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. Author manuscript; available in PMC: 2023 Jun 1.
Published in final edited form as: Circ Arrhythm Electrophysiol. 2022 May 27;15(6):e007956. doi: 10.1161/CIRCEP.121.007956

Table 3:

CYP3A4 – Modulators – adopted from13, 56, 163165

CYP450 3A4 Modulator
Inhibitor Inducer
Strong Inhibitor Boceprevir Strong Inducer Apalutamide
Ceritinib Carbamazepine
Clarithromycin* although a strong inhibitor of both 3A4 and P-gp, pharmacokinetic data suggests concomitant use with a DOAC is safe (labels) Enzalutamide
Cobicistat Mitotane
Grapefruit Juice Phenytoin
Idelalisib Rifampin
Indinavir St. John's wort
Itraconazole
Ketoconazole Moderate Inducer Bosentan
Nefazodone Efavirenz
Nelfinavir Etravirine
Posaconazole Phenobarbital
Ribociclib Primidone
Ritonavir
Saquinavir Weak Inducer Armodafinil
Telaprevir Modafinil
Tucatinib Rufinamide
Voriconzole
Undetermined Aminoglutethimide
Bexarotene
Moderate Inhibitor Aprepitant Brigatinib
Ciprofloxacin Dabrafenib
Conivaptan Dexamethasone
Crizotinib Dicloxacillin
Cyclosporine Eslicarbazepine
Diltiazem Fosphenytoin
Dronedarone Griseofulvin
Erythromycin Lesinurad
Fluconazole Lumacaftor
Fluvoxamine Nafcillin
Grapefruit Nevirapine
Imatinib Rifabutin
Netupitant and Palonostrone (Akynzeo®) Rifapentine
Verapamil Sarilumab
Telotristat
Weak Inhibitor Amiodarone Tocilizumab
Atomoxetine Troglitazone
Chlorzoxazone Vemurafenib
Cilostazol Vinblastine
Clotrimazole
Entrectinib
Esomeprazole
Fosaprepitant
Istradefylline
Ivcaftor
Lomitapide
Omeprazole
Quercetin
Ranitidine
Ranolazine
Simeprevir
Ticagrelor
Undetermined Amprenavir
Atazanavir
Berberine
Chloramphenicol
Dalfoprestin
Danazol
Darunavir
Dasatinib
Delavirdine
Dexmedetomidine
Ethinyl Estradiol
Fosaprenavir
Isavuconazonium
Isoniazid
Lapatinib
Larotrectinib
Letermovir
Miconazole
Mifepristone
Netupitant
Palbociclib
Quinupristin (Synercid)
Simeprevir
Stiripentol
Tamoxifen
Voxilaprevir