Desloratadine and Efavirenz interaction

Desloratadine and Efavirenz: both prescribing labels describe 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 Efavirenz label · effective 2024-03-31

Moderate

Prophylaxis with appropriate antihistamines before initiating therapy with efavirenz in pediatric patients should be considered.

Warnings and precautionsby drug classView label on DailyMed
Minor

Appropriate antihistamines and/or corticosteroids may improve the tolerability and hasten the resolution of rash.

Warnings and precautionsby drug classView label on DailyMed

From the Desloratadine (Clarinex) label · effective 2025-05-17

No interaction

Inhibitors of Cytochrome P450 3A4 In controlled clinical studies co-administration of desloratadine with ketoconazole, erythromycin, or azithromycin resulted in increased plasma concentrations of desloratadine and 3 hydroxydesloratadine, but there were no clinically relevant changes in the safety profile of desloratadine. [See Clinical Pharmacology (12.3) .]…

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.