Macitentan Ketoconazole
ModerateKetoconazole is a strong blocker of the liver enzyme (CYP3A4) that clears macitentan from the body. When the two are taken together, the amount of macitentan in the blood goes up to roughly double what it would normally be.
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.