Cimetidine and Sofosbuvir and velpatasvir interaction

Cimetidine and Sofosbuvir and velpatasvir: the Sofosbuvir and velpatasvir prescribing label describes an interaction that usually calls for monitoring, a dose change, or spacing the doses.

Moderate

Usually manageable with monitoring or a dose change. Tell your pharmacist you take both.

What the FDA labels say

From the Sofosbuvir and velpatasvir (Vosevi) label · effective 2025-07-14

Moderate

Clinical Effect/Recommendation Acid Reducing Agents: ↓ velpatasvir Velpatasvir solubility decreases as pH increases.

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Moderate

H 2 -receptor antagonists may be administered simultaneously with or staggered from VOSEVI at a dose that does not exceed doses comparable with famotidine 40 mg twice daily.

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Minor

H 2 -receptor antagonists (e.g., famotidine) These interactions have been studied in healthy adults.

Drug interactionsby drug classView label on DailyMed

Taking more than these two? Interactions stack. Check your whole list at once; it stays in your browser.

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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.