate
  • hypochlorous acid topical
  • methenamine/sodium acid phosphate
  • aviptadil 
  • bremelanotide
  • glucagon intranasal
  • metformin and repaglinide
  • bai ji
  • pau d’arco
  • juzentaihoto
  • mistletoe
  • quercetin
  • rosemary
  • sheng di huang
  • chasteberry
  • maitake
  • grapefruit
  • lentinan
  • juniper
  • nettle
  • parsley
  • rose hips
  • tongkat ali
  • horny goat weed
  • damiana
  • yohimbe
  • insulin NPH
  • aprocitentan
  • noni Juice
  • sodium iodide I-131
  • green tea
  • sea cucumber
  • wheat germ extract
  • fenofibrate micronized 
  • rogisen
  • danshen
  • lutein
  • witch hazel
  • dextroamphetamine transdermal
  • amphetamine/dextroamphetamine
  • hoodia
  • kolanut
  • boswellia
  • opuntia ficus indica
  • lavender
  • nadh
  • tea tree oil
  • metformin/sitagliptin 
  • dapagliflozin/ metformin/saxagliptin  
  • antihemophilic factor recombinant
  • inclisiran
  • bempedoic acid/ezetimibe
  • volanesorsen  
  • omega 3 carboxylic acids
  • pericyazine
  • levomepromazine (methotrimeprazine)
  • betaxolol ophthalmic
  • respiratory syncytial virus vaccine, adjuvanted
  • phenylephrine hydrochloride and tropicamide ophthalmic
  • alirocumab
  • neomycin/polymyxin B/gramicidin ophthalmic
  • factor IX
  • gentamicin topical
  • ansofaxine (Pending FDA Approval)
  • zuranolone
  • factor IX, recombinant
  • factor IX complex
  • factor XIII A-subunit, recombinant
  • factor X, human
  • mesalamine rectal
  • etrasimod
  • anti-inhibitor coagulant complex
  • factor IX, recombinant/albumin fusion protein
  • fibrinogen, human
  • aminocaproic acid
  • metyrosine
  • nonoxynol-9 vaginal
  • progesterone intravaginal gel
  • ipecac syrup
  • botulinum antitoxin, heptavalent
  • pentetate calcium trisodium
  • crotalidae polyvalent immune FAB (ovine)
  • dehydrated alcohol injection 
  • gold sodium thiomalate (Discontinued)
  • lactic acid/citric acid/potassium bitartrate vaginal
  • von Willebrand factor, recombinant
  • luspatercept
  • digoxin immune FAB (Antidote)
  • crotalidae immune FAB (equine)
  • magnesium (Antidote)
  • pyridoxine (Antidote)
  • edetate calcium disodium
  • albumin IV
  • nitroglycerin sublingual
  • obiltoxaximab
  • anthrax immune globulin
  • nitroglycerin topical
  • dextrose
  • nesiritide
  • estradiol vaginal
  • bazedoxifene/conjugated estrogens
  • botulism immune globulin iv
  • amoxicillin/omeprazole/rifabutin
  • synthetic human angiotensin II
  • nitroglycerin IV
  • nitroglycerin translingual
  • nitroprusside sodium
  • tetrahydrozoline/zinc sulfate/hypromellose ophthalmic
  • sodium citrate/citric acid
  • pemetrexate
  • Methicillin
  • plasminogen 
  • acai
  • american ginseng
  • cordyceps
  • tramadol/acetaminophen
  • belladonna alkaloids/phenobarbital
  • erythromycin topical/benzoyl peroxide
  • glucosamine sulfate
  • panax ginseng (suppl/herb)
  • tolnaftate
  • sulopenem etzadroxil/probenecid
  • sulfur hexafluoride
  • sotrovimab
  • arbaclofen
  • rifampin/isoniazid
  • clindamycin /tretinoin topical
  • benzoyl peroxide/clindamycin topical
  • apremilast
  • antivenins, centuroides (scorpion)
  • bamlanivimab and etesevimab
  • vilobelimab
  • gadobenate
  • pentosan polysulfate sodium
  • methylsalicylate/menthol/camphor topical
  • antivenin, black widow spider
  • benzoyl peroxide and hydrocortisone
  • clindamycin topical
  • isometheptene, dichloralphenazone and acetaminophen
  • acetaminophen and phenyltoloxamine
  • erythromycin topical
  • erythromycin ophthalmic
  • alpha hydroxy acids, topical
  • buprenorphine transdermal
  • butalbital/acetaminophen/caffeine
  • buprenorphine/samidorphan
  • buprenorphine subdermal implant
  • celecoxib/tramadol
  • drospirenone/ethinyl estradiol
  • resorcinol/sulfur
  • eflornithine
  • rifampin/isoniazid/pyrazinamide
  • tofersen
  • devil’s claw
  • ticarcillin/clavulanate
  • atropine/pralidoxime
  • aprepitant
  • suramin
  • phenelzine 
  • artichoke
  • american dogwood
  • attapulgite
  • atlantic cedar
  • axalimogene filolisbac
  • sodium thiosulfate & sodium nitrite
  • ataluren
  • omidubicel-onlv
  • capsicum
  • ginger
  • cryoprecipitate
  • bictegravir/emtricitabine/tenofovir DF
  • emtricitabine/tenofovir DF
  • fo-ti
  • siberian ginseng
  • granulocytes
  • zinc substituted heme C
  • zinc trihydroxide
  • ashwagandha 
  • cat’s claw
  • glandular products
  • SAMe
  • shark cartilage
  • altovis
  • feverfew
  • horse chestnut
  • magnesium aspartate
  • octacosanol
  • pleurisy root
  • star anise
  • butterbur
  • elderberry
  • licorice (Suppl/herb)
  • aconite
  • pentetate zinc trisodium
  • menthol topical/zinc oxide topical
  • corn-starch/kaolin/zinc oxide topical
  • 5-hydroxytryptophan (5-htp)
  • butcher’s broom
  • articulin
  • bearberry
  • goldenrod
  • progesterone, natural
  • black cohosh
  • wild yam
  • cranberry
  • dong quai
  • phytoestrogens
  • norethindrone
  • false Unicorn Root
  • raspberry Leaf
  • asafoetida
  • turmeric
  • dehydroepiandrosterone (DHEA)
  • hyaluronan
  • aliskiren/amlodipine
  • octreotide (Antidote)
  • tranexamic acid injection
  • duocal
  • neocate infant formula
  • pediatric Eo28
  • aloe
  • red clover
  • propolis
  • androstenedione
  • heartsease
  • comfrey
  • bilberry
  • chamomile
  • eyebright
  • calendula
  • sage
  • yucca
  • polypody
  • odevixibat
  • vinpocetine
  • olanzapine/samidorphan
  • creatine
  • yerba mate
  • spesolimab
  • azficel-T
  • tiludronate
  • estetrol and drospirenone
  • pseudoephedrine/fexofenadine
  • lincomycin
  • neomycin oral
  • fluocinolone acetonide, otic
  • tretinoin/ hydroquinone/ fluocinolone
  • halobetasol topical
  • hydrocortisone/​iodoquinol
  • penicillin G procaine /penicillin G benzathine
  • hydrocortisone probutate topical
  • colistin/neomycin/hydrocortisone/thonzonium otic
  • ebola zaire vaccine
  • hepatitis a/​b vaccine
  • vibegron
  • lindane
  • nystatin topical
  • respiratory syncytial virus (RSV) vaccine
  • chikungunya vaccine, live
  • tenecteplase
  • reteplase
  • anthrax vaccine adsorbed, adjuvanted
  • meningococcal ABCWY pentavalent vaccine
  • eculizumab
  • cholestyramine
  • tinzaparin
  • taurolidine/​citrate/​heparin
  • protein C concentrate
  • antithrombin alfa
  • antithrombin III
  • multivitamins, vision
  • ibuprofen/​chlorpheniramine/​pseudoephedrine
  • acetaminophen/ibuprofen
  • ibuprofen/pseudoephedrine
  • paclitaxel protein-bound
  • acetic acid vaginal
  • acetic acid otic
  • hydrocodone/ ibuprofen
  • methyl salicylate / isopropanol/ citronellyl acetate/ citric acid
  • ibuprofen and phenylephrine
  • acetylcysteine (Antidote)
  • iron/​folic acid/​vitamin/​mineral
  • iobenguane I-131
  • dolutegravir/rilpivirine
  • chlorhexidine topical
  • chlorhexidine oral
  • thyroid desiccated
  • proparacaine ophthalmic
  • podophyllum resin
  • phendimetrazine
  • phenoxybenzamine
  • polidocanol
  • phentermine and topiramate
  • piflufolastat F18
  • piperacillin/tazobactam
  • prednisolone and gentamicin ophthalmic
  • promethazine and codeine
  • poractant alfa
  • protamine sulfate
  • aflibercept intravitreal
  • prednicarbate
  • promethazine/dextromethorphan
  • codeine, phenylephrine, and promethazine
  • potassium phosphate
  • glatiramer acetate
  • gentamicin (Ophthalmic)
  • leniolisib
  • rezafungin
  • fluorometholone
  • dalfampridine
  • hydrocortisone topical 
  • empagliflozin and linagliptin
  • triamcinolone topical
  • minocycline topical
  • minocycline dental
  • ketotifen ophthalmic
  • darunavir and cobicistat
  • lidocaine topical
  • neomycin/polymyxin B/bacitracin/lidocaine (OTC)
  • lidocaine/ hydrocortisone
  • lidocaine anesthetic
  • lidocaine ophthalmic
  • lidocaine/tetracaine
  • desonide
  • dabigatran
  • fexofenadine
  • fluoride
  • decitabine and cedazuridine
  • dasiglucagon
  • hydroxypropyl cellulose ophthalmic
  • epoetin alfa
  • ibritumomab tiuxetan
  • trimethobenzamide
  • dexamethasone/ tobramycin
  • tafasitamab
  • valacyclovir
  • mebendazole
  • levoleucovorin
  • flaxseed
  • germanium
  • glutathione
  • lycopene
  • pygeum
  • horseradish
  • ziv-aflibercept
  • micafungin
  • trofinetide
  • taliglucerase alfa
  • tildrakizumab
  • sulopenem (Pending FDA Approval)
  • thyrotropin alfa
  • birch
  • thrombin, topical
  • tivozanib
  • tafluprost
  • methohexital
  • urea and hydrocortisone
  • unoprostone ophthalmic
  • trihexyphenidyl
  • ezetimibe
  • evolocumab
  • trifluridine and tipiracil
  • methenamine
  • misoprostol
  • miltefosine
  • rimantadine
  • maralixibat
  • coenzyme Q10
  • chlorella
  • garlic
  • forskolin
  • zavegepant
  • menotropins
  • margetuximab
  • meprobamate
  • melarsoprol
  • evening primrose oil
  • lemongrass
  • molindone
  • fenugreek
  • phytosterols
  • red yeast rice
  • uridine triacetate
  • tropicamide
  • incobotulinumtoxinA
  • Grape Seed Extract
  • carbachol ophthalmic
  • cosyntropin
  • cyclopentolate and phenylephrine
  • carteolol ophthalmic
  • pentazocine/naloxone
  • pentazocine/acetaminophen
  • casimersen
  • carisoprodol, aspirin, and codeine
  • carisoprodol
  • carboprost tromethamine
  • flurandrenolide
glecaprevir + 

imiquimod topical

may increase the levels of serum concentration

fluorouracil topical

may increase the levels of serum concentration

peginterferon alfa-2b

may increase the levels of serum concentration

abiraterone

may increase the levels of serum concentration

talimogene Laherparepvec

may increase the levels of serum concentration

ivacaftor/tezacaftor 

may increase the levels of serum concentration of ivacaftor/tezacaftor

avapritinib 

may enhance the serum concentration

risperidone 

may enhance the serum concentration

eszopiclone 

may enhance the serum concentration

lemborexant 

may enhance the serum concentration of CYP3A4 inhibitors

lomitapide 

may enhance the serum concentration of CYP3A4 inhibitors

lonafarnib 

may enhance the serum concentration of CYP3A4 inhibitors

nifedipine 

may enhance the serum concentration when combined with nifedipine

abemaciclib 

may increase the serum concentration of abemaciclib

adagrasib 

may increase the level of serum concentration of adagrasib

sparsentan 

may increase or decrease the activity of this enzyme when combined with sparsentan

levomilnacipran 

May enhance the serum concentration when combined with levomilnacipran

upadacitinib 

may enhance the serum concentration when combined with upadacitinib

tolvaptan 

may enhance the serum concentration when combined with tolvaptan

ranolazine 

It may enhance serum concentration when combined with CYP3A4 Inhibitors (Moderate)

zanubrutinib 

CYP3A4 Inhibitors (Moderate) may increase the serum concentration when combined with Zanubrutinib

suvorexant 

may enhance the serum concentration when combined

ubrogepant 

may enhance the concentration of serum when combined with ubrogepant

ado-trastuzumab emtansine 

may enhance the serum concentrations of the active metabolites

budesonide inhaled 

may enhance the serum concentration when combined

istradefylline 

may enhance the concentration of serum when combined with istradefylline

alfentanil 

may enhance the concentration of serum when combined with alfentanil

astemizole 

may enhance the concentration of serum when combined with astemizole

avanafil 

may enhance the concentration of serum when combined with avanafil

brigatinib 

may enhance the concentration of serum when combined with brigatinib

bromocriptine 

may enhance the concentration of serum when combined with bromocriptine

budesonide inhaled/formoterol/glycopyrrolate inhaled 

may enhance the concentration of serum when combined with budesonide

cilostazol 

may enhance the concentration of serum when combined with cilostazol

cisapride 

may enhance the concentration of serum when combined with cisapride

cobimetinib 

may enhance the concentration of serum when combined with cobimetinib

colchicine 

may enhance the concentration of serum when combined with colchicine

dapoxetine 

may enhance the concentration of serum when combined with dapoxetine

daridorexant 

may enhance the concentration of serum when combined with daridorexant

deflazacort 

may enhance the concentration of serums when combined with deflazacort

eliglustat 

may enhance the concentration of serum when combined with eliglustat

encorafenib 

may enhance the concentration of serum when combined with encorafenib

entrectinib 

may enhance the concentration of serum when combined with entrectinib

eplerenone 

may enhance the concentration of serum when combined with eplerenone

fentanyl 

may enhance the concentration of serum when combined with fentanyl

guanfacine 

may enhance the concentration of serum when combined with guanfacine

ibrutinib 

may enhance the concentration of serum when combined with ibrutinib

elacestrant 

may enhance the concentration of serum when combined with elacestrant

carbetocin 

may enhance the QTc-prolonging effect of each other when combined

lurasidone 

lurasidone: they may enhance the serum concentration of CYP3A4 Inhibitors

mavacamten 

CYP3A4 Inhibitors: they may enhance the serum concentration of mavacamten

pemigatinib 

pemigatinib: they may enhance the serum concentration of CYP3A4 Inhibitors

omaveloxolone 

omaveloxolone: they may enhance the serum concentration of CYP3A4 Inhibitors

pexidartinib 

pexidartinib: they may enhance the serum concentration of CYP3A4 Inhibitors

selpercatinib 

selpercatinib: they may enhance the serum concentration of CYP3A4 Inhibitors

selumetinib 

selumetinib: they may enhance the serum concentration of CYP3A4 Inhibitors

sonidegib 

sonidegib: they may enhance the serum concentration of CYP3A4 Inhibitors

tazemetostat 

tazemetostat: they may enhance the serum concentration of CYP3A4 Inhibitors

vardenafil 

vardenafil: they may enhance the serum concentration of CYP3A4 Inhibitors

venetoclax 

venetoclax: they may enhance the serum concentration of CYP3A4 Inhibitors

voclosporin 

voclosporin: they may enhance the serum concentration of CYP3A4 Inhibitors

betamethasone + neomycin 

may enhance the risk of side effects when combined

cimetropium 

cimetropium: they may enhance the serum concentration of CYP3A4 Inhibitors

dihydroergocristine

may increase the levels of serum concentration of ergot derivatives

desogestrel

may enhance the serum concentration when combined with hormonal contraceptives

mestranol

may enhance the serum concentration when combined with hormonal contraceptives

ulipristal

may enhance the serum concentration when combined with hormonal contraceptives

medroxyprogesterone

may enhance the serum concentration when combined with hormonal contraceptives

megestrol

may enhance the serum concentration when combined with hormonal contraceptives

drospirenone

may enhance the serum concentration when combined with hormonal contraceptives

dydrogesterone

may enhance the serum concentration when combined with hormonal contraceptives

roflumilast 

they decrease the concentration of active metabolites of roflumilast in the serum

fexinidazole 

it increases the concentration of CYP3A4 substrates in the serum

fusidic acid 

it increases the concentration of CYP3A4 substrates in serum

eletriptan 

may increase the levels of serum concentration of eletriptan

acalabrutinib 

may increase the serum concentration of acalabrutinib

simvastatin 

CYP3A4 inhibitors increase the concentration of active metabolites of simvastatin in the serum

simeprevir 

may enhance the serum concentration of simeprevir

ruxolitnib topical 

may enhance the serum concentration

fostemsavir 

may enhance the serum concentration of fostemsavir

flibanserin 

may enhance the serum concentrations of flibanserin

nintedanib 

may diminish the serum concentration when combined with nintedanib

sertindole 

CYP3A4 Inhibitors (Moderate) may increase the serum concentration when combined with Sertindole

infigratinib 

CYP3A4 Inhibitors (Moderate) may decrease serum concentrations when combined with the active metabolite(s) when combined with Infigratinib

methysergide 

CYP3A4 Inhibitors (Moderate) may increase the serum concentration when combined with methysergide

pacritinib 

CYP3A4 Inhibitors (Moderate) may increase the serum concentration when combined with Pacritinib

lovastatin 

may enhance serum concentrations of the active metabolites

fezolinetant 

may enhance the serum concentration when combined

pimozide 

may enhance the concentration of serum when combined with pimozide

alfuzosin 

The serum concentration of alfuzosin can be increased by strong CYP3A4 inhibitors

budesonide rectal 

may enhance the serum concentration when combined

taurursodiol 

may diminish the concentration of serum when combined with CYP3A4 substrates

ergoloid mesylate

may enhance the concentration of serum when combined with ergot derivatives

ergometrine

may enhance the concentration of serum when combined with ergot derivatives

aprepitant 

may enhance the concentration of serum when combined with aprepitant

asunaprevir 

may enhance the concentration of serum when combined with asunaprevir

bosutinib 

may enhance the concentration of serum when combined with bosutinib

budesonide 

may enhance the concentration of serum when combined with budesonide

isavuconazonium sulfate 

may enhance the concentration of serum when combined with isavuconazonium sulfate

domperidone 

may enhance the concentration of serum when combined with domperidone

fosaprepitant 

may enhance the concentration of serum when combined with fosaprepitant

ivabradine 

may enhance the concentration of serum when combined with ivabradine

quinidine gluconate 

may increase the serum concentration of each other when combined

nisoldipine 

nisoldipine: they may enhance the serum concentration of CYP3A4 Inhibitors

amprenavir

may enhance the serum concentration of CYP3A4 inhibitors

fostemsavir

may enhance the serum concentration of CYP3A4 inhibitors

indinavir

may enhance the serum concentration of CYP3A4 inhibitors

estropipate

CYP3A4 inhibitors (Strong) may increase the serum concentration of estrogen related drugs

bazedoxifene/conjugated estrogens

CYP3A4 inhibitors (Strong) may increase the serum concentration of estrogen related drugs

estradiol valerate

CYP3A4 inhibitors (Strong) may increase the serum concentration of estrogen related drugs

synthetic conjugated estrogens, a

CYP3A4 inhibitors (Strong) may increase the serum concentration of estrogen related drugs

synthetic conjugated estrogens, b

CYP3A4 inhibitors (Strong) may increase the serum concentration of estrogen related drugs

ergonovine

may increase the serum concentration of ergot derivatives

ergometrine

may increase the serum concentration of ergot derivatives

methylergometrine

may increase the serum concentration of ergot derivatives

cabergoline

may increase the serum concentration of ergot derivatives

dihydroergocornine

may increase the serum concentration of ergot derivatives

estropipate

may increase the levels of serum concentration of estrogen derivatives

anastrozole

may increase the levels of serum concentration of estrogen derivatives

bazedoxifene/conjugated estrogens

may increase the levels of serum concentration of estrogen derivatives

esterified estrogens

may increase the levels of serum concentration of estrogen derivatives

estetrol

may increase the levels of serum concentration of estrogen derivatives

ethinyl estradiol

may increase the levels of serum concentration of hormonal contraceptives

etonogestrel

may increase the levels of serum concentration of hormonal contraceptives

ethinylestradiol

may increase the levels of serum concentration of hormonal contraceptives

ethynodiol diacetate

may increase the levels of serum concentration of hormonal contraceptives

synthetic conjugated estrogens, a

may increase the serum concentration

synthetic conjugated estrogens, b

may increase the serum concentration

dihydroergotamine

may increase the serum concentration

mibefradil

may increase the QTc-prolonging effect

fluconazole

may increase the QTc-prolonging effect

ritonavir

may increase the QTc-prolonging effect

foscarnet

may increase the QTc-prolonging effect

sorafenib

may increase the QTc-prolonging effect

sacituzumab govitecan

may increase the levels of serum concentrations

topotecan

may increase the levels of serum concentrations

epirubicin

may increase the levels of serum concentrations

etoposide

may increase the levels of serum concentrations

irinotecan

may increase the levels of serum concentrations

ziv-aflibercept

may increase the levels of serum concentration

dacomitinib

may increase the levels of serum concentration

pacritinib

may increase the levels of serum concentration

asciminib

may increase the levels of serum concentration

pemigatinib

may increase the levels of serum concentration

acetaminophen and phenyltoloxamine

may increase the levels of serum concentration

acetaminophen/ibuprofen

may increase the levels of serum concentration

acetaminophen and caffeine

may increase the levels of serum concentration

acetaminophen/pamabrom

may increase the levels of serum concentration

eptinezumab

may increase the levels of serum concentration

acetaminophen and phenyltoloxamine

may increase the levels of serum concentration

acetaminophen/ibuprofen

may increase the levels of serum concentration

acetaminophen and caffeine

may increase the levels of serum concentration

acetaminophen/pamabrom

may increase the levels of serum concentration

aminophenazone

may increase the levels of serum concentration

dicumarol

may increase the levels of serum concentration

anisindione

may increase the levels of serum concentration

heparin

may increase the levels of serum concentration

enoxaparin

may increase the levels of serum concentration

dalteparin

may increase the levels of serum concentration

cinacalcet

may increase the levels of serum concentration

remifentanil

may enhance the levels of serum concentration

hydrocodone/pseudoephedrine

may enhance the levels of serum concentration

codeine

may enhance the levels of serum concentration

morphine

may enhance the levels of serum concentration

valrubicin

may increase the levels of serum concentration

doxorubicin

may increase the levels of serum concentration

epirubicin

may increase the levels of serum concentration

mitoxantrone

may increase the levels of serum concentration

mitomycin

may increase the levels of serum concentration

epcoritamab

may increase the levels of serum concentration

ziv-aflibercept

may increase the levels of serum concentration

tivozanib

may increase the levels of serum concentration

abemaciclib

may increase the levels of serum concentration

acalabrutinib

may increase the levels of serum concentration

bosutinib

may increase the levels of serum concentration

paclitaxel/encequidar

may increase the levels of serum concentration

paclitaxel

may increase the levels of serum concentration

cabazitaxel

may increase the levels of serum concentration

docetaxel

may increase the levels of serum concentration

sacituzumab govitecan

may increase the levels of serum concentration

topotecan

may increase the levels of serum concentration

etoposide

may increase the levels of serum concentration

irinotecan

may increase the levels of serum concentration

teniposide

may increase the levels of serum concentration

vinblastine

may increase the levels of serum concentration

vincristine

may increase the levels of serum concentration

vindesine

may increase the levels of serum concentration

vinflunine

may increase the levels of serum concentration

vinorelbine

may increase the levels of serum concentration

ergoloid mesylate

it increases the concentration of CYP3A4 substrates in the serum

tolazoline

may increase the serum concentration

captopril/hydrochlorothiazide

may increase the serum concentration

mibefradil

may increase the serum concentration

indoramin

may increase the serum concentration

minoxidil topical

may increase the serum concentration

desmopressin acetate

may increase the serum concentration

conivaptan

may increase the serum concentration

tolvaptan

may increase the serum concentration

amlodipine/atorvastatin

may increase the serum concentration

atorvastatin

may increase the serum concentration

cerivastatin

may increase the serum concentration

fluvastatin

may increase the serum concentration

lovastatin

may increase the serum concentration

ouabain 

When glecaprevir is used together with ouabain, this leads to reduction in glecaprevir excretion

clofazimine 

it increases the concentration of CYP3A4 substrates in the serum

alosetron 

it increases the concentration of alosetron in the serum

linagliptin 

they decrease the concentration of linagliptin in the serum

clozapine 

may increase the serum concentration of clozapine

cariprazine 

may increase the levels of serum concentrations of cariprazine

paricalcitol 

may enhance the serum concentration

zopiclone 

may increase the serum concentration of zopiclone

betamethasone 

may enhance the serum concentration of CYP3A4 inhibitor

buprenorphine and naloxone 

may increase the toxic effect of opioid agonists

mometasone/intranasal 

may enhance the serum concentration

doxercalciferol 

may diminish serum concentrations when combined with doxercalciferol

cinacalcet 

may enhance the serum concentrations

itraconazole 

may increase the level of serum concentration of itraconazole

finerenone (Rx) 

CYP3A4 inhibitors increase the concentration of finerenone in the serum

tacrolimus 

CYP3A4 inhibitors increase the concentration of tacrolimus in the serum

pimecrolimus topical 

may increase the serum concentration of pimecrolimus

tacrolimus topical 

may increase the serum concentration

zavegepant 

may reduce the effect of zavegepant

dexamethasone/ tobramycin 

may enhance the serum concentration of dexamethasone

desflurane 

may increase the QTc prolonging effect of QTc prolonging agents

vilazodone 

CYP3A4 Inhibitors (Moderate) may increase the serum concentration when combined with Vilazodone

salmeterol 

It may enhance serum concentration when combined with CYP3A4 Inhibitors (Moderate)

saquinavir 

It may enhance serum concentration when combined with CYP3A4 Inhibitors (Moderate)

quinidine 

It may increase serum concentration when combined with CYP3A4 Inhibitors (Moderate)

macitentan 

It may enhance the serum concentration when combined with CYP3A4 Inhibitors (Moderate)

manidipine 

It may increase the serum concentration when combined with CYP3A4 Inhibitors (Moderate)

lapatinib 

It may enhance the serum concentration when combined with CYP3A4 Inhibitors (Moderate)

hydrocodone 

It may enhance the serum concentration when combined with CYP3A4 Inhibitors (Moderate)

glasdegib 

It may enhance the serum concentration when combined with CYP3A4 Inhibitors (Moderate)

gilteritinib 

It may enhance the serum concentration when combined with CYP3A4 Inhibitors (Moderate)

felodipine 

It may enhance the serum concentration when combined with CYP3A4 Inhibitors (Moderate)

fedratinib 

It may enhance the serum concentration when combined with CYP3A4 Inhibitors (Moderate)

ebastine 

It may enhance the serum concentration when combined with CYP3A4 Inhibitors (Moderate)

cabozantinib 

It may enhance the serum concentration when combined with CYP3A4 Inhibitors (Moderate)

ziprasidone 

may enhance the serum concentration when combined with ziprasidone

methylprednisolone hemisuccinate 

may increase the levels of serum concentration

thiotepa 

may decrease the levels of serum concentration

dexamethasone ophthalmic 

It may enhance the serum concentration when combined with dexamethasone

alprazolam 

may enhance the concentration of serum when combined with alprazolam

carbamazepine 

may enhance the concentration of serum when combined with carbamazepine

cyclosporine 

may enhance the concentration of serum when combined with cyclosporine

dofetilide 

may enhance the concentration of serum when combined with dofetilide

ixabepilone 

may enhance the concentration of serum when combined with ixabepilone

midazolam 

may enhance the concentration of serum when combined with midazolam

nimodipine 

may enhance the concentration of serum when combined with nimodipine

ergonovine

may increase the levels of serum concentration

cabergoline

may increase the levels of serum concentration

dihydroergocornine

may increase the levels of serum concentration

dihydroergocristine

may increase the levels of serum concentration

dihydroergotamine

may increase the levels of serum concentration

estropipate

may increase the levels of serum concentration

anastrozole

may increase the levels of serum concentration

bazedoxifene/conjugated estrogens

may increase the levels of serum concentration

synthetic conjugated estrogens, a

may increase the levels of serum concentration

synthetic conjugated estrogens, b

may increase the levels of serum concentration

ethinyl estradiol

may increase the levels of serum concentration

ethinylestradiol

may increase the levels of serum concentration

ethynodiol diacetate

may increase the levels of serum concentration

etonogestrel

may increase the levels of serum concentration

buprenorphine,long-acting injection 

may enhance the serum concentration of Buprenorphine

sirolimus topical 

may enhance the concentration of serum when combined with sirolimus

triazolam 

It may enhance the serum concentration when combined with CYP3A4 Inhibitors

amlodipine 

The serum concentration of amlodipine can be increased by strong inhibitors of CYP3A4

benidipine 

The use of strong CYP3A4 inhibitors may elevate the serum concentration of benidipine

abiraterone

it may increase the levels of serum concentration

cyproterone

it may increase the levels of serum concentration

darolutamide

it may increase the levels of serum concentration

dienogest/estradiol valerate

it may increase the levels of serum concentration

dexamethasone 

may enhance the serum concentration when combined with dexamethasone

fusidic acid and betamethasone 

may enhance the serum concentration when combined

alitretinoin 

may enhance the concentration of serum when combined with alitretinoin

amiodarone 

may enhance the concentration of serum when combined with amiodarone

aripiprazole 

may enhance the concentration of serum when combined with aripiprazole

aripiprazole lauroxil 

may enhance the concentration of serum when combined with aripiprazole lauroxil

atogepant 

may enhance the concentration of serum when combined with atogepant

atorvastatin 

may enhance the concentration of serum when combined with atorvastatin

avacopan 

may enhance the concentration of serum when combined with avacopan

axitinib 

may enhance the concentration of serum when combined with axitinib

bedaquiline 

may enhance the concentration of serums when combined with bedaquiline

benzhydrocodone/acetaminophen 

may enhance the concentration of serum when combined with benzhydrocodone

bortezomib 

may enhance the concentration of serum when combined with bortezomib

brexpiprazole 

may enhance the concentration of serum when combined with brexpiprazole

buprenorphine 

may enhance the concentration of serum when combined with buprenorphine

mometasone and indacaterol 

may enhance the serum concentration when combined

macitentan and tadalafil 

may enhance the serum concentration when combined

leuprolide and norethindrone 

may diminish the serum concentration of each other when combined

methylprednisolone 

may enhance the concentration of serum when combined with methylprednisolone

framycetin, dexamethasone, and gramicidin 

may enhance the serum concentration when combined

mibefradil

may have an increased QTc-prolonging effect when combined with QT-prolonging agents

moexipril

may have an increased QTc-prolonging effect when combined with QT-prolonging agents

voriconazole

may have an increased QTc-prolonging effect when combined with QT-prolonging agents

nelfinavir

may have an increased QTc-prolonging effect when combined with QT-prolonging agents

alfuzosin

may have an increased QTc-prolonging effect when combined with QT-prolonging agents

clindamycin 

clindamycin: they may enhance the serum concentration of CYP3A4 Inhibitors

copanlisib 

copanlisib: they may enhance the serum concentration of CYP3A4 Inhibitors

conivaptan 

conivaptan: they may enhance the serum concentration of CYP3A4 Inhibitors

crizotinib 

crizotinib: they may enhance the serum concentration of CYP3A4 Inhibitors

darifenacin 

darifenacin: they may enhance the serum concentration of CYP3A4 Inhibitors

erythromycin 

erythromycin: they may enhance the serum concentration of CYP3A4 inhibitors

fluticasone furoate 

fluticasone furoate: they may enhance the serum concentration of CYP3A4 inhibitors

halofantrine 

halofantrine: they may enhance the serum concentration of CYP3A4 inhibitors

isradipine 

isradipine: they may enhance the serum concentration of CYP3A4 inhibitors

levamlodipine 

levamlodipine: they may enhance the serum concentration of CYP3A4 Inhibitors

naldemedine 

naldemedine: they may enhance the serum concentration of CYP3A4 Inhibitors

nilotinib 

nilotinib: they may enhance the serum concentration of CYP3A4 Inhibitors

oliceridine 

oliceridine: they may enhance the serum concentration of CYP3A4 Inhibitors

palovarotene 

palovarotene: they may enhance the serum concentration of CYP3A4 Inhibitors

panobinostat 

panobinostat: they may enhance the serum concentration of CYP3A4 Inhibitors

piperaquine 

piperaquine: they may enhance the serum concentration of CYP3A4 Inhibitors

pirtobrutinib 

pirtobrutinib: they may enhance the serum concentration of CYP3A4 Inhibitors

quetiapine 

quetiapine: they may enhance the serum concentration of CYP3A4 Inhibitors

ribociclib 

ribociclib: they may enhance the serum concentration of CYP3A4 Inhibitors

rifabutin 

rifabutin: they may enhance the serum concentration of CYP3A4 Inhibitors

saxagliptin 

saxagliptin: they may enhance the serum concentration of CYP3A4 Inhibitors

silodosin 

silodosin: they may enhance the serum concentration of CYP3A4 Inhibitors

tadalafil 

tadalafil: they may enhance the serum concentration of CYP3A4 Inhibitors

terfenadine 

terfenadine: they may enhance the serum concentration of CYP3A4 Inhibitors

udenafil 

udenafil: they may enhance the serum concentration of CYP3A4 Inhibitors

ulipristal 

ulipristal: they may enhance the serum concentration of CYP3A4 Inhibitors

valbenazine 

valbenazine: they may enhance serum concentrations of CYP3A4 Inhibitors

vemurafenib 

vemurafenib: they may enhance the serum concentration of CYP3A4 Inhibitors

vorapaxar 

vorapaxar: they may enhance the serum concentration of CYP3A4 Inhibitors

finerenone 

finerenone: they may enhance the serum concentration of CYP3A4 Inhibitors

fosphenytoin 

fosphenytoin: they may enhance the serum concentration of CYP3A4 Inhibitors

lidocaine 

lidocaine: they may enhance the serum concentration of CYP3A4 Inhibitors

porfimer 

porfimer: they may enhance the serum concentration of CYP3A4 Inhibitors

phenytoin 

phenytoin: they may enhance the serum concentration of CYP3A4 Inhibitors

aliskiren 

aliskiren: they may enhance the serum concentration of CYP3A4 Inhibitors

voriconazole 

voriconazole: they may enhance the serum concentration of CYP3A4 Inhibitors

tizanidine 

tizanidine: they may enhance the serum concentration of CYP3A4 Inhibitors

betamethasone + gentamicin 

may enhance the serum concentration of each other when combined

betamethasone + salicylic acid 

may enhance the serum concentration of each other when combined

eluxadoline 

eluxadoline: they may enhance the serum concentration of CYP3A4 Inhibitors

oxatomide 

oxatomide: they may enhance the serum concentration of CYP3A4 Inhibitors

revefenacin 

revefenacin: they may enhance the serum concentration of CYP3A4 Inhibitors

tiotropium 

tiotropium: they may enhance the serum concentration of CYP3A4 Inhibitors

glucagon 

glucagon: they may enhance the serum concentration of CYP3A4 Inhibitors

itopride 

itopride: they may enhance the serum concentration of CYP3A4 Inhibitors

mianserin 

mianserin: they may enhance the serum concentration of CYP3A4 Inhibitors

topiramate 

topiramate: they may enhance the serum concentration of CYP3A4 Inhibitors

betamethasone (systemic)

may enhance the serum concentration of CYP3A4 inhibitor

budesonide (oral inhalation)

may enhance the serum concentration of CYP3A4 inhibitor

budesonide intranasal

may enhance the serum concentration of CYP3A4 inhibitor

budesonide (Topical)

may enhance the serum concentration of CYP3A4 inhibitor

beclomethasone (nasal)

may enhance the serum concentration of CYP3A4 inhibitor

ketamine 

ketamine: it may increase the risk of adverse effects with CYP3A4 inhibitors

decamethonium 

decamethonium: it may increase the risk of adverse effects with CYP3A4 inhibitors

labetalol  

ketamine: it may increase the risk of adverse effects with CYP3A4 inhibitors

levobetaxolol 

levobetaxolol: it may increase the risk of adverse effects with CYP3A4 inhibitors

mefloquine 

mefloquine: it may increase the risk of adverse effects with CYP3A4 inhibitors

memantine 

memantine: it may increase the risk of adverse effects with CYP3A4 inhibitors

sirolimus 

CYP3A4 inhibitors increase the concentration of sirolimus in the serum

buspirone 

CYP3A4 inducers increase the concentration of buspirone in the serum

almotriptan 

almotriptan serum concentration may also be increased by CYP3A4 inhibitors (strong)

 

Dosage Forms & Strengths 

Hepatitis C 

It is only available in combination with pibrentasvir



 

Safety and efficacy were not established 

 

Refer to the adult dosing regimen 

Frequency not defined 

Angioedema 

Diarrhoea 

Headache 

Nausea 

increased Serum bilirubin 

Asthenia 

Fatigue 

Hyperbilirubinaemia 

Pruritus 

Transient ischaemic attack 

Black Box Warning: 

there were no specific black box warnings listed for glecaprevir. 

Contraindication/Caution: 

Contraindication: 

  • Hypersensitivity: Patients with hypersensitivity or allergy to glecaprevir or any of its components may be contraindicated from using the medication. 
  • Drug Interactions: Concomitant use of medications that have significant interactions with glecaprevir, as outlined in the prescribing information, may be contraindicated. 
  • Pregnancy and Breastfeeding: The use of glecaprevir during pregnancy or breastfeeding may be contraindicated, and the risks and benefits should be carefully evaluated.

Caution: 

  • Hepatic Impairment: Caution may be needed in patients with pre-existing liver conditions. Glecaprevir is primarily metabolized in the liver, and its safety may be influenced by hepatic function. 
  • Renal Impairment: Although glecaprevir is primarily metabolized in the liver, information on its use in patients with significant renal impairment should be considered, as medications can be excreted through the kidneys. 
  • Liver Cirrhosis: Hepatitis C can progress to liver cirrhosis in some individuals. Management of comorbidities related to cirrhosis is crucial.

Comorbidities: 

  • Cardiovascular Disease: Individuals with hepatitis C may have an increased risk of cardiovascular disease. Managing cardiovascular risk factors is important in this population. 
  • Diabetes: Diabetes is a common comorbidity, and its management is important in individuals with hepatitis C. 
  • HIV Coinfection: Hepatitis C and HIV coinfection is not uncommon. Managing comorbidities associated with HIV is essential in such cases. 

Pregnancy consideration: pregnancy category: not assigned 

Lactation: excreted into human milk: unknown  

Pregnancy category: 

  • Category A: well-controlled and Satisfactory studies show no risk to the fetus in the first or later trimester. 
  • Category B: there was no evidence of risk to the fetus in animal studies, and there were not enough studies on pregnant women. 
  • Category C: there was evidence of risk of adverse effects in animal reproduction studies, and no adequate evidence in human studies must take care of potential risks in pregnant women.   
  • Category D: adequate data with sufficient evidence of human fetal risk from various platforms, but despite the potential risk, and used only in emergency cases for potential benefits. 
  • Category X: Drugs listed in this category outweigh the risks over benefits. Hence these categories of drugs need to be avoided by pregnant women. 
  • Category N: There is no data available for the drug under this category. 

Pharmacology: 

Glecaprevir is a direct-acting antiviral medication used in chronic hepatitis C virus (HCV) infections. It belongs to the class of NS3/4A protease inhibitors. The pharmacology of glecaprevir involves its potent inhibition of the NS3/4A protease enzyme, a crucial component in the replication of the hepatitis C virus.

By targeting this protease, glecaprevir disrupts the viral life cycle, preventing virus from replicating and leading to a reduction in viral load. Glecaprevir is often used in combination with other antiviral agents, such as pibrentasvir, to enhance its efficacy and cover a broad spectrum of HCV genotypes.

The medication is typically administered orally, and its pharmacokinetic properties contribute to its effectiveness in achieving sustained virologic response with chronic HCV infections.  

Pharmacodynamics: 

  • Inhibition of NS3/4A Protease: Glecaprevir specifically targets the NS3/4A protease enzyme, which is essential for the cleavage of the viral polyprotein. This inhibition prevents the formation of functional viral proteins necessary for HCV replication. 
  • Suppression of Viral Replication: By inhibiting the NS3/4A protease, glecaprevir disrupts the viral life cycle and suppresses the replication of HCV. This leads to a reduction in the viral load in the host’s body. 
  • Pangenotypic Activity: One of the notable features of glecaprevir is its pangenotypic activity, meaning it is effective against multiple genotypes of HCV. This broad-spectrum activity increases its utility in treating diverse patient populations with different HCV genotypes. 
  • Combination Therapy: Glecaprevir is often used in combination with other antiviral agents, such as pibrentasvir. This combination enhances the overall efficacy of the treatment and helps to prevent the development of resistance. 
  • High Barrier to Resistance: Glecaprevir is designed with a high barrier to resistance, meaning that it is less prone to the development of resistance mutations. This is an important characteristic for the long-term effectiveness of antiviral treatments.

Pharmacokinetics: 

  • Absorption: Glecaprevir is administered orally in the form of tablets. Following oral administration, it is absorbed from the gastrointestinal tract into the bloodstream. 
  • Distribution: Once absorbed, glecaprevir is distributed throughout the body via the bloodstream. The drug’s distribution may involve its binding to plasma proteins. 
  • Metabolism: Glecaprevir undergoes hepatic metabolism primarily by the cytochrome P450 (CYP) enzyme system, particularly CYP3A. The main metabolite formed is M4. 
  • Excretion: The elimination of glecaprevir and its metabolites occurs primarily through the biliary route. It is excreted in feces, and renal excretion is a minor pathway. The half-life of glecaprevir is long, allowing for once-daily dosing. 

Administration: 

  • Dosage and Timing: The specific dosage of glecaprevir and the recommended duration of treatment depend on various factors, including the patient’s HCV genotype, prior treatment history, and the presence of cirrhosis.  
  • Administration with Food: Glecaprevir is typically administered with food. Taking it with high-fat meal, enhances the drug’s absorption and bioavailability. Patients should follow their healthcare provider’s instructions regarding food intake. 
  • Once-Daily Dosing: Glecaprevir is often prescribed for once-daily dosing. The specific time of day for administration may vary, and patients should follow their healthcare provider’s recommendations. 
  • Combination Therapy: Glecaprevir is often used in combination with another antiviral agent, such as pibrentasvir. The combination therapy enhances the overall efficacy of the treatment, especially in achieving a pangenotypic response. 

Patient information leaflet 

Generic Name: glecaprevir 

Pronounced: (gleh-ka-PREV-ir)  

Why do we use glecaprevir? 

Glecaprevir is a medication primarily used to treat chronic hepatitis C virus (HCV) infections. It is often prescribed as part of a combination therapy with another antiviral agent, such as pibrentasvir. The combination of glecaprevir and pibrentasvir is known for its pangenotypic activity, meaning it is effective against multiple genotypes of HCV.

This makes glecaprevir a versatile treatment option for a broad range of patients with different HCV genotypes. The medication is indicated for both treatment-naive individuals and those who have previously failed treatment with other antiviral medications. 

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glecaprevir

Brand Name :

N/A

Synonyms :

glecaprevir

Class :

antiviral agents

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No data available for drug.

Dosage Forms & Strengths 

Hepatitis C 

It is only available in combination with pibrentasvir



Safety and efficacy were not established 

Refer to the adult dosing regimen 

DRUG INTERACTION

glecaprevir

&

glecaprevir + 

imiquimod topical

may increase the levels of serum concentration

fluorouracil topical

may increase the levels of serum concentration

peginterferon alfa-2b

may increase the levels of serum concentration

abiraterone

may increase the levels of serum concentration

talimogene Laherparepvec

may increase the levels of serum concentration

ivacaftor/tezacaftor 

may increase the levels of serum concentration of ivacaftor/tezacaftor

avapritinib 

may enhance the serum concentration

risperidone 

may enhance the serum concentration

eszopiclone 

may enhance the serum concentration

lemborexant 

may enhance the serum concentration of CYP3A4 inhibitors

lomitapide 

may enhance the serum concentration of CYP3A4 inhibitors

lonafarnib 

may enhance the serum concentration of CYP3A4 inhibitors

nifedipine 

may enhance the serum concentration when combined with nifedipine

abemaciclib 

may increase the serum concentration of abemaciclib

adagrasib 

may increase the level of serum concentration of adagrasib

sparsentan 

may increase or decrease the activity of this enzyme when combined with sparsentan

levomilnacipran 

May enhance the serum concentration when combined with levomilnacipran

upadacitinib 

may enhance the serum concentration when combined with upadacitinib

tolvaptan 

may enhance the serum concentration when combined with tolvaptan

ranolazine 

It may enhance serum concentration when combined with CYP3A4 Inhibitors (Moderate)

zanubrutinib 

CYP3A4 Inhibitors (Moderate) may increase the serum concentration when combined with Zanubrutinib

suvorexant 

may enhance the serum concentration when combined

ubrogepant 

may enhance the concentration of serum when combined with ubrogepant

ado-trastuzumab emtansine 

may enhance the serum concentrations of the active metabolites

budesonide inhaled 

may enhance the serum concentration when combined

istradefylline 

may enhance the concentration of serum when combined with istradefylline

alfentanil 

may enhance the concentration of serum when combined with alfentanil

astemizole 

may enhance the concentration of serum when combined with astemizole

avanafil 

may enhance the concentration of serum when combined with avanafil

brigatinib 

may enhance the concentration of serum when combined with brigatinib

bromocriptine 

may enhance the concentration of serum when combined with bromocriptine

budesonide inhaled/formoterol/glycopyrrolate inhaled 

may enhance the concentration of serum when combined with budesonide

cilostazol 

may enhance the concentration of serum when combined with cilostazol

cisapride 

may enhance the concentration of serum when combined with cisapride

cobimetinib 

may enhance the concentration of serum when combined with cobimetinib

colchicine 

may enhance the concentration of serum when combined with colchicine

dapoxetine 

may enhance the concentration of serum when combined with dapoxetine

daridorexant 

may enhance the concentration of serum when combined with daridorexant

deflazacort 

may enhance the concentration of serums when combined with deflazacort

eliglustat 

may enhance the concentration of serum when combined with eliglustat

encorafenib 

may enhance the concentration of serum when combined with encorafenib

entrectinib 

may enhance the concentration of serum when combined with entrectinib

eplerenone 

may enhance the concentration of serum when combined with eplerenone

fentanyl 

may enhance the concentration of serum when combined with fentanyl

guanfacine 

may enhance the concentration of serum when combined with guanfacine

ibrutinib 

may enhance the concentration of serum when combined with ibrutinib

elacestrant 

may enhance the concentration of serum when combined with elacestrant

carbetocin 

may enhance the QTc-prolonging effect of each other when combined

lurasidone 

lurasidone: they may enhance the serum concentration of CYP3A4 Inhibitors

mavacamten 

CYP3A4 Inhibitors: they may enhance the serum concentration of mavacamten

pemigatinib 

pemigatinib: they may enhance the serum concentration of CYP3A4 Inhibitors

omaveloxolone 

omaveloxolone: they may enhance the serum concentration of CYP3A4 Inhibitors

pexidartinib 

pexidartinib: they may enhance the serum concentration of CYP3A4 Inhibitors

selpercatinib 

selpercatinib: they may enhance the serum concentration of CYP3A4 Inhibitors

selumetinib 

selumetinib: they may enhance the serum concentration of CYP3A4 Inhibitors

sonidegib 

sonidegib: they may enhance the serum concentration of CYP3A4 Inhibitors

tazemetostat 

tazemetostat: they may enhance the serum concentration of CYP3A4 Inhibitors

vardenafil 

vardenafil: they may enhance the serum concentration of CYP3A4 Inhibitors

venetoclax 

venetoclax: they may enhance the serum concentration of CYP3A4 Inhibitors

voclosporin 

voclosporin: they may enhance the serum concentration of CYP3A4 Inhibitors

betamethasone + neomycin 

may enhance the risk of side effects when combined

cimetropium 

cimetropium: they may enhance the serum concentration of CYP3A4 Inhibitors

dihydroergocristine

may increase the levels of serum concentration of ergot derivatives

desogestrel

may enhance the serum concentration when combined with hormonal contraceptives

mestranol

may enhance the serum concentration when combined with hormonal contraceptives

ulipristal

may enhance the serum concentration when combined with hormonal contraceptives

medroxyprogesterone

may enhance the serum concentration when combined with hormonal contraceptives

megestrol

may enhance the serum concentration when combined with hormonal contraceptives

drospirenone

may enhance the serum concentration when combined with hormonal contraceptives

dydrogesterone

may enhance the serum concentration when combined with hormonal contraceptives

roflumilast 

they decrease the concentration of active metabolites of roflumilast in the serum

fexinidazole 

it increases the concentration of CYP3A4 substrates in the serum

fusidic acid 

it increases the concentration of CYP3A4 substrates in serum

eletriptan 

may increase the levels of serum concentration of eletriptan

acalabrutinib 

may increase the serum concentration of acalabrutinib

simvastatin 

CYP3A4 inhibitors increase the concentration of active metabolites of simvastatin in the serum

simeprevir 

may enhance the serum concentration of simeprevir

ruxolitnib topical 

may enhance the serum concentration

fostemsavir 

may enhance the serum concentration of fostemsavir

flibanserin 

may enhance the serum concentrations of flibanserin

nintedanib 

may diminish the serum concentration when combined with nintedanib

sertindole 

CYP3A4 Inhibitors (Moderate) may increase the serum concentration when combined with Sertindole

infigratinib 

CYP3A4 Inhibitors (Moderate) may decrease serum concentrations when combined with the active metabolite(s) when combined with Infigratinib

methysergide 

CYP3A4 Inhibitors (Moderate) may increase the serum concentration when combined with methysergide

pacritinib 

CYP3A4 Inhibitors (Moderate) may increase the serum concentration when combined with Pacritinib

lovastatin 

may enhance serum concentrations of the active metabolites

fezolinetant 

may enhance the serum concentration when combined

pimozide 

may enhance the concentration of serum when combined with pimozide

alfuzosin 

The serum concentration of alfuzosin can be increased by strong CYP3A4 inhibitors

budesonide rectal 

may enhance the serum concentration when combined

taurursodiol 

may diminish the concentration of serum when combined with CYP3A4 substrates

ergoloid mesylate

may enhance the concentration of serum when combined with ergot derivatives

ergometrine

may enhance the concentration of serum when combined with ergot derivatives

aprepitant 

may enhance the concentration of serum when combined with aprepitant

asunaprevir 

may enhance the concentration of serum when combined with asunaprevir

bosutinib 

may enhance the concentration of serum when combined with bosutinib

budesonide 

may enhance the concentration of serum when combined with budesonide

isavuconazonium sulfate 

may enhance the concentration of serum when combined with isavuconazonium sulfate

domperidone 

may enhance the concentration of serum when combined with domperidone

fosaprepitant 

may enhance the concentration of serum when combined with fosaprepitant

ivabradine 

may enhance the concentration of serum when combined with ivabradine

quinidine gluconate 

may increase the serum concentration of each other when combined

nisoldipine 

nisoldipine: they may enhance the serum concentration of CYP3A4 Inhibitors

amprenavir

may enhance the serum concentration of CYP3A4 inhibitors

fostemsavir

may enhance the serum concentration of CYP3A4 inhibitors

indinavir

may enhance the serum concentration of CYP3A4 inhibitors

estropipate

CYP3A4 inhibitors (Strong) may increase the serum concentration of estrogen related drugs

bazedoxifene/conjugated estrogens

CYP3A4 inhibitors (Strong) may increase the serum concentration of estrogen related drugs

estradiol valerate

CYP3A4 inhibitors (Strong) may increase the serum concentration of estrogen related drugs

synthetic conjugated estrogens, a

CYP3A4 inhibitors (Strong) may increase the serum concentration of estrogen related drugs

synthetic conjugated estrogens, b

CYP3A4 inhibitors (Strong) may increase the serum concentration of estrogen related drugs

ergonovine

may increase the serum concentration of ergot derivatives

ergometrine

may increase the serum concentration of ergot derivatives

methylergometrine

may increase the serum concentration of ergot derivatives

cabergoline

may increase the serum concentration of ergot derivatives

dihydroergocornine

may increase the serum concentration of ergot derivatives

estropipate

may increase the levels of serum concentration of estrogen derivatives

anastrozole

may increase the levels of serum concentration of estrogen derivatives

bazedoxifene/conjugated estrogens

may increase the levels of serum concentration of estrogen derivatives

esterified estrogens

may increase the levels of serum concentration of estrogen derivatives

estetrol

may increase the levels of serum concentration of estrogen derivatives

ethinyl estradiol

may increase the levels of serum concentration of hormonal contraceptives

etonogestrel

may increase the levels of serum concentration of hormonal contraceptives

ethinylestradiol

may increase the levels of serum concentration of hormonal contraceptives

ethynodiol diacetate

may increase the levels of serum concentration of hormonal contraceptives

synthetic conjugated estrogens, a

may increase the serum concentration

synthetic conjugated estrogens, b

may increase the serum concentration

dihydroergotamine

may increase the serum concentration

mibefradil

may increase the QTc-prolonging effect

fluconazole

may increase the QTc-prolonging effect

ritonavir

may increase the QTc-prolonging effect

foscarnet

may increase the QTc-prolonging effect

sorafenib

may increase the QTc-prolonging effect

sacituzumab govitecan

may increase the levels of serum concentrations

topotecan

may increase the levels of serum concentrations

epirubicin

may increase the levels of serum concentrations

etoposide

may increase the levels of serum concentrations

irinotecan

may increase the levels of serum concentrations

ziv-aflibercept

may increase the levels of serum concentration

dacomitinib

may increase the levels of serum concentration

pacritinib

may increase the levels of serum concentration

asciminib

may increase the levels of serum concentration

pemigatinib

may increase the levels of serum concentration

acetaminophen and phenyltoloxamine

may increase the levels of serum concentration

acetaminophen/ibuprofen

may increase the levels of serum concentration

acetaminophen and caffeine

may increase the levels of serum concentration

acetaminophen/pamabrom

may increase the levels of serum concentration

eptinezumab

may increase the levels of serum concentration

acetaminophen and phenyltoloxamine

may increase the levels of serum concentration

acetaminophen/ibuprofen

may increase the levels of serum concentration

acetaminophen and caffeine

may increase the levels of serum concentration

acetaminophen/pamabrom

may increase the levels of serum concentration

aminophenazone

may increase the levels of serum concentration

dicumarol

may increase the levels of serum concentration

anisindione

may increase the levels of serum concentration

heparin

may increase the levels of serum concentration

enoxaparin

may increase the levels of serum concentration

dalteparin

may increase the levels of serum concentration

cinacalcet

may increase the levels of serum concentration

remifentanil

may enhance the levels of serum concentration

hydrocodone/pseudoephedrine

may enhance the levels of serum concentration

codeine

may enhance the levels of serum concentration

morphine

may enhance the levels of serum concentration

valrubicin

may increase the levels of serum concentration

doxorubicin

may increase the levels of serum concentration

epirubicin

may increase the levels of serum concentration

mitoxantrone

may increase the levels of serum concentration

mitomycin

may increase the levels of serum concentration

epcoritamab

may increase the levels of serum concentration

ziv-aflibercept

may increase the levels of serum concentration

tivozanib

may increase the levels of serum concentration

abemaciclib

may increase the levels of serum concentration

acalabrutinib

may increase the levels of serum concentration

bosutinib

may increase the levels of serum concentration

paclitaxel/encequidar

may increase the levels of serum concentration

paclitaxel

may increase the levels of serum concentration

cabazitaxel

may increase the levels of serum concentration

docetaxel

may increase the levels of serum concentration

sacituzumab govitecan

may increase the levels of serum concentration

topotecan

may increase the levels of serum concentration

etoposide

may increase the levels of serum concentration

irinotecan

may increase the levels of serum concentration

teniposide

may increase the levels of serum concentration

vinblastine

may increase the levels of serum concentration

vincristine

may increase the levels of serum concentration

vindesine

may increase the levels of serum concentration

vinflunine

may increase the levels of serum concentration

vinorelbine

may increase the levels of serum concentration

ergoloid mesylate

it increases the concentration of CYP3A4 substrates in the serum

tolazoline

may increase the serum concentration

captopril/hydrochlorothiazide

may increase the serum concentration

mibefradil

may increase the serum concentration

indoramin

may increase the serum concentration

minoxidil topical

may increase the serum concentration

desmopressin acetate

may increase the serum concentration

conivaptan

may increase the serum concentration

tolvaptan

may increase the serum concentration

amlodipine/atorvastatin

may increase the serum concentration

atorvastatin

may increase the serum concentration

cerivastatin

may increase the serum concentration

fluvastatin

may increase the serum concentration

lovastatin

may increase the serum concentration

ouabain 

When glecaprevir is used together with ouabain, this leads to reduction in glecaprevir excretion

clofazimine 

it increases the concentration of CYP3A4 substrates in the serum

alosetron 

it increases the concentration of alosetron in the serum

linagliptin 

they decrease the concentration of linagliptin in the serum

clozapine 

may increase the serum concentration of clozapine

cariprazine 

may increase the levels of serum concentrations of cariprazine

paricalcitol 

may enhance the serum concentration

zopiclone 

may increase the serum concentration of zopiclone

betamethasone 

may enhance the serum concentration of CYP3A4 inhibitor

buprenorphine and naloxone 

may increase the toxic effect of opioid agonists

mometasone/intranasal 

may enhance the serum concentration

doxercalciferol 

may diminish serum concentrations when combined with doxercalciferol

cinacalcet 

may enhance the serum concentrations

itraconazole 

may increase the level of serum concentration of itraconazole

finerenone (Rx) 

CYP3A4 inhibitors increase the concentration of finerenone in the serum

tacrolimus 

CYP3A4 inhibitors increase the concentration of tacrolimus in the serum

pimecrolimus topical 

may increase the serum concentration of pimecrolimus

tacrolimus topical 

may increase the serum concentration

zavegepant 

may reduce the effect of zavegepant

dexamethasone/ tobramycin 

may enhance the serum concentration of dexamethasone

desflurane 

may increase the QTc prolonging effect of QTc prolonging agents

vilazodone 

CYP3A4 Inhibitors (Moderate) may increase the serum concentration when combined with Vilazodone

salmeterol 

It may enhance serum concentration when combined with CYP3A4 Inhibitors (Moderate)

saquinavir 

It may enhance serum concentration when combined with CYP3A4 Inhibitors (Moderate)

quinidine 

It may increase serum concentration when combined with CYP3A4 Inhibitors (Moderate)

macitentan 

It may enhance the serum concentration when combined with CYP3A4 Inhibitors (Moderate)

manidipine 

It may increase the serum concentration when combined with CYP3A4 Inhibitors (Moderate)

lapatinib 

It may enhance the serum concentration when combined with CYP3A4 Inhibitors (Moderate)

hydrocodone 

It may enhance the serum concentration when combined with CYP3A4 Inhibitors (Moderate)

glasdegib 

It may enhance the serum concentration when combined with CYP3A4 Inhibitors (Moderate)

gilteritinib 

It may enhance the serum concentration when combined with CYP3A4 Inhibitors (Moderate)

felodipine 

It may enhance the serum concentration when combined with CYP3A4 Inhibitors (Moderate)

fedratinib 

It may enhance the serum concentration when combined with CYP3A4 Inhibitors (Moderate)

ebastine 

It may enhance the serum concentration when combined with CYP3A4 Inhibitors (Moderate)

cabozantinib 

It may enhance the serum concentration when combined with CYP3A4 Inhibitors (Moderate)

ziprasidone 

may enhance the serum concentration when combined with ziprasidone

methylprednisolone hemisuccinate 

may increase the levels of serum concentration

thiotepa 

may decrease the levels of serum concentration

dexamethasone ophthalmic 

It may enhance the serum concentration when combined with dexamethasone

alprazolam 

may enhance the concentration of serum when combined with alprazolam

carbamazepine 

may enhance the concentration of serum when combined with carbamazepine

cyclosporine 

may enhance the concentration of serum when combined with cyclosporine

dofetilide 

may enhance the concentration of serum when combined with dofetilide

ixabepilone 

may enhance the concentration of serum when combined with ixabepilone

midazolam 

may enhance the concentration of serum when combined with midazolam

nimodipine 

may enhance the concentration of serum when combined with nimodipine

ergonovine

may increase the levels of serum concentration

cabergoline

may increase the levels of serum concentration

dihydroergocornine

may increase the levels of serum concentration

dihydroergocristine

may increase the levels of serum concentration

dihydroergotamine

may increase the levels of serum concentration

estropipate

may increase the levels of serum concentration

anastrozole

may increase the levels of serum concentration

bazedoxifene/conjugated estrogens

may increase the levels of serum concentration

synthetic conjugated estrogens, a

may increase the levels of serum concentration

synthetic conjugated estrogens, b

may increase the levels of serum concentration

ethinyl estradiol

may increase the levels of serum concentration

ethinylestradiol

may increase the levels of serum concentration

ethynodiol diacetate

may increase the levels of serum concentration

etonogestrel

may increase the levels of serum concentration

buprenorphine,long-acting injection 

may enhance the serum concentration of Buprenorphine

sirolimus topical 

may enhance the concentration of serum when combined with sirolimus

triazolam 

It may enhance the serum concentration when combined with CYP3A4 Inhibitors

amlodipine 

The serum concentration of amlodipine can be increased by strong inhibitors of CYP3A4

benidipine 

The use of strong CYP3A4 inhibitors may elevate the serum concentration of benidipine

abiraterone

it may increase the levels of serum concentration

cyproterone

it may increase the levels of serum concentration

darolutamide

it may increase the levels of serum concentration

dienogest/estradiol valerate

it may increase the levels of serum concentration

dexamethasone 

may enhance the serum concentration when combined with dexamethasone

fusidic acid and betamethasone 

may enhance the serum concentration when combined

alitretinoin 

may enhance the concentration of serum when combined with alitretinoin

amiodarone 

may enhance the concentration of serum when combined with amiodarone

aripiprazole 

may enhance the concentration of serum when combined with aripiprazole

aripiprazole lauroxil 

may enhance the concentration of serum when combined with aripiprazole lauroxil

atogepant 

may enhance the concentration of serum when combined with atogepant

atorvastatin 

may enhance the concentration of serum when combined with atorvastatin

avacopan 

may enhance the concentration of serum when combined with avacopan

axitinib 

may enhance the concentration of serum when combined with axitinib

bedaquiline 

may enhance the concentration of serums when combined with bedaquiline

benzhydrocodone/acetaminophen 

may enhance the concentration of serum when combined with benzhydrocodone

bortezomib 

may enhance the concentration of serum when combined with bortezomib

brexpiprazole 

may enhance the concentration of serum when combined with brexpiprazole

buprenorphine 

may enhance the concentration of serum when combined with buprenorphine

mometasone and indacaterol 

may enhance the serum concentration when combined

macitentan and tadalafil 

may enhance the serum concentration when combined

leuprolide and norethindrone 

may diminish the serum concentration of each other when combined

methylprednisolone 

may enhance the concentration of serum when combined with methylprednisolone

framycetin, dexamethasone, and gramicidin 

may enhance the serum concentration when combined

mibefradil

may have an increased QTc-prolonging effect when combined with QT-prolonging agents

moexipril

may have an increased QTc-prolonging effect when combined with QT-prolonging agents

voriconazole

may have an increased QTc-prolonging effect when combined with QT-prolonging agents

nelfinavir

may have an increased QTc-prolonging effect when combined with QT-prolonging agents

alfuzosin

may have an increased QTc-prolonging effect when combined with QT-prolonging agents

clindamycin 

clindamycin: they may enhance the serum concentration of CYP3A4 Inhibitors

copanlisib 

copanlisib: they may enhance the serum concentration of CYP3A4 Inhibitors

conivaptan 

conivaptan: they may enhance the serum concentration of CYP3A4 Inhibitors

crizotinib 

crizotinib: they may enhance the serum concentration of CYP3A4 Inhibitors

darifenacin 

darifenacin: they may enhance the serum concentration of CYP3A4 Inhibitors

erythromycin 

erythromycin: they may enhance the serum concentration of CYP3A4 inhibitors

fluticasone furoate 

fluticasone furoate: they may enhance the serum concentration of CYP3A4 inhibitors

halofantrine 

halofantrine: they may enhance the serum concentration of CYP3A4 inhibitors

isradipine 

isradipine: they may enhance the serum concentration of CYP3A4 inhibitors

levamlodipine 

levamlodipine: they may enhance the serum concentration of CYP3A4 Inhibitors

naldemedine 

naldemedine: they may enhance the serum concentration of CYP3A4 Inhibitors

nilotinib 

nilotinib: they may enhance the serum concentration of CYP3A4 Inhibitors

oliceridine 

oliceridine: they may enhance the serum concentration of CYP3A4 Inhibitors

palovarotene 

palovarotene: they may enhance the serum concentration of CYP3A4 Inhibitors

panobinostat 

panobinostat: they may enhance the serum concentration of CYP3A4 Inhibitors

piperaquine 

piperaquine: they may enhance the serum concentration of CYP3A4 Inhibitors

pirtobrutinib 

pirtobrutinib: they may enhance the serum concentration of CYP3A4 Inhibitors

quetiapine 

quetiapine: they may enhance the serum concentration of CYP3A4 Inhibitors

ribociclib 

ribociclib: they may enhance the serum concentration of CYP3A4 Inhibitors

rifabutin 

rifabutin: they may enhance the serum concentration of CYP3A4 Inhibitors

saxagliptin 

saxagliptin: they may enhance the serum concentration of CYP3A4 Inhibitors

silodosin 

silodosin: they may enhance the serum concentration of CYP3A4 Inhibitors

tadalafil 

tadalafil: they may enhance the serum concentration of CYP3A4 Inhibitors

terfenadine 

terfenadine: they may enhance the serum concentration of CYP3A4 Inhibitors

udenafil 

udenafil: they may enhance the serum concentration of CYP3A4 Inhibitors

ulipristal 

ulipristal: they may enhance the serum concentration of CYP3A4 Inhibitors

valbenazine 

valbenazine: they may enhance serum concentrations of CYP3A4 Inhibitors

vemurafenib 

vemurafenib: they may enhance the serum concentration of CYP3A4 Inhibitors

vorapaxar 

vorapaxar: they may enhance the serum concentration of CYP3A4 Inhibitors

finerenone 

finerenone: they may enhance the serum concentration of CYP3A4 Inhibitors

fosphenytoin 

fosphenytoin: they may enhance the serum concentration of CYP3A4 Inhibitors

lidocaine 

lidocaine: they may enhance the serum concentration of CYP3A4 Inhibitors

porfimer 

porfimer: they may enhance the serum concentration of CYP3A4 Inhibitors

phenytoin 

phenytoin: they may enhance the serum concentration of CYP3A4 Inhibitors

aliskiren 

aliskiren: they may enhance the serum concentration of CYP3A4 Inhibitors

voriconazole 

voriconazole: they may enhance the serum concentration of CYP3A4 Inhibitors

tizanidine 

tizanidine: they may enhance the serum concentration of CYP3A4 Inhibitors

betamethasone + gentamicin 

may enhance the serum concentration of each other when combined

betamethasone + salicylic acid 

may enhance the serum concentration of each other when combined

eluxadoline 

eluxadoline: they may enhance the serum concentration of CYP3A4 Inhibitors

oxatomide 

oxatomide: they may enhance the serum concentration of CYP3A4 Inhibitors

revefenacin 

revefenacin: they may enhance the serum concentration of CYP3A4 Inhibitors

tiotropium 

tiotropium: they may enhance the serum concentration of CYP3A4 Inhibitors

glucagon 

glucagon: they may enhance the serum concentration of CYP3A4 Inhibitors

itopride 

itopride: they may enhance the serum concentration of CYP3A4 Inhibitors

mianserin 

mianserin: they may enhance the serum concentration of CYP3A4 Inhibitors

topiramate 

topiramate: they may enhance the serum concentration of CYP3A4 Inhibitors

betamethasone (systemic)

may enhance the serum concentration of CYP3A4 inhibitor

budesonide (oral inhalation)

may enhance the serum concentration of CYP3A4 inhibitor

budesonide intranasal

may enhance the serum concentration of CYP3A4 inhibitor

budesonide (Topical)

may enhance the serum concentration of CYP3A4 inhibitor

beclomethasone (nasal)

may enhance the serum concentration of CYP3A4 inhibitor

ketamine 

ketamine: it may increase the risk of adverse effects with CYP3A4 inhibitors

decamethonium 

decamethonium: it may increase the risk of adverse effects with CYP3A4 inhibitors

labetalol  

ketamine: it may increase the risk of adverse effects with CYP3A4 inhibitors

levobetaxolol 

levobetaxolol: it may increase the risk of adverse effects with CYP3A4 inhibitors

mefloquine 

mefloquine: it may increase the risk of adverse effects with CYP3A4 inhibitors

memantine 

memantine: it may increase the risk of adverse effects with CYP3A4 inhibitors

sirolimus 

CYP3A4 inhibitors increase the concentration of sirolimus in the serum

buspirone 

CYP3A4 inducers increase the concentration of buspirone in the serum

almotriptan 

almotriptan serum concentration may also be increased by CYP3A4 inhibitors (strong)

Actions and spectrum: 

Action: 

Glecaprevir is a direct-acting antiviral (DAA) agent that interferes with the replication process of the hepatitis C virus. Specifically, it inhibits the NS3/4A protease enzyme that is essential for virus to replicate. By blocking this enzyme, glecaprevir helps to reduce the viral load in the body, suppressing the replication of the hepatitis C virus. 

Spectrum: 

The combination of glecaprevir and pibrentasvir is notable for its broad-spectrum activity against multiple genotypes of the hepatitis C virus. It is effective against genotypes 1 through 6, making it a pangenotypic treatment option. This is important because HCV is genetically diverse, with different genotypes requiring different treatment approaches. The pangenotypic nature of glecaprevir and pibrentasvir makes it a versatile and convenient option for treating various HCV infections. 

Frequency not defined 

Angioedema 

Diarrhoea 

Headache 

Nausea 

increased Serum bilirubin 

Asthenia 

Fatigue 

Hyperbilirubinaemia 

Pruritus 

Transient ischaemic attack 

Black Box Warning: 

there were no specific black box warnings listed for glecaprevir. 

Contraindication/Caution: 

Contraindication: 

  • Hypersensitivity: Patients with hypersensitivity or allergy to glecaprevir or any of its components may be contraindicated from using the medication. 
  • Drug Interactions: Concomitant use of medications that have significant interactions with glecaprevir, as outlined in the prescribing information, may be contraindicated. 
  • Pregnancy and Breastfeeding: The use of glecaprevir during pregnancy or breastfeeding may be contraindicated, and the risks and benefits should be carefully evaluated.

Caution: 

  • Hepatic Impairment: Caution may be needed in patients with pre-existing liver conditions. Glecaprevir is primarily metabolized in the liver, and its safety may be influenced by hepatic function. 
  • Renal Impairment: Although glecaprevir is primarily metabolized in the liver, information on its use in patients with significant renal impairment should be considered, as medications can be excreted through the kidneys. 
  • Liver Cirrhosis: Hepatitis C can progress to liver cirrhosis in some individuals. Management of comorbidities related to cirrhosis is crucial.

Comorbidities: 

  • Cardiovascular Disease: Individuals with hepatitis C may have an increased risk of cardiovascular disease. Managing cardiovascular risk factors is important in this population. 
  • Diabetes: Diabetes is a common comorbidity, and its management is important in individuals with hepatitis C. 
  • HIV Coinfection: Hepatitis C and HIV coinfection is not uncommon. Managing comorbidities associated with HIV is essential in such cases. 

Pregnancy consideration: pregnancy category: not assigned 

Lactation: excreted into human milk: unknown  

Pregnancy category: 

  • Category A: well-controlled and Satisfactory studies show no risk to the fetus in the first or later trimester. 
  • Category B: there was no evidence of risk to the fetus in animal studies, and there were not enough studies on pregnant women. 
  • Category C: there was evidence of risk of adverse effects in animal reproduction studies, and no adequate evidence in human studies must take care of potential risks in pregnant women.   
  • Category D: adequate data with sufficient evidence of human fetal risk from various platforms, but despite the potential risk, and used only in emergency cases for potential benefits. 
  • Category X: Drugs listed in this category outweigh the risks over benefits. Hence these categories of drugs need to be avoided by pregnant women. 
  • Category N: There is no data available for the drug under this category. 

Pharmacology: 

Glecaprevir is a direct-acting antiviral medication used in chronic hepatitis C virus (HCV) infections. It belongs to the class of NS3/4A protease inhibitors. The pharmacology of glecaprevir involves its potent inhibition of the NS3/4A protease enzyme, a crucial component in the replication of the hepatitis C virus.

By targeting this protease, glecaprevir disrupts the viral life cycle, preventing virus from replicating and leading to a reduction in viral load. Glecaprevir is often used in combination with other antiviral agents, such as pibrentasvir, to enhance its efficacy and cover a broad spectrum of HCV genotypes.

The medication is typically administered orally, and its pharmacokinetic properties contribute to its effectiveness in achieving sustained virologic response with chronic HCV infections.  

Pharmacodynamics: 

  • Inhibition of NS3/4A Protease: Glecaprevir specifically targets the NS3/4A protease enzyme, which is essential for the cleavage of the viral polyprotein. This inhibition prevents the formation of functional viral proteins necessary for HCV replication. 
  • Suppression of Viral Replication: By inhibiting the NS3/4A protease, glecaprevir disrupts the viral life cycle and suppresses the replication of HCV. This leads to a reduction in the viral load in the host’s body. 
  • Pangenotypic Activity: One of the notable features of glecaprevir is its pangenotypic activity, meaning it is effective against multiple genotypes of HCV. This broad-spectrum activity increases its utility in treating diverse patient populations with different HCV genotypes. 
  • Combination Therapy: Glecaprevir is often used in combination with other antiviral agents, such as pibrentasvir. This combination enhances the overall efficacy of the treatment and helps to prevent the development of resistance. 
  • High Barrier to Resistance: Glecaprevir is designed with a high barrier to resistance, meaning that it is less prone to the development of resistance mutations. This is an important characteristic for the long-term effectiveness of antiviral treatments.

Pharmacokinetics: 

  • Absorption: Glecaprevir is administered orally in the form of tablets. Following oral administration, it is absorbed from the gastrointestinal tract into the bloodstream. 
  • Distribution: Once absorbed, glecaprevir is distributed throughout the body via the bloodstream. The drug’s distribution may involve its binding to plasma proteins. 
  • Metabolism: Glecaprevir undergoes hepatic metabolism primarily by the cytochrome P450 (CYP) enzyme system, particularly CYP3A. The main metabolite formed is M4. 
  • Excretion: The elimination of glecaprevir and its metabolites occurs primarily through the biliary route. It is excreted in feces, and renal excretion is a minor pathway. The half-life of glecaprevir is long, allowing for once-daily dosing. 

Administration: 

  • Dosage and Timing: The specific dosage of glecaprevir and the recommended duration of treatment depend on various factors, including the patient’s HCV genotype, prior treatment history, and the presence of cirrhosis.  
  • Administration with Food: Glecaprevir is typically administered with food. Taking it with high-fat meal, enhances the drug’s absorption and bioavailability. Patients should follow their healthcare provider’s instructions regarding food intake. 
  • Once-Daily Dosing: Glecaprevir is often prescribed for once-daily dosing. The specific time of day for administration may vary, and patients should follow their healthcare provider’s recommendations. 
  • Combination Therapy: Glecaprevir is often used in combination with another antiviral agent, such as pibrentasvir. The combination therapy enhances the overall efficacy of the treatment, especially in achieving a pangenotypic response. 

Patient information leaflet 

Generic Name: glecaprevir 

Pronounced: (gleh-ka-PREV-ir)  

Why do we use glecaprevir? 

Glecaprevir is a medication primarily used to treat chronic hepatitis C virus (HCV) infections. It is often prescribed as part of a combination therapy with another antiviral agent, such as pibrentasvir. The combination of glecaprevir and pibrentasvir is known for its pangenotypic activity, meaning it is effective against multiple genotypes of HCV.

This makes glecaprevir a versatile treatment option for a broad range of patients with different HCV genotypes. The medication is indicated for both treatment-naive individuals and those who have previously failed treatment with other antiviral medications. 

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