Aprepitant and Daridorexant interaction

Aprepitant and Daridorexant: the Daridorexant prescribing label flags this combination with the strongest language, such as a contraindication, a boxed warning, or an instruction to avoid it.

Major

Do not combine without a prescriber's guidance. The label language below is the strongest FDA uses.

What the FDA labels say

From the Daridorexant (QUVIVIQ) label · effective 2026-02-26

Major

Strong CYP3A4 inhibitors: Avoid concomitant use.

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Major

Moderate or Strong CYP3A4 inducers: Avoid concomitant use.

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Major

Concomitant use of QUVIVIQ with a strong inhibitor of CYP3A4 is not recommended [see Dosage and Administration (2.2) ] .

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Major

Prevention or Management: Concomitant use of QUVIVIQ with a strong or moderate inducer of CYP3A4 is not recommended [see Dosage and Administration (2.2) ] .

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Moderate

Moderate CYP3A4 inhibitors: Maximum recommended dose is 25 mg.

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.