Lomitapide and Warfarin interaction

Lomitapide and Warfarin: the Lomitapide 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 Lomitapide (Juxtapid) label · effective 2026-01-20

Moderate

Risk of Supratherapeutic or Subtherapeutic Anticoagulation with Warfarin JUXTAPID increases the plasma concentrations of warfarin.

Warnings and precautionsnames WarfarinView label on DailyMed
Moderate

Patients taking warfarin should undergo regular monitoring of the INR, especially after any changes in JUXTAPID dosage.

Warnings and precautionsnames WarfarinView label on DailyMed
Moderate

The dose of warfarin should be adjusted as clinically indicated [see Drug Interactions (7.3) ] .

Warnings and precautionsnames WarfarinView label on DailyMed
Moderate

Warfarin: Lomitapide increases plasma concentrations of warfarin.

Drug interactionsnames WarfarinView label on DailyMed
Moderate

Warfarin Lomitapide increases plasma concentrations of both R(+)-warfarin and S(-)-warfarin by approximately 30% and increased the INR 22%.

Drug interactionsnames WarfarinView 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.