Nelvir Nelfinavir Dienogest
ModerateNelfinavir is a protease inhibitor, and it can block CYP3A4, the liver enzyme that breaks down Dienogest. Because of this, more Dienogest may stay in your blood than normal, and this can cause more side effects. Other medicines that also block CYP3A4 can do the same. These include azole antifungals (ketoconazole, itraconazole, fluconazole), cimetidine, verapamil, macrolide antibiotics (erythromycin, clarithromycin, roxithromycin), diltiazem, other protease inhibitors (ritonavir, saquinavir, indinavir) and some antidepressants (nefazodone, fluvoxamine, fluoxetine). If you need to take Nelfinavir with Dienogest, talk to your doctor or pharmacist first.
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.