epocrates logo
epocrates logo
epocrates logo
  • 0

Interaction Check

epocrates logo

Sign in to access our clinical decision support tools

Sign in Create Account

Selected Drugs Clear All

  • remove Cambia
    diclofenac potassium
  • remove Genvoya
    elvitegravir/ cobicistat/ emtricitabine/ tenofovir alafenamide
  • remove Sensipar
    cinacalcet
  • remove Tagamet HB 200
    cimetidine

multicheck MultiCheck Results - 6 Interactions

Smiley face Smiley face

Monitor/Modify Tx

Smiley face Smiley face Cambia (diclofenac potassium) + Genvoya (elvitegravir/ cobicistat/ emtricitabine/ tenofovir alafenamide)

Monitor/Modify Tx


diclofenac + tenofovir alafenamide

monitor renal fxn: combo may incr. tenofovir levels, risk of nephrotoxicity, other adverse effects (additive effects)

Caution Advised


diclofenac + emtricitabine

caution advised, especially w/ high-dose diclofenac: combo may incr. levels of both drugs, risk of adverse effects (renal secretion possibly inhibited)

Smiley face Smiley face Cambia (diclofenac potassium) + Sensipar (cinacalcet)

Monitor/Modify Tx


diclofenac + cinacalcet

monitor bleeding s/sx: combo may incr. risk of GI ulceration, perforation, bleeding, including life-threatening (additive effects)

Smiley face Smiley face Cambia (diclofenac potassium) + Tagamet HB 200 (cimetidine)

Monitor/Modify Tx


diclofenac + cimetidine

monitor bleeding s/sx; use lowest effective diclofenac dose, shortest duration of concomitant tx: combo may incr. diclofenac levels, risk of GI or other bleeding (including life-threatening), other adverse effects (hepatic metabolism inhibited)

Smiley face Smiley face Genvoya (elvitegravir/ cobicistat/ emtricitabine/ tenofovir alafenamide) + Sensipar (cinacalcet)

Monitor/Modify Tx


cobicistat + cinacalcet

monitor iPTH, calcium, ECG: combo may incr. cinacalcet levels, risk of severe hypocalcemia (including life-threatening), QT prolongation, cardiac arrhythmias, seizures, other adverse effects (hepatic metabolism inhibited)

Smiley face Smiley face Genvoya (elvitegravir/ cobicistat/ emtricitabine/ tenofovir alafenamide) + Tagamet HB 200 (cimetidine)

Monitor/Modify Tx


tenofovir alafenamide + cimetidine

if tenofovir alafenamide not admin. w/ cobicistat, monitor renal fxn: combo may incr. tenofovir levels, risk of nephrotoxicity, other adverse effects (gut P-gp-mediated transport inhibited)

Additional Considerations

Smiley face Smiley face tenofovir alafenamide in Genvoya

tenofovir alafenamide (prodrug) converted to tenofovir

Help
FDA Reporting Form
 
Download Epocrates from the App Store Download Epocrates from the Play Store
About Us Features Business Solutions Help & Feedback
© 2026 epocrates, Inc.    Terms of Use Privacy Policy Editorial Policy Do Not Sell or Share My Information