Loperamide + Simethicone Itraconazole
ModerateWhen Loperamide + Simethicone is taken with Itraconazole, the amount of loperamide in your blood goes up a lot. In one study, people took a single 4 mg dose of loperamide along with itraconazole. Itraconazole blocks CYP3A4 and P-glycoprotein, which help clear loperamide from the body. Their loperamide blood levels rose about 3 to 4 times. The effect was bigger when gemfibrozil was taken too. With itraconazole and gemfibrozil together, the highest loperamide level in the blood was 4 times higher. The total amount of loperamide the body was exposed to was 13 times higher.
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.