Dienogest Dienogest Diltiazem Hydrochloride
ModerateDiltiazem is a known CYP3A4 inhibitor, meaning it slows down the CYP3A4 enzyme that the body uses to break down Dienogest. Other medicines with the same effect include azole antifungals (ketoconazole, itraconazole, fluconazole), cimetidine, verapamil, macrolide antibiotics (erythromycin, clarithromycin, roxithromycin), protease inhibitors (ritonavir, saquinavir, indinavir, nelfinavir) and some antidepressants (nefazodone, fluvoxamine, fluoxetine). When Dienogest is taken with any of these, its level in the blood can go up, and that may cause more side effects.
These medicines are often taken together with some care. Your doctor may change a dose, space them apart or check on you more often. Make sure your doctor and pharmacist know you take both.