Selected CYP3A4 Substrates/Mitapivat Interactions

This information is generalized and not intended as specific medical advice. Consult your healthcare professional before taking or discontinuing any drug or commencing any course of treatment.

Medical warning:

Serious. These medicines may interact and cause very harmful effects. Contact your healthcare professional (e.g. doctor or pharmacist) for more information.

How the interaction occurs:

Mitapivat may decrease the amount of your other medicine in your blood by speeding up how quickly your liver processes the medicine.

What might happen:

The blood levels of your other medicine may decrease and your medicine may not work as expected.

What you should do about this interaction:

Let your healthcare professionals (e.g. doctor or pharmacist) know that you are taking these medicines together. Let your doctor know if your medicine does not seem to be working as well. Your doctor may want to check the amount of medicine in your blood, change its dose, or change your medicine.Your healthcare professionals may already be aware of this interaction and may be monitoring you for it. Keep all of your appointments with the doctor and laboratory. Do not start, stop, or change the dosage of any medicine before checking with them first.

  • 1.Pyrukynd (mitapivat) US prescribing information. Agios Pharmaceuticals February, 2022.
  • 2.This information is based on an extract from the Certara Drug Interaction Database (DIDB) Platform, Copyright Certara 1999-2023..
  • 3.Sandimmune (cyclosporine) US prescribing information. Novartis Pharmaceuticals Corporation September 2023.
  • 4.Afinitor (everolimus) US prescribing information. Novartaris Pharmaceuticals Corporation February, 2020.
  • 5.Rapamune (sirolimus) US prescribing information. Wyeth Pharmaceuticals Aug, 2022.
  • 6.Prograf (tacrolimus) US prescribing information. Astellas Pharma US, Inc. August, 2023.
  • 7.Torisel (temsirolimus) US prescribing information. Wyeth Pharmaceuticals, Inc. March, 2018.

Selected from data included with permission and copyrighted by First Databank, Inc. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, except as may be authorized by the applicable terms of use.

CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.