Diltiazem HCl Diltiazem Hydrochloride Rivaroxaban
MajorDiltiazem is one of the medicines that block both P-gp and CYP3A4, which are two ways the body handles Rivaroxaban. Taking the two together increases the amount of Rivaroxaban in your body and strengthens its effects. Factor Xa is blocked more, and the PT (a blood clotting test) becomes longer. For this reason, the combination should be avoided. Ketoconazole, ritonavir, clarithromycin, erythromycin, fluconazole, verapamil and dronedarone act in the same way.
These medicines can affect each other in a serious way. Do not start taking them together unless your doctor has said it is OK. If you already take both, do not stop either one on your own: speak to your doctor or pharmacist soon.