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Interaction Check

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Selected Drugs Clear All

  • remove Epclusa
    sofosbuvir/ velpatasvir
  • remove Prograf
    tacrolimus

multicheck MultiCheck Results - 1 Interaction

Smiley face Smiley face

Monitor/Modify Tx

Smiley face Smiley face Epclusa (sofosbuvir/ velpatasvir) + Prograf (tacrolimus)

Monitor/Modify Tx


velpatasvir + tacrolimus

monitor tacrolimus levels, ECG, renal fxn w/ oral tacrolimus: combo may incr. tacrolimus levels, risk of QT prolongation, cardiac arrhythmias, nephrotoxicity, other adverse effects (gut P-gp-mediated transport inhibited)

Additional Considerations

Smiley face Smiley face tacrolimus in Prograf

monitor tacrolimus levels in combo with HCV Direct Acting Antiviral (DAA) tx; viral eradication may improve hepatic metabolic function, alter tacrolimus levels, efficacy

avoid combo with beverages or products containing ethanol and tacrolimus extended-release (ER) formulations; combo may incr. tacrolimus release rate, levels, risk of adverse effects, decr. duration of efficacy

Smiley face Smiley face sofosbuvir in Epclusa

caution advised w/ narrow therapeutic index drugs extensively metabolized in the liver; viral eradication may improve hepatic metabolic function, decr. levels, efficacy of concomitant drugs

monitor glucose w/ drugs used for diabetes tx; viral eradication may change hepatic function, alter blood glucose control resulting in serious symptomatic hypoglycemia

Smiley face Smiley face velpatasvir in Epclusa

caution advised w/ narrow therapeutic index drugs extensively metabolized in the liver; viral eradication may improve hepatic metabolic function, decr. levels, efficacy of concomitant drugs

monitor glucose w/ drugs used for diabetes tx; viral eradication may change hepatic function, alter blood glucose control resulting in serious symptomatic hypoglycemia

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