Lorlatinib and Sofosbuvir and velpatasvir interaction

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

Major

Use of VOSEVI with P-gp inducers and/or moderate to strong CYP inducers is not recommended.

Drug interactionsby drug classView label on DailyMed
Moderate

Risk of Reduced Therapeutic Effect Due to Concomitant Use of VOSEVI with Inducers of P-gp and/or Moderate to Strong Inducers of CYP Drugs that are inducers of P-gp and/or moderate to strong inducers of CYP2B6, CYP2C8, or CYP3A4 (e.g., St.

Warnings and precautionsby drug classView label on DailyMed
Minor

P-gp inducers and/or moderate to strong CYP inducers (e.g., St.

Drug interactionsby drug classView label on DailyMed
Minor

Drugs that are inducers of P-gp and/or moderate to strong inducers of CYP2B6, CYP2C8, or CYP3A4 (e.g., St.

Drug interactionsby drug classView label on DailyMed

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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.