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▶ Apalutamide slightly decreases the exposure to statins

(rosuvastatin).nStudy

▶ Apalutamide is predicted to decrease the exposure to statins

(simvastatin). Avoid or monitor.oStudy

▶ Apalutamide is predicted to decrease the exposure to

temsirolimus. Avoid or monitor.oStudy

▶ Apalutamide potentially decreases the exposure to thyroid

hormones (levothyroxine).nTheoretical

▶ Apalutamide is predicted to decrease the exposure to

ticagrelor. Monitor and adjust dose.oStudy

▶ Apalutamide is predicted to decrease the exposure to

tolvaptan. Avoid or monitor.oStudy

Apixaban → see TABLE 3 p. 1375 (anticoagulant effects)

▶ Antiarrhythmics (dronedarone) are predicted to increase the

exposure to apixaban.oTheoretical

▶ Antiepileptics (carbamazepine, fosphenytoin, phenobarbital,

phenytoin, primidone) are predicted to moderately decrease

BNF 78 Antimalarials — Apixaban 1409

Interactions | Appendix 1

A1

Apixaban (continued)

the exposure to

Study

apixaban. Use with caution or avoid.r

▶ Antifungals, azoles (itraconazole) are predicted to increase the

exposure to apixaban. Avoid.rTheoretical

▶ Antifungals, azoles (ketoconazole) slightly to moderately

increase the exposure to apixaban. Avoid.rStudy

▶ Antifungals, azoles (voriconazole) are predicted to increase the

exposure to apixaban. Avoid.oTheoretical

▶ Calcium channel blockers (verapamil) are predicted to increase

the exposure to apixaban.oTheoretical

▶ Cobicistat is predicted to increase the exposure to apixaban.

Avoid.rTheoretical

▶ Enzalutamide is predicted to moderately decrease the

exposure to apixaban. Use with caution or avoid.rStudy

▶ HIV-protease inhibitors (ritonavir) are predicted to increase the

exposure to apixaban. Avoid.rTheoretical

▶ Macrolides (erythromycin) are predicted to increase the

exposure to apixaban.oTheoretical

▶ Mitotane is predicted to moderately decrease the exposure to

apixaban. Use with caution or avoid.rStudy

▶ Rifampicin is predicted to moderately decrease the exposure

to apixaban. Use with caution or avoid.rStudy

▶ St John’s Wort is predicted to decrease the exposure to

apixaban. Use with caution or avoid.oTheoretical

Apomorphine → see dopamine receptor agonists

Apraclonidine → see TABLE 6 p. 1376 (bradycardia), TABLE 8 p. 1376

(hypotension), TABLE 11 p. 1377 (CNS depressant effects)

▶ Amfetamines are predicted to decrease the effects of

apraclonidine. Avoid.rTheoretical

▶ Methylphenidate is predicted to decrease the effects of

apraclonidine. Avoid.rTheoretical

▶ Sympathomimetics, inotropic are predicted to decrease the

effects of apraclonidine. Avoid.rTheoretical

▶ Sympathomimetics, vasoconstrictor are predicted to decrease

the effects of apraclonidine. Avoid.rTheoretical

Apremilast

▶ Antiepileptics (carbamazepine, fosphenytoin, phenobarbital,

phenytoin, primidone) moderately decrease the exposure to

apremilast. Avoid.rStudy

▶ Enzalutamide moderately decreases the exposure to

apremilast. Avoid.rStudy

▶ Mitotane moderately decreases the exposure to apremilast.

Avoid.rStudy

▶ Rifampicin moderately decreases the exposure to apremilast.

Avoid.rStudy

▶ St John’s Wort is predicted to decrease the exposure to

apremilast. Avoid.rTheoretical

Aprepitant

▶ Aprepitant is predicted to increase the exposure to

abemaciclib.oStudy

▶ Aprepitant is predicted to increase the exposure to aldosterone

antagonists

Study

(eplerenone). Adjust eplerenone dose, p. 193.r

▶ Aprepitant is predicted to increase the exposure to alkylating

agents (ifosfamide).rTheoretical

▶ Aprepitant is predicted to increase the exposure to alpha

blockers (tamsulosin).oTheoretical

▶ Aprepitant

r

is predicted to increase the exposure to alprazolam.

Study

▶ Aprepitant increases the exposure to antiarrhythmics

(dronedarone).rTheoretical

▶ Aprepitant is predicted to increase the exposure to

antiarrhythmics

o

(propafenone). Monitor and adjust dose.

Study

▶ Antiepileptics (carbamazepine, fosphenytoin, phenobarbital,

phenytoin, primidone) are predicted to markedly decrease the

exposure to aprepitant. Avoid.oStudy

▶ Antifungals, azoles (fluconazole) are predicted to increase the

exposure to aprepitant.oTheoretical

▶ Antifungals, azoles (itraconazole, ketoconazole, voriconazole) are

predicted to markedly increase the exposure to

o

aprepitant.

Study

▶ Antifungals, azoles (posaconazole) are predicted to increase the

exposure to aprepitant.oStudy

▶ Aprepitant is predicted to increase the exposure to antifungals,

azoles (isavuconazole).oTheoretical

▶ Aprepitant is predicted to increase the exposure to

antihistamines, non-sedating (mizolastine).rTheoretical

▶ Aprepitant is predicted to increase the exposure to

antihistamines, non-sedating (rupatadine). Avoid.oStudy

▶ Aprepitant is predicted to increase the concentration of

antimalarials (piperaquine).rTheoretical

▶ Aprepitant

o

is predicted to increase the exposure to axitinib.

Theoretical

▶ Aprepitant is predicted to increase the exposure to

bedaquiline. Avoid prolonged use.nTheoretical

▶ Aprepitant is predicted to increase the exposure to beta2

agonists (salmeterol).oStudy

▶ Bosentan

o

is predicted to decrease the exposure to aprepitant.

Study

▶ Aprepitant is predicted to increase the exposure to bosutinib.

Avoid or adjust dose.rTheoretical

▶ Aprepitant is predicted to increase the exposure to buspirone.

Use with caution and adjust dose.oStudy

▶ Aprepitant is predicted to increase the exposure to

cabozantinib.oTheoretical

▶ Calcium channel blockers (diltiazem, verapamil) are predicted to

increase the exposure to aprepitant and aprepitant is predicted

to increase the exposure to calcium channel blockers (diltiazem,

verapamil).oStudy

▶ Aprepitant is predicted to increase the exposure to calcium

channel blockers (amlodipine, felodipine, lacidipine,

lercanidipine, nicardipine, nifedipine, nimodipine). Monitor and

adjust dose.oStudy

▶ Aprepitant is predicted to increase the exposure to cariprazine.

Avoid.rStudy

▶ Aprepitant

o

is predicted to increase the exposure to ceritinib.

Theoretical

▶ Aprepitant is predicted to increase the concentration of

ciclosporin.rStudy

▶ Cobicistat is predicted to markedly increase the exposure to

aprepitant.oStudy

▶ Aprepitant is predicted to increase the exposure to

cobimetinib.rTheoretical

▶ Aprepitant is predicted to increase the exposure to colchicine.

Adjust colchicine dose with moderate inhibitors of CYP3A4,

p. 1120.rStudy

▶ Aprepitant is predicted to decrease the efficacy of combined

hormonal contraceptives. For FSRH guidance, see

Contraceptives, interactions p. 794.rStudy

▶ Aprepitant is predicted to increase the exposure to oral

corticosteroids (budesonide).oStudy

▶ Aprepitant moderately increases the exposure to corticosteroids

(dexamethasone). Monitor and adjust dose.oStudy

▶ Aprepitant is predicted to increase the exposure to

corticosteroids (fluticasone).oStudy

▶ Aprepitant is predicted to increase the exposure to

corticosteroids

o

(methylprednisolone). Monitor and adjust dose.

Study

▶ Aprepitant

o

decreases the anticoagulant effect of coumarins.

Study

▶ Aprepitant is predicted to slightly increase the exposure to

darifenacin.oStudy

▶ Aprepitant

r

is predicted to increase the exposure to dasatinib.

Study

▶ Aprepitant is predicted to decrease the efficacy of desogestrel.

For FSRH guidance, see

r

Contraceptives, interactions p. 794.

Theoretical

▶ Aprepitant increases the risk of QT-prolongation when given

with domperidone. Avoid.rStudy

▶ Aprepitant is predicted to increase the exposure to dopamine

receptor agonists (bromocriptine).rTheoretical

▶ Aprepitant is predicted to increase the concentration of

dopamine receptor agonists (cabergoline).oAnecdotal

▶ Aprepitant is predicted to moderately increase the exposure to

dutasteride.nStudy

▶ Efavirenz

o

is predicted to decrease the exposure to aprepitant.

Study

1410 Apixaban — Aprepitant BNF 78

Interactions | Appendix 1

A1

▶ Aprepitant

o

is predicted to increase the exposure to eletriptan.

Study

▶ Aprepitant is predicted to increase the exposure to eliglustat.

Avoid or adjust dose—consult product literature.rStudy

▶ Aprepitant is predicted to moderately increase the exposure to

encorafenib.oStudy

▶ Enzalutamide is predicted to markedly decrease the exposure

to aprepitant. Avoid.oStudy

▶ Aprepitant is predicted to increase the risk of ergotism when

given with ergometrine.rTheoretical

▶ Aprepitant is predicted to increase the risk of ergotism when

given with ergotamine.rTheoretical

▶ Aprepitant

o

is predicted to increase the exposure to erlotinib.

Theoretical

▶ Aprepitant is predicted to decrease the efficacy of etonogestrel.

For FSRH guidance, see

r

Contraceptives, interactions p. 794.

Theoretical

▶ Aprepitant is predicted to increase the concentration of

everolimus. Avoid or adjust dose.oStudy

▶ Aprepitant is predicted to increase the exposure to

fesoterodine. Adjust fesoterodine dose with moderate

inhibitors of CYP3A4 in hepatic and renal impairment, p. 777.

nStudy

▶ Aprepitant

o

is predicted to increase the exposure to gefitinib.

Theoretical

▶ Aprepitant is predicted to increase the concentration of

guanfacine. Adjust guanfacine dose, p. 352.oTheoretical

▶ HIV-protease inhibitors are predicted to markedly increase the

exposure to aprepitant.oStudy

▶ Aprepitant is predicted to decrease the effects of hormone

replacement therapy.oAnecdotal

▶ Aprepitant is predicted to increase the exposure to ibrutinib.

Adjust ibrutinib dose with moderate inhibitors of CYP3A4,

p. 983.rStudy

▶ Idelalisib is predicted to markedly increase the exposure to

aprepitant.oStudy

▶ Aprepitant

o

is predicted to increase the exposure to imatinib.

Theoretical

▶ Aprepitant is predicted to increase the exposure to

intravenous irinotecan.rTheoretical

▶ Aprepitant is predicted to increase the exposure to ivabradine.

Adjust ivabradine dose, p. 211.rTheoretical

▶ Aprepitant is predicted to increase the exposure to ivacaftor.

Adjust ivacaftor p. 293 or tezacaftor with ivacaftor p. 295 dose

with moderate inhibitors of CYP3A4.rStudy

▶ Aprepitant

o

is predicted to increase the exposure to lapatinib.

Study

▶ Aprepitant is predicted to decrease the efficacy of

levonorgestrel. For FSRH guidance, see Contraceptives,

interactions p. 794.rTheoretical

▶ Aprepitant is predicted to increase the exposure to lomitapide.

Avoid.oTheoretical

▶ Aprepitant is predicted to increase the exposure to lurasidone.

Adjust lurasidone dose, p. 398.oStudy

▶ Macrolides (clarithromycin) are predicted to markedly increase

the exposure to aprepitant.oStudy

▶ Macrolides (erythromycin) are predicted to increase the

exposure to aprepitant.oStudy

▶ Aprepitant

o

is predicted to increase the exposure to maraviroc.

Study

▶ Aprepitant is predicted to increase the exposure to midazolam.

Monitor side effects and adjust dose.rStudy

▶ Aprepitant is predicted to increase the exposure to

midostaurin.oTheoretical

▶ Mitotane is predicted to markedly decrease the exposure to

aprepitant. Avoid.oStudy

▶ Aprepitant is predicted to increase the exposure to naloxegol.

Adjust

Study

naloxegol dose and monitor side effects, p. 65.o ▶ Nevirapine

o

is predicted to decrease the exposure to aprepitant.

Study

▶ Aprepitant

o

is predicted to increase the exposure to nilotinib.

Theoretical

▶ Aprepitant is predicted to decrease the efficacy of

norethisterone. For FSRH guidance, see Contraceptives,

interactions p. 794.rAnecdotal

▶ Aprepitant is predicted to increase the exposure to olaparib.

Avoid moderate inhibitors of CYP3A4 or adjust olaparib dose,

p. 1005.oTheoretical

▶ Aprepitant is predicted to increase the exposure to opioids

(alfentanil, buprenorphine, fentanyl, oxycodone). Monitor and

adjust dose.oStudy

▶ Aprepitant is predicted to increase the exposure to opioids

(methadone, sufentanil).oTheoretical

▶ Aprepitant is predicted to increase the exposure to oxybutynin.

nTheoretical

▶ Aprepitant

o

is predicted to increase the exposure to pazopanib.

Theoretical

▶ Aprepitant is predicted to increase the exposure to

phosphodiesterase type-5 inhibitors (avanafil). Adjust avanafil

dose, p. 812.oTheoretical

▶ Aprepitant is predicted to increase the exposure to

phosphodiesterase type-5 inhibitors (sildenafil). Monitor or

adjust sildenafil dose with moderate inhibitors of CYP3A4,

p. 813.oStudy

▶ Aprepitant is predicted to increase the exposure to

phosphodiesterase type-5 inhibitors (tadalafil).rTheoretical

▶ Aprepitant is predicted to increase the exposure to

phosphodiesterase type-5 inhibitors

r

(vardenafil). Adjust dose.

Theoretical

▶ Aprepitant is predicted to increase the exposure to pimozide.

Avoid.rTheoretical

▶ Aprepitant is predicted to increase the exposure to quetiapine.

Avoid.oStudy

▶ Aprepitant

r

is predicted to increase the exposure to ranolazine.

Study

▶ Aprepitant

o

is predicted to increase the exposure to ribociclib.

Study

▶ Rifampicin is predicted to markedly decrease the exposure to

aprepitant. Avoid.oStudy

▶ Aprepitant

o

is predicted to increase the exposure to ruxolitinib.

Theoretical

▶ Aprepitant is predicted to increase the exposure to saxagliptin.

nStudy

▶ Aprepitant increases the concentration of sirolimus. Monitor

and adjust dose.oStudy

▶ Aprepitant is predicted to increase the exposure to SSRIs

(dapoxetine). Adjust dapoxetine dose with moderate inhibitors

of CYP3A4, p. 821.oTheoretical

▶ St John’s Wort is predicted to decrease the exposure to

aprepitant. Avoid.oTheoretical

▶ Aprepitant is predicted to increase the exposure to statins

(atorvastatin). Monitor and adjust dose.rStudy

▶ Aprepitant is predicted to increase the exposure to statins

(simvastatin). Use with caution and adjust simvastatin dose,

p. 205.rStudy

▶ Aprepitant

o

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