No clinically significant interactions are expected.
No pharmaceutical opinion available for this interaction.
Mechanism
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Dolutegravir
Metabolic substrate
Primarily metabolized via UGT1A1 with some contribution from CYP3A. Renal elimination of unchanged drug was low (< 1% of the dose). UGT1A9 and 1A3, P-gp and BCRP (in vitro)
Metabolic inducer
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Metabolic inhibitor
OCT2 and MATE 1
Pharmacodynamic effects
–
Recommendations
–
Alternative solution(s)
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Glycopyrronium
Metabolic substrate
Mainly eliminated renally (60-70%) and also partly hydroxylated via multiple CYPs.