Ponatinib Hydrochloride Ritonavir
ModerateRitonavir is a strong CYP3A inhibitor, which means it slows down the CYP3A enzyme that the body uses to break down ponatinib. Ponatinib can then build up in your blood, so take extra care if you use the two together. Your doctor may consider lowering the starting dose of ponatinib to 30 mg. Other strong CYP3A inhibitors, such as clarithromycin, indinavir, itraconazole, ketoconazole, nefazodone, nelfinavir, saquinavir, telithromycin, troleandomycin, voriconazole and grapefruit juice, have the same kind of effect.
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.