Lamivudine + Daclatasvir = Unknown or no reaction

Effect on Concentration

Lamivudine
No change
Applies within class?
No
Daclatasvir
No change
Applies within class?
No

Pharmacologic Effects

Effect
N/A
Applies within class?
No
Effect
N/A
Applies within class?
No

Interaction History

N/A

Last Updated 13-Jul-2018

Summary

Sources

Study Design

This combination has not been studied, but given what is known about the metabolic and transport pathways of both of these agents, an interaction is not expected.

Study Results

When used as part of an antiretroviral regimen, in patients who are coinfected with HCV and HIV, zidovudine exposures are not expected to change in the presence of daclatasvir. Similarly, daclatasvir concentration is not expected to be altered due to zidovudine.

Study Conclusions

Manufacturer states that an interaction with NRTIs or Entry Inhibitors is not expected and a dose adjustment is not required for either agent. Given the role of other agents in the antiretroviral regimen, daclatasvir concentrations may be altered. Please see other drugs for individual interaction potential.

References

Bifano M, Howang C, Oosterhuis B, Hartstra J, Grasela D, Tiessen R, Bertz R. Assessment of pharmacokinetic interactions of the hcv ns5a replication complex inhibitor daclatasvir with antiretroviral agents: ritonavir-boosted atazanavir, efavirenz and tenofovir. Antiviral Therapy. 2013; 7: 931-940.